Observation on the effect of implementing nursing safety management for patients in intensive care unit
重症监护室内患者实施护理安全管理的效果观察

摘要

目的 本研究旨在探讨结构化护理安全管理方案在重症监护室（ICU）患者中的应用效果。方法 采用历史对照设计，选取2023年3月至2025年3月期间本院ICU收治的240例患者，按入院时间分为干预组（n=120）与对照组（n=120）。干预组实施整合风险评估、标准化操作流程、团队协作强化及持续质量改进的护理安全管理方案，对照组接受常规护理。主要观察指标包括压疮发生率、非计划性拔管率、用药错误率以及护理过程中的敏感指标。结果 干预组在压疮发生率、非计划性拔管率、用药错误率及护理过程敏感指标分面均显著优于对照组。结论 系统化的护理安全管理能有效降低ICU患者不良事件风险，提升护理质量与患者满意度，其核心要素值得在ICU环境中深入实践与推广。

Abstract

Objective This study aims to explore the application effect of structured nursing safety management plan in intensive care unit (ICU) patients.
Methods A historical controlled design was used to select 240 patients admitted to the ICU of our hospital from March 2023 to March 2025. They were divided into an intervention group (n=120) and a control group (n=120) according to their admission time. The intervention group implemented a nursing safety management plan that integrated risk assessment, standardized operating procedures, strengthened team collaboration, and continuous quality improvement, while the control group received routine nursing care. The main observation indicators include the incidence of pressure ulcers, unplanned extubation rate, medication error rate, and sensitive indicators during the nursing process.
Results The intervention group was significantly better than the control group in terms of pressure ulcer incidence, unplanned extubation rate, medication error rate, and nursing process sensitivity indicators.
Conclusion   Systematic nursing safety management can effectively reduce the risk of adverse events in ICU patients, improve nursing quality and patient satisfaction, and its core elements are worthy of in-depth practice and promotion in the ICU environment.