Application of risk management in urological nursing quality management
风险管理在泌尿外科护理质量管理中的应用

摘要

目的 研究风险管理在泌尿外科患者的护理中的应用价值。方法 选择我院在2019年1月至2021年1月期间收治的100例泌尿外科肾病综合征患者作为本次研究的对象，然后按照随机数字表法对所选对象进行分组，分成对照组和观察组，各组均由50例患者组成，对照组患者采用常规管理，观察组患者采用风险管理，比较两组患者的护理满意度；治疗总有效率；血清总蛋白、血清白蛋白、转铁蛋白；24h尿蛋白定量、血尿素氮、血肌酐；生活质量评分（生理功能、情感功能、躯体功能、社会功能）。结果 观察组患者的的护理满意度为98.0%（49/50），对照组患者的护理满意度为80.0%（40/50），差异有统计学意义（P＜0.05）；观察组患者的治疗总有效率为96.0%（48/50），对照组患者的治疗总有效率为72.0%（36/50），差异有统计学意义（P＜0.05）；观察组患者的血清总蛋白、血清白蛋白、转铁蛋白分别为：（55.94±4.06）g/L、（33.15±2.59）g/L、（1.66±0.23）g/L均低于对照组患者（59.21±3.82）g/L、（37.55±2.90）g/L、（2.25±0.41）g/L，差异有统计学意义（P＜0.05）；观察组患者的24h尿蛋白定量、血尿素氮、血肌酐分别为：（0.90±0.42）g/24h、（20.12±6.54）mmol/L、（208.34±80.54）μmol/L均低于对照组患者（2.67±0.71）g/24h、（26.60±8.42）mmol/L、（263.59±82.46）μmol/L，差异有统计学意义（P＜0.05）；观察组患者的生理功能、情感功能、躯体功能、社会功能评分分别为：（87.46±6.48）分、（88.19±6.82）分、（90.35±5.49）分、（86.15±6.49）分均高于对照组（70.16±5.23）分、（71.16±5.67）分、（73.85±5.06）分、（70.08±5.01）分，差异有统计学意义（P＜0.05）。结论 肾病综合征患者在护理中，应用风险管理干预，能够有效提升护理效果，应用价值高，值得推广。

Abstract

Objective To study the application value of risk management in the nursing of urological patients.
Methods 100 patients with nephrotic syndrome in our hospital from January 2019 to January 2021 were selected as the subjects of this study, and then the selected subjects were divided into control group and observation group according to the random number table method. There were 50 patients in each group. The patients in the control group were treated with routine management, and the patients in the observation group were treated with risk management. The nursing satisfaction of the two groups of patients was compared; the total effective rate of treatment; serum total protein, serum albumin, transferrin ; 24h urine protein quantification, blood urea nitrogen, serum creatinine; quality of life scores (physiological function, emotional function, physical function, social function).
Results The nursing satisfaction of the patients in the observation group was 98.0% (49/50), and the nursing satisfaction of the patients in the control group was 80.0% (40/50), and the difference was statistically significant (P<0.05). The total effective rate was 96.0% (48/50), and the total effective rate of the control group was 72.0% (36/50), and the difference was statistically significant (P<0.05). Protein and transferrin were respectively: (55.94±4.06) g/L, (33.15±2.59) g/L, (1.66±0.23) g/L were lower than those in the control group (59.21±3.82) g/L, ( 37.55±2.90) g/L, (2.25±0.41) g/L, the difference was statistically significant (P<0.05); the 24h urine protein quantification, blood urea nitrogen and serum creatinine of the observation group were: (0.90±0.42) ) g/24h, (20.12±6.54) mmol/L, (208.34±80.54) μmol/L were lower than those in the control group (2.67±0.71) g/24h, (26.60±8.42) mmol/L, (263.59±82.46 ) μmol/L, the difference was statistically significant (P<0.05); the scores of physiological function, emotional function, physical function and social function of the observation group were: (87.46±6.48) points, (88.19±6.82) points, ( The scores of 90.35±5.49) and (86.15±6.49) were higher than those of the control group (70.16±5.23), (71.16±5.67), (73.85±5.06) and (70.08±5.01), and the differences were statistically significant. (P<0.05).
Conclusion   In the nursing of patients with nephrotic syndrome, the application of risk management intervention can effectively improve the nursing effect, the application value is high, and it is worthy of promotion.