通讯作者: 陈延茹, cyr228@163.com

DOI：10.12201/bmr.202503.00062

Risk management of catheterization room in interventional therapy of congenital heart disease in children

• 摘要：目的 研究导管室风险管理在儿童先天性心脏病（CHD）介入治疗中的应用，以期构建一套全面、实用的风险管理干预方案，提升治疗安全性与患者体验。方法 选取了2021年1月至2022年12月期间在我中心医院接受介入治疗的120例先天性心脏病患儿，随机分为两组，每组60例。观察组实施了详细的风险管理干预方案，包括术前风险评估、心理干预、术中监测与预防、压力管理以及术后护理风险管理；对照组则接受常规护理。通过自制满意度问卷评估服务，对并发症进行界定和统计，以及监测患儿的心理健康状态，比较两组的并发症发生率、心理健康状态和满意度。结果 观察组在风险管理策略下，患儿的焦虑和抑郁水平显著下降，焦虑平均分从治疗前的56.8±4.6分降至30.8±2.6分，抑郁平均分从55.8±2.5分降至31.4±1.6分，改善效果显著（P<0.001）。风险管理策略实施后，观察组的风险事件发生率明显低于对照组（5% vs 15%），护患纠纷情况也显著减少。观察组的总满意度为95.0%，显著高于对照组的78.3%（P=0.0014）。结论 全面的风险管理方案在儿童先天性心脏病介入治疗中能有效降低风险事件和护患纠纷，显著提升患儿的满意度和心理健康状态，证明了风险管理策略在优化治疗过程、减少不良事件、增进医患和谐方面的重要作用。然而，研究存在样本量较小的局限性，未来研究需扩大样本规模，以验证策略的广泛适用性和长期效果。

  关键词： 风险管理；先心病介入治疗; 

   

  Abstract: Abstract：Objective To study the application of catheterization laboratory risk management in the interventional treatment of congenital heart disease (CHD) in children, with the aim of developing a comprehensive and practical risk management intervention plan to enhance treatment safety and patient experience. Methods A total of 120 pediatric patients with CHD who underwent interventional treatment at our center hospital from January 2021 to December 2022 were selected and randomly divided into two groups, each consisting of 60 patients. The observation group was subjected to an elaborate risk management intervention plan, including preoperative risk assessment, psychological intervention, intraoperative monitoring and prevention, stress management, as well as postoperative nursing risk management; the control group received routine care. Complications were defined and statistically analyzed, and the mental health status of the children was monitored. The incidence of complications, mental health status, and satisfaction were compared between the two groups using a self-designed satisfaction questionnaire. Results Under the risk management strategy, the levels of anxiety and depression in the observation group significantly decreased, with the average anxiety score dropping from 56.8 ± 4.6 before treatment to 30.8 ± 2.6 after treatment, and the average depression score falling from 55.8 ± 2.5 to 31.4 ± 1.6, demonstrating a significant improvement (P < 0.001). After implementing the risk management strategy, the incidence of risk events in the observation group was notably lower than that in the control group (5% vs 15%), and medical disputes were also significantly reduced. The overall satisfaction rate for the observation group was 95.0%, significantly higher than the control groups 78.3% (P = 0.0014). Conclusion A comprehensive risk management plan can effectively reduce risk events and medical disputes in the interventional treatment of pediatric CHD, significantly improving patient satisfaction and mental health status. This confirms the vital role of risk management strategies in optimizing the treatment process, reducing adverse events, and enhancing doctor-patient harmony. However, the study has limitations due to its small sample size; future research should expand the sample scale to verify the wide applicability and long-term effects of the strategy.

  Key words: Risk Management; Interventional Treatment for Congenital Heart Disease

  提交时间：2025-03-21

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-11-09	bmr.202503.00062V1	下载

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