论文部分内容阅读
目的:将循证护理概念引入精神科开放病房护理管理中,以减少患者意外事件,提高护理质量。方法:2015年5月~2016年4月开放病房开展循证护理,共收集85例患者,干预前12个月在开放病房接受护理的患者共105例。分析不良事件发生原因,开展循证护理,比较干预前后不良事件发生率、患者精神状态、家属护理满意度。结果:引起精神外科开放病房患者不良事件的主要原因为护士责任心不强、操作不规范、患者疾病、评估不到位、环境因素;循证护理干预后,患者不良事件总发生率由干预前的32.38%降到12.94%(P<0.01);干预后家属护理总满意率由64.76%提升至89.41%(P<0.01);患者精神状态良好率高于干预前(P<0.01)。结论:精神科开放病房存在许多不安全因素,通过循证护理加强管理,可减少患者走失、伤害等不良事件发生率,改善其精神状态,提高护理满意度。
OBJECTIVE: To introduce the concept of evidence-based nursing into the nursing management of psychiatric wards in order to reduce patient accidents and improve the quality of nursing care. Methods: From May 2015 to April 2016, a total of 85 patients were enrolled in the open ward. A total of 105 patients were enrolled in the open ward for the first 12 months before the intervention. Analysis of the causes of adverse events, to carry out evidence-based care, compared the incidence of adverse events before and after intervention, the patient’s mental state, family care satisfaction. Results: The main causes of adverse events in mental surgery patients were nurses with low sense of responsibility, non-standard operation, patients’ disease, inadequate assessment and environmental factors. The overall incidence of adverse events after the evidence-based nursing intervention was significantly lower than that before intervention 32.38% to 12.94% (P <0.01). After the intervention, the total satisfaction rate of family members increased from 64.76% to 89.41% (P <0.01). The rate of good mental state was higher than that before intervention (P <0.01). Conclusion: There are many unsafe factors in the psychiatric open wards. Strengthening management through evidence-based nursing can reduce the incidence of adverse events such as loss and injury, improve mental status and improve nursing satisfaction.