摘要
目的探讨护理风险管理对降低内科老年患者不良事件发生率的应用效果,为制定有效的风险管理方案提供依据。方法采用类实验研究设计,将我院内科病区收治的1692例老年患者,按住院时间先后顺序分为对照组827例,观察组865例,对照组实施常规护理,实验组在常规护理的基础上实施护理风险管理。观察实施护理风险管理前后两组护理人员的工作质量、风险意识及患者不良事件发生情况、患者满意度。结果实施风险管理后,内科老年患者不良事件发生率为0.92%,明显低于实施前的2.42%(P<0.05);患者满意度为91.21%,明显高于对照组的77.75%(P<0.05);护理人员的责任意识、沟通能力、风险意识评分均较明显高于对照组(P<0.05)。结论通过对内科老年患者实施风险管理,能够有效降低护理不良事件的发生率,提高护理人员的风险防控意识,有利于降低护理风险[1],提高患者满意度。
Objective To explore the application effect of nursing risk management in reducing the incidence of adverse events in elderly patients with internal medicine,and to provide evidence for effective risk management program.Methods In the Department of Internal Medicine,1,692 elderly patients were divided into the control group（ n = 827） and the observation group（ n = 865）. The control group received routine nursing care,and the experimental group received nursing risk management on the basis of routine nursing care. Before and after the implementation of nursing risk management,the two groups of nursing staff work quality,risk awareness and adverse events,patient satisfaction. Results After the implementation of risk management,internal medicine in elderly patients with the incidence of adverse events was 0. 92%,was significantly lower than that before the implementation of the 2. 42%（ P 0. 05）; 91. 21% patient satisfaction was significantly higher than the control group 77.75%（ P0.05）; nursing staff＇s sense of responsibility,communication skills,awareness of risk scores were significantly higher than the control group（ P0.05）. Conclusions Through implementing risk management for elderly patients in internal medicine department,we can effectively reduce the incidence of nursing adverse events,improve nurses＇ awareness of risk prevention and control,help reduce nursing risks and improve patients＇ satisfaction.
作者
张萍
肖锦铖
陆伟侠
刘园
杨山山
Zhang Ping;(Health Management School,Anhui Medical University)
出处
《齐齐哈尔医学院学报》
2017年第24期2968-2971,共4页
Journal of Qiqihar Medical University
关键词
护理风险管理
老年患者
不良事件
内科
nursing risk management
adverse events
elderly patients
internal medicine
risk management program
nursing risks
