风险评估管理在老年精神科病房中的应用  

Application of risk assessment management in elderly patients in psychiatric wards

作　　者：崔静怡[1] 李菲菲[2] 王晨[1] 张仁霞[1] 张戈[1] 

机构地区：[1]北京回龙观医院老年科20病区,100096 [2]北京回龙观医院护理部,100096

出　　处：《中华现代护理杂志》2012年第7期818-820,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨老年精神科病房开展风险评估管理后，护士对患者情况的掌握及有效防止意外事件发生的作用。方法选取2010年1—12月老年科某病房60岁以上的56名住院患者作为研究组，以2009年1—12月该区60岁以上的55名住院患者作为对照组。对照组给予常规护理，研究组在此基础上实施风险评估管理，主要包括：医生评估患者的病情变化、治疗方法、用药以及药物的副作用等，护士每周评估患者否具有摔伤、噎食、压疮的风险，并制定针对性的护理措施。分别于研究前后比较护士对两组患者情况的掌握及意外事件的发生情况。结果护士对对照组患者情况掌握的总得分为（77．36±1．26）分，对研究组患者情况掌握的总得分为（85．60±3．07）分，两组比较差异有统计学意义（t=11．690，P〈0．01）；对照组意外风险发生45例，对照组发生19例，两组比较差异具有统计学意义（X^2=13．87，P〈0．05）。结论开展网险牙篙管硼有利于护士对于患者病情掌握和意外风险的防范，从而提高护理质量。Objective To investigate the nurses＇ mastery of the patients＇ condition and effect of incident prevention after the application of risk assessment management in elderly patients in psychiatric wards. Methods 56 inpatients spanning from January to December 2010 were enrolled as the observation group and 55 inpatients spanning from January to December 2009 were enrolled as the control group. The control group received routine care, while the observation group received risk assessment management based on routine care, which mainly include： doctors＇ assessment of the patient＇ s condition changes, therapies, medication and side effects, as well as nurses＇ weekly assessment of risks of falls, food choking and pressure sores and taking pertinent nursing measures. Nurses＇ mastery of the patients＇ condition and effect of incident prevention before and after the application of risk assessment management was compared. Results Average score of nurses＇ mastery of patients＇ condition was （77.36 ＋ 1.26） points in the control group and （85.60 ＋ 3.07 ） points. The difference was statistically significant （t = 11. 690,P 〈0. 01 ）. The control group had 45 cases of incidents and the observation group had 19 cases. There was significant difference between the two groups （ Х^2 = 13.87, P 〈 0. 05）. Conclusions The risk assessment management is beneficial to the nurses＇ mastery of the patients＇ condition and incident prevention, thus boost the nursing quality.

关 键 词：老年人 精神病科 医院 护理 风险评估管理 

分 类 号：R473.74[医药卫生—护理学]