摘要
目的探讨在精神科住院患者基于日常生活能力评定量表进行分级护理的应用效果。方法选取在我院精神科住院的患者324例,按照随机数字表法分为对照组和观察组,每组各162例。对照组采用常规分级护理,观察组基于日常生活能力评定量表进行分级护理。观察比较2组精神病患者护理质量评分、护理不良事件发生率、护理观察量表评分。结果观察组护理文书、基础护理、病情观察、专科护理和护理质量总分均高于对照组(P<0.05);观察组护理不良事件发生率低于对照组(P<0.05);住院2个月后,观察组个人卫生、社会能力及社会兴趣优于对照组(P<0.05),观察组精神症状、激惹、抑郁、退缩程度低于对照组(P<0.05)。结论对精神病患者基于日常生活能力评定量表进行分级护理,可提高精神病患者护理质量,减少护理不良事件发生,改善患者精神症状,提高其日常生活能力。
Objective To investigate the effect of nursing classification according to the assessment of activities of daily living （ADL） in psychiatric patients. Methods Totally 324 psychiatric patients were divided into control group with routine grading nursing care and observation group with grading nursing based ADL scores. Nursing quality, the incidence rate of nursing adverse events, the scores of Nursing Observation Scale for Inpatient Evaluation （NOSIE） in 2 groups were compared. Results The scores of nursing documents, basic care, disease observing, specialist care and general scores in observation group were significantly higher than those in control group （P＆lt;0.05）; the incidents of adverse events in observation group was lower than that in control group （P＆lt;0.05）; 2 months after hospitalization, the scores of all dimensions of NOSIE scale in observation group were improved （ P＆lt;0.05）. Conclusion Nursing classification based on ADL scores can improve nursing quality, reduce the incidence of nursing adverse events, and improve rehabilitation of psychiatric patients.
作者
贺楚梅
阳前军
戢秋明
付飞
王珍兰
周梅芬
丁迎
HE Chu-mei YANG Qian-jun JI Qiu-ming FU Fei WANG Zhen-lan ZHOU Mei-fen DING Ying(Wudong Hospital of Wuhan, Wuhan 430084, Chin)
出处
《护理学报》
2017年第8期40-43,共4页
Journal of Nursing（China）
基金
湖北省卫生和计划生育委员会科研项目(WJ2015HB024)
