摘要
目的探讨风险管理对提高精神科护理安全的作用效果分析。方法将2015年12月~2016年12月在我院精神科治疗的368例精神疾病患者随机分为两组,对照组采用常规护理,观察组采用风险管理护理,比较两组患者风险事件发生率、护士风险认知情况、患者安全管理满意度。结果观察组患者跌倒率、坠床率、噎食发生率、自杀自伤发生率、护理用药错误率等风险事件发生率明显低于对照组,差异有统计学意义(P<0.05);观察组实施风险管理后护士在换药前后核对、接触血液的处理措施、关键流程的交接核对、针刺伤的处理措施、标本采集的核对、坠床的处理措施、常见的风险事件的知晓等护士风险认知评分明显高于对照组,差异有统计学意义(P<0.05);观察组患者对住院环境整洁舒适、病房保持安静、指示标识清晰、设备精良、设施安全性高、医院保安满意度、护理服务态度、提供安全教育、院内申诉渠道等满意率明显高于对照组,差异有统计学意义(P<0.05)。结论风险管理对提高精神科护理安全效果显著,有利于减少护理风险事件发生率,提高护理质量,保障护理安全,全方位提升护理满意度,具有积极的临床意义。
Objective To explore the effect of risk management on improving the safety of psychiatric nursing. Methods 368 psychiatric patients who were treated in our hospital from December 2015 to December 2016 were randomly divided into two groups. The control group was treated with conventional nursing, while the observation group was managed with risk management. The incidence of risk events, nurses＇ risk perception and safety management satisfaction were compared between the two groups. Results Fall rate, falling out of bed rate, choking incidence, the incidence of nursing, Dutch act self injury rate of medication errors and other risk events of patients in the observation group was significantly lower than that in the control group, the difference was statistically significant（P 〈 0.05）. After the implementation of risk management in the observation group, The risk perception score of nurses such as checking before and after changing dressings, treatment measures for exposure to blood, Key process handover checking, treatment measures of needle injuries, specimen collection checking, treatment measures of falling beds, and awareness of common risk events was significantly higher than that of the control group, the difference was statistically significan（P 〈 0.05）. The satisfaction rate of clean and comfortable, quiet hospital environment, clear signs of ward, well-equipped facilities, high safety, hospital security, nursing service attitude, providing safety education and hospital complaint channels in the observation group was sign^ficantly higher than that of the control group, the difference was statistically significant（P 〈 0.05）. Conclusion Risk management is significant to improve the safety of psychiatric nursing, to reduce the incidence of nursing risk events, improve the quality of nursing, ensure the safety of nursing, and improve the satisfaction of nursing in all aspects. It has positive clinical significance.
出处
《中国医药科学》
2017年第17期115-117,149,共4页
China Medicine And Pharmacy
关键词
精神科
风险管理
护理安全
Psychiatry
Risk management
Nursing safety
