标题：全视角风险预控管理在先天性心脏病介入术患儿中的应用

      作者：张婷，严文萍，阎仿，郝晶    西安西北妇女儿童医院手术室，陕西 西安 710006

      卷次： 2022年33卷21期

      【摘要】 目的 探讨全视角风险预控管理在先天性心脏病介入术患儿中的应用效果。方法 回顾性分析2019年3月至2021年8月在西安西北妇女儿童医院实施先天性心脏病介入术的98例患儿的临床资料，其中2020年5月之前未采用全视角风险预控管理模式的49例患儿纳入对照组，2020年6月及之后应用全视角风险预控管理模式的49例患儿纳入观察组。比较全视角风险预控管理护理应用前后护理人员的护理风险识别、防范和处理评分；比较两组患者干预后的并发症发生率以及家属满意度。结果 全视角风险预控管理护理应用后护理人员的护理风险识别、防范和处理评分明显高于应用前，差异均有统计学意义(P<0.05)；观察组患儿的总护理风险发生率为6.12%，明显低于对照组的20.41%，差异有统计学意义(P<0.05)；观察组患儿家属的满意度为97.96%，明显高于对照组的85.71%，差异有统计学意义(P<0.05)。结论 全视角风险预控管理应用于先天性心脏病介入术患儿有利于强化手术室护理工作者风险防范意识，提高护理工作质量，避免护理风险事故的发生，提高家属护理满意度，值得临床推广。
      【关键词】 先天性心脏病介入术；全视角风险预控管理；护理风险识别；并发症；家属满意度
      【中图分类号】 R473.72 【文献标识码】 A 【文章编号】 1003—6350（2022）21—2821—04

Effect of full-perspective risk pre-control management in children undergoing interventional therapy forcongenital heart disease.
ZHANG Ting, YAN Wen-ping, YAN Fang, HAO Jing. Operating Room, Xi'an NorthwestWomen's and Children's Hospital, Xi'an 710006, Shaanxi, CHINA
【Abstract】 Objective To explore the effect of full-perspective risk pre-control management in children under-going interventional therapy for congenital heart disease. Methods The clinical data of 98 children who underwent in-terventional therapy for congenital heart disease in Xi'an Northwest Women and Children's Hospital from March 2019 toAugust 2021 were retrospectively analyzed. Among them, 49 children who applied full perspective risk pre-control man-agement mode before May 2020 were included in the control group, and 49 children who applied the full perspectiverisk pre-control management mode after June 2020 were included in the observation group. The nursing risk identifica-tion, prevention and treatment scores of nurses before and after the application of full perspective risk pre-control man-agement were compared. The incidence of complications and family satisfaction scores were compared between the twogroups. Results The scores of nursing risk identification, prevention and treatment of nurses after the application offull perspective risk pre-control management were significantly higher than those before the application (P<0.05). The to-tal incidence of nursing risk in the observation group (6.12%) was significantly lower than 20.41% in the control group(P<0.05). The satisfaction of their families in the observation group was significantly higher than that in the controlgroup (97.96% vs 85.71%, P<0.05). Conclusion The application of full perspective risk pre-control management inchildren with congenital heart disease undergoing interventional surgery is conducive to strengthening the risk preven-tion awareness of nursing workers in the operating room, improving the quality of nursing work, avoiding the occurrenceof nursing risk accidents and improving the nursing satisfaction of families, which is worthy of clinical promotion.
      【Key words】 Interventional surgery for congenital heart disease; Full perspective risk pre-control management;Nursing risk identification; Complications; Family satisfaction　　　·护理·doi:10.3969/j.issn.1003-6350.2022.21.027基金项目：陕西省创新能力支撑计划项目(编号：2019KRM172)