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老年精神障碍患者病房护理的安全隐患探讨 被引量:6

Discussion on Hidden Dangers of Nursing Care in Elderly Patients With Mental Disorders
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摘要 目的研究老年精神障碍患者病房常见的护理安全隐患,并探讨相关应对对策。方法选取我院于2016年7月—2018年7月收治的110例老年精神障碍患者作为研究对象,对110例患者的护理干预进行总结,并统计110例老年患者接受护理期间发生的护理风险事件,并对干预前后患者进行BPRS评分。结果护理期间护理风险发生率为16.36%,其中,跌伤、压疮所占比例较大。护理后,患者的简明精神病评定量表总分数下降至(37.71±10.02)分,表明患者精神状态得以改善,护理前后评分比较,差异具有统计学意义(P <0.05)。结论不良事件、发药错误等是老年精神障碍患者病房常见的护理安全隐患,强化护理人员的风险意识,采用合理的护理干预手段可以改善患者的病情,有利于老年精神障碍患者的预后。 Objective To study the common nursing safety hazards in the ward of elderly patients with mental disorders,and to explore related countermeasures.Methods A total of 110 elderly patients with mental disorders admitted to our hospital from July 2016 to July 2018 were enrolled.The nursing intervention of these 110 patients was summarized,and the risk of nursing care during the nursing care of 110 elderly patients was counted.Events and BPRS scores were performed on patients before and after the intervention.Results The incidence of nursing risk during nursing period was 16.36%.Among them,fall injury and pressure sore accounted for a larger proportion.After nursing,the total score of the concise psychiatric rating scale of the patients decreased to(37.71±10.02)points,indicating that the mental state of the patients was improved.There was a significant difference between the scores before and after nursing(P<0.05).Conclusion Adverse events,errors in drug delivery,etc.are common safety hazards in the ward of elderly patients with mental disorders,and strengthen the risk awareness of nursing staff.Using reasonable nursing interventions can improve the patient's condition and benefit the prognosis of elderly patients with mental disorders.
作者 邢晓霞 XING Xiaoxia(Department of Geriatric Rehabilitation,Zaozhuang City Mental Health Center,Zaozhuang Shandong 277100,China)
出处 《中国继续医学教育》 2019年第11期191-192,共2页 China Continuing Medical Education
关键词 老年精神障碍 护理干预 安全隐患 对策 护理风险 安全管理 elderly mental disorders nursing intervention safety hazards countermeasures nursing risk safety management
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