中国现代医生2025，Vol.63Issue(18)：5-8,4.DOI:10.3969/j.issn.1673-9701.2025.18.002
儿童先天性心脏病介入治疗中导管室的风险管理措施
Risk management of catheterization room in interventional therapy of congenital heart disease in children
摘要
Abstract
Objective To investigate the application of catheterization laboratory risk management in the interventional treatment of children with congenital heart disease(CHD),aiming to construct a comprehensive and practical risk management intervention plan to enhance treatment safety and child patient experience.Methods A total of 120 pediatric patients who underwent interventional treatment in the Pediatric Cardiovascular Department of the Interventional Center of Imaging and Nuclear Medicine,the Second Affiliated Hospital of Wenzhou Medical University from January 2021 to December 2022 were randomly divided into two groups(60 cases in each group).Child patients in control group received routine care,while child patients in observation group were subjected to a risk management strategy of the catheterization laboratory on the basis of control group,which included preoperative assessment,psychological intervention,intraoperative monitoring and prevention,stress management and postoperative care.Mental health status of the children,incidence of risk events and nursing disputes,as well as satisfaction of two groups were compared.Results Under the risk management strategy,the levels of anxiety and depression in observation group significantly decreased,with anxiety score dropping from(56.8±4.6)before treatment to(30.8±2.6)after treatment,and depression score falling from(55.8±2.5)to(31.4±1.6),demonstrating a significant improvement(P＜0.01).After implementing the risk management strategy,the incidence of risk events in observation group was notably lower than that in control group(5.0％vs.15.0％),and medical disputes were also significantly reduced(3.3％vs.11.7％).The overall satisfaction rate in observation group was 95.0％,significantly higher than 78.3％in control group(P=0.0012).Conclusion A comprehensive risk management plan can effectively reduce the incidence of risk events and medical disputes in the interventional treatment of pediatric CHD,significantly improving child 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,providing clinical reference of safer interventional treatment services for children with CHD.关键词
风险管理/先天性心脏病/介入治疗/儿童Key words
Risk management/Congenital heart disease/Interventional therapy/Children分类
医药卫生引用本文复制引用
戴丽君,杨伟力,陈延茹..儿童先天性心脏病介入治疗中导管室的风险管理措施[J].中国现代医生,2025,63(18):5-8,4.基金项目
浙江省温州市科学技术局课题(2023Y0986) （2023Y0986）
