摘要
目的研究专项管理在老年住院患者护理不良事件管控中的价值。方法选取德阳市人民医院2017年1月至2019年2月收治的80例老年住院患者为研究对象,根据患者的入院时间分为2组,其中2017年1月至2018年1月收治的40例老年住院患者为对照组,行常规管理;2018年2月至2019年2月收治的40例老年住院患者为观察组,采用专项管理。比较2组管理满意度、护理不良事件发生率、护理质量评分及护士人文素质评分、患者安全胜任力评分。结果观察组管理满意度高于对照组(95.00%vs80.00%,P<0.05)。观察组护理不良事件发生率低于对照组(12.50%vs32.50%,P<0.05)。2组管理后病区管理、护士工作能力、健康教育、护理服务态度、护士形象评分及总分较管理前均升高(P均<0.05);观察组管理后病区管理、护士工作能力、健康教育、护理服务态度、护士形象评分及总分均高于对照组(P均<0.05)。2组管理后职业道德素质、文化素质、法律素质、审美素质、心理素质评分及总分较管理前均升高(P均<0.05);观察组管理后职业道德素质、文化素质、法律素质、审美素质、心理素质评分及总分均高于对照组(P均<0.05)。2组管理后知识因素、系统因素、态度因素、技能因素评分及总分较管理前均升高(P均<0.05);观察组管理后知识因素、系统因素、态度因素、技能因素评分及总分均高于对照组(P均<0.05)。结论专项管理可降低老年住院患者护理不良事件发生率,提升患者管理满意度,提高护理质量,值得临床推广。
ObjectiveTo evaluate the value of special management in the management and control of adverse nursing events in elderly inpatients.MethodsEighty elderly inpatients admitted to Deyang People's Hospital from January 2017 to February 2019 were selected as the research subjects,and they were divided into either a control group or an observation group according to the time of admission.The control group included 40 elderly patients admitted from January 2017 to January 2018 who underwent routine management,and 40 elderly inpatients admitted from February 2018 to February 2019 who underwent special management were included in the observation group.The satisfaction to management,the incidence of nursing adverse events,and the scores of nursing quality,nurses'humanistic quality,and patient safety competencies were compared between the two groups.ResultsThe degree of satisfaction to management was significantly higher in the observation group than in the control group(95.00%vs80.00%,P<0.05).The incidence of adverse nursing events in the observation group was significantly lower than that of the control group(12.50%vs32.50%,P<0.05).After the management,the scores of ward management,nurses'working ability,health education,nursing service attitude,and nurses'image as well as the total score were significantly higher than those before the management in both group(P<0.05 each);these scores were significantly higher in the observation group than in the control group(P<0.05 each).The scores of professional ethics,cultural quality,legal quality,aesthetic quality,and psychological quality as well as the total score after management were significantly higher than those before management in both groups(P<0.05 each);these scores were significantly higher in the observation group than in the control group(P<0.05 each).The scores of knowledge factors,system factors,attitude factors,and skill factors as well as the total score after management were significantly higher than those before management in both groups(P<0.05 each);these scores were significantly higher in the observation group than in the control group(P<0.05 each).ConclusionSpecial management can reduce the incidence of adverse nursing events,improve patients'satisfaction to management,and improve the quality of care in elderly inpatients,and it is worthy of clinical promotion.
作者
刘玲
高丽
赵婷
刘庆莲
Liu Ling;Gao Li;Zhao Ting;Liu Qinglian(Department of Urology,the People's Hospital of Deyang,Deyang 618000,China;Department of Burn Surgery,the People's Hospital of Deyang,Deyang 618000,China;Department of Gynecology,the People's Hospital of Deyang,Deyang 618000,China;Department of Nephrology,the People's Hospital of Deyang,Deyang 618000,China)
出处
《中华临床医师杂志（电子版）》
CAS
北大核心
2021年第12期1031-1036,共6页
Chinese Journal of Clinicians(Electronic Edition)
基金
2019年第二批四川省卫生健康科研课题普及项目(19PJ205)
关键词
专项管理
护理不良事件
护理质量
Special management
Adverse nursing events
Nursing quality
作者简介
通信作者:刘玲,Email:164597866@qq.com
