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目的:分析和探究基于责任倒置的手术室强化护理安全的实施效果,总结方法和经验。方法:选取36名护理人员作为研究对象;同时选取2015年5月~2016年8月来丽水市中医院和庆元县人民医院接受手术治疗患者共200例,按照就诊顺序分为对照组和观察组各100例,对照组患者在手术室护理中采用常规管理办法,观察组患者基于举证责任倒置进行手术室护理管理,比较两组患者在手术室护理过程中的临床安全性与护理效果。结果:两组患者在护理管理前后各项评价指标均有所改善,观察组的改善质量优于对照组患者。对照组患者手术室护理过程中出现不良情况的概率为17.00%,观察组为6.00%;观察组患者对手术室护理过程满意度为82.00%,对照组为95.00%,组间差异显著(P<0.05)。结论:基于举证责任倒置来管理手术室护理安全,能够增强医患交流,营造安全良好的手术室护理环境。
OBJECTIVE: To analyze and explore the implementation effect of intensive care safety in operating room based on liability inversion and to summarize the methods and experiences. Methods: A total of 36 nurses were selected as research objects. At the same time, 200 cases were selected from Lishui Hospital of Traditional Chinese Medicine and Qingyuan County People’s Hospital from May 2015 to August 2016. The patients were divided into control group and observation group Patients in the control group underwent routine management in the operating room care. Patients in the observation group were operated in the operating room based on the reversal of the burden of proof. The clinical safety and nursing effects of the two groups in the operating room nursing were compared. Results: Before and after the nursing management in both groups, the evaluation indexes improved, and the improvement quality of the observation group was better than that of the control group. In the control group, the incidence of adverse events in operating room nursing was 17.00% and that in observation group was 6.00%. Satisfaction of operating room nursing in observation group was 82.00% and that of control group was 95.00%, and the difference between the two groups was significant (P < 0.05). CONCLUSIONS: Management of operating room care safety based on the reversal of burden of proof can enhance the communication between doctors and patients and create a safe operating room care environment.