评判性思维在创伤骨科病区护理风险管理中的应用

陈芳

[摘要] 目的 观察并探讨评判性思维在创伤骨科病区护理风险管理中的应用效果与价值。 方法 选取2017年12月—2019年2月期间152例该院收治的创伤骨科患者以及14名护理工作人员，将所有患者随机分为实验组与对照组，每组患者76例、护理人员7名，所有患者入院后均给予常规护理，实验组患者同时应用评判性思维护理风险管理模式，对两组患者的护理满意度、意外伤情况以及投诉率进行观察与对比。 结果 实验组患者护理满意度高达96.05%，显著高于对照组（81.58%），两组患者护理满意度比较差异有统计学意义（P<0.05）。实验组患者意外伤发生率以及投诉率分别为9.22%、5.26%，与对照组（36.84%）、（17.11%）结果比较均显著较低，两组结果比较差异有统计学意义（P<0.05）。 结论 在创伤骨科病区护理中应用评判性思维护理风险管理模式具有显著临床效果，能够降低患者的意外事件发生率及患者投诉率，改善患者预后并增强患者生存质量，值得推广应用。

[关键词] 创伤骨科病区;评判性思维;护理风险;风险管理

[中图分类号] R7 [文献标识码] A [文章编号] 1672-5654（2019）11（c）-0024-03

[Abstract] Objective To observe and explore the application effect and value of critical thinking in nursing risk management in traumatic orthopedic wards. Methods From December 2017 to February 2019， 152 patients with traumatic orthopedics and 14 nursing staff were enrolled in the hospital. All patients were randomly divided into experimental group and control group. 76 patients in each group and 7 nursing staff. All patients were given routine care after admission. The experimental group also used the critical thinking nursing risk management model to observe and compare the nursing satisfaction， accidental injury and complaint rate of the two groups of patients were observed and compared. Results The nursing satisfaction of the experimental group was as high as 96.05%， which was significantly higher than that of the control group （81.58%）. There was a statistical difference in the satisfaction of the two groups（P<0.05）. The incidence of accidental injuries and complaints in the experimental group were 9.22% and 5.26%， respectively， which were significantly lower than those in the control group （36.84%） and （17.11%）. The results of the two groups were statistically significant（P<0.05）. Conclusion The application of critical thinking nursing risk management mode in traumatic orthopedic ward care has significant clinical effects， which can reduce the incidence of accidents and patient complaints， improve the prognosis of patients and enhance the quality of life of patients. It is worthy of popularization and application.

[Key words] Traumatic orthopedic ward; Critical thinking; Nursing risk; Risk management

評判性思维是一种有目的的内心活动及逻辑思维方法，人们在进行活动时会产生相应想法，并且判断、评价所产生的想法[1]。医疗护理风险管理是管理医务人员、患者、药物、设备、环境、医疗技术以及护理制度等风险因素的活动。大部分创伤骨科患者是由于意外事故及车祸等情况造成，所以患者具有复合伤、多发伤、急诊多等特征，并且病情变化快且极为复杂，患者卧床时间较长，因此临床护理难度较高且提出了新的护理要求[2]。对及时发现护理中各类风险并进行处理，有助于护理质量的不断提升，很大程度上这已经成为骨科护理管理工作中面临的新问题[3]。该研究于2017年12月—2019年2月选取了152例该院收治的创伤骨科患者，所有患者入院后均给予常规护理，实验组患者同时应用评判性思维护理风险管理模式，对两组患者的护理满意度、意外伤情况以及投诉率进行观察与对比，现报道如下。