Risk warning management in pregnant women with late threatened abortion by magnesium sulfate treatment
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摘要: 目的 观察晚期先兆流产孕妇硫酸镁治疗的风险预警管理效果。 方法 选取2019年1—12月应用硫酸镁治疗的晚期先兆流产孕妇22例为观察组,实施全程风险预警管理。选取2019年之前未实施风险预警管理的25例孕妇为对照组。比较负责2组孕妇的妇科护士的风险预警管理相关指标(药物知识掌握评分、硫酸镁及输液泵规范操作评分、高危药品管理质控检查评分)掌握情况。比较2组孕妇满意度、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分、护理风险事件发生情况。 结果 观察组护士的药物知识掌握评分、硫酸镁及输液泵规范操作评分、高危药品管理质控检查评分均高于对照组护士,差异有统计学意义(P<0.05)。观察组孕妇满意度为90.91%(20/22), 高于对照组的64.00%(16/25), 差异有统计学意义(P<0.05)。观察组孕妇SAS、SDS评分低于对照组孕妇,差异有统计学意义(P<0.05)。观察组孕妇护理风险事件发生率低于对照组孕妇,差异有统计学意义(P<0.05)。 结论 风险预警管理能有效降低护理不良事件的发生率,增强护理人员的风险意识和防范能力,提高孕妇的满意度,保障孕妇的生命安全。Abstract: Objective To observe effect of risk warning management in pregnant women with late threatened abortion by magnesium sulfate treatment. Methods A total of 22 pregnant women with late threatened abortion by treatment of magnesium sulfate from January to December 2019 were selected as observation group, and they were conducted with whole process risk warning management. Another 25 pregnant women without risk warning management before 2019 were selected as control group. The mastery degree of risk warning management indicators(score for mastery of drug knowledge, score for standard manipulations of magnesium sulfate and infusion pump, score for quality control inspection of high-risk drug management)of nurses in charge of pregnant women in both groups were compared. The satisfaction degree of pregnant women to nursing services, scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS), and nursing risk events were compared between the two groups. Results Score for mastery of drug knowledge, score for standard manipulations of magnesium sulfate and infusion pump, and score for quality control inspection of high-risk drug management of nurses in charge of pregnant women in the observation group were significantly higher than those in the control group(P<0.05). The satisfaction degree of pregnant women in the observation group was 90.91%(20/22), which was significantly higher than 64.00%(16/25)in the control group(P<0.05). The scores of SAS and SDS in the observation group were significantly lower than those in the control group(P<0.05). The incidence of nursing risk events in the observation group was significantly lower than that in the control group(P<0.05). Conclusion Risk warning management can effectively reduce the incidence of nursing risk events, enhance the risk awareness and prevention ability of nursing staffs, increase the satisfaction degree of pregnant women, and ensure safety of pregnant women.
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Keywords:
- risk warning management /
- magnesium sulfate /
- threatened abortion /
- infusion pump /
- high-risk drugs
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