摘要
目的研究基于危害分析与关键控制点原理的风险管理模式在精神科患者中的应用效果及对患者安全管理影响。方法随机抽选龙岩市第三医院基于危害分析与关键控制点原理(hazard analysis and critical control point,HACCP)下风险管理模式期间(2022年1—12月)100例精神科住院治疗患者为试验组,行常规风险管理模式期间(2021年1—12月)100例精神科住院治疗患者为对照组,开展对比研究。分析不同风险管理模式下患者院内治疗期间出走、噎食、压力性损伤、坠床/跌倒、自杀及暴力风险评分,患者干预后6、12个月时不良事件发生率,护士专科临床能力考核成绩差异。结果(1)两组患者入院当日医院出走、噎食、压力性损伤、坠床/跌倒、自杀及暴力风险评分比较,差异无统计学意义(P>0.05);出院当日,试验组医院出走、噎食、坠床/跌倒、自杀、暴力风险评分、压力性损伤风险评分优于对照组,差异有统计学意义(P<0.05)。(2)试验组患者干预后6、12个月自杀自伤、冲动伤人、跌倒、擅自离院及其他不良行为总发生率均低于对照组,差异有统计学意义(P<0.05)。(3)HACCP下风险管理期间护士临床思维能力、病情观察评估能力、专业知识点掌握、表达沟通能力、应变处理能力、人文关怀与素养成绩均高于常规风险管理期间,差异有统计学意义(P<0.05)。结论基于HACCP下风险管理模式在精神科患者临床管理中的应用可积极降低院内各类风险事件发生率,控制近、远期院后不良行为风险,优化护士专科能力。
Objective To study the application effect and impact on patient safety management of a risk management model based on hazard analysis and critical control point principles in psychiatric patients.Methods A total of 100 psychiatric inpatients from the period of risk management model(from January to December 2022)based on hazard analysis and critical control point(HACCP)principle in the Third Hospital of Longyan were randomly selected as the experimental group,and 100 psychiatric inpatients from the period of conventional risk management model(from January to December 2021)were selected as the control group,and a comparative clinical study was carried out.Analyze the scores of patients'risk of hospital departure,choking,stress injury,falling/falling,suicide and violence during in-hospital treatment under different risk management models,as well as the incidence of adverse events at 6,and 12 months after intervention,as well as the differences in nurse specialized clinical ability assessment scores.Results(1)There was no significant difference in the risk scores of hospital departure,choking,stress injury,falling/falling,suicide and violence between two groups on the day of admission(P>0.05).On the day of discharge,the risk scores of hospital departure,choking,falling/falling,suicide,violence and stress injury in experimental group were better than those in control group,with statistical significance(P<0.05).(2)The total incidence of suicide,self injury,impulse injury,falls,unauthorized discharge and other adverse behaviors in the experimental group was lower than that in the control group at 6,and 12 months after intervention,with a statistically significant difference(P<0.05).(3)During the risk management period under HACCP,nurses'clinical thinking ability,disease observation and evaluation ability,mastery of professional knowledge points,expression and communication ability,adaptability and handling ability,humanistic care and literacy scores were higher than those during the routine risk management period,with statistically significant differences(P<0.05).Conclusion The application of the risk management model based on HACCP in the clinical management of psychiatric patients can actively reduce the risk of various risk events in the hospital,control the risk of short-term and long-term adverse behavior after hospitalization,and optimize the specialized ability of nurses.
作者
李惠颖
黄艳
李奕欢
LI Huiying;HUANG Yan;LI Yihuan(Department of Nursing,the Third Hospital of Longyan,Longyan Fujian 364000,China)
出处
《中国卫生标准管理》
2023年第22期173-176,共4页
China Health Standard Management
基金
龙岩市科技计划联合资金项目(2021LYF17052)。
