不同标识在精神科住院患者身份识别管理中的应用比较  

Comparison of different identification application in identity management of patients with mental disorder

作　　者：徐彬[1] 钱一平[2] 沈念红[3] 胡筱峰 

机构地区：[1]江苏省淮安市第三人民医院院部,223001 [2]江苏省淮安市第三人民医院护理部,223001 [3]江苏省淮安市第三人民医院精神科,223001

出　　处：《中华现代护理杂志》2015年第26期3198-3200,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨不同身份识别方法对住院精神病患者临床护理管理质量的影响。方法通过常规识别、腕带识别、指纹识别仪识别,比较使用不同标识前后对精神病患者身份识别的正确率、依从率、缺陷率、腕带材料成本节约率、精神病患者对身份识别的满意率的影响。结果不同标识患者身份识别的正确率分别为95.60%,99.00%,100%,差异有统计学意义（χ2=62.58,P〈0.05）,3组间两两比较差异均有统计学意义（χ2值分别为25.42,44.99,10.06；P〈0.01）。使用指纹识别仪前后精神病患者对身份识别依从率分别是82%,98%；身份识别的缺陷率分别是36%,6%；腕带材料成本节约率分别是5%,45%；精神病患者对身份识别方式的满意率分别是86%,99%；差异均有统计学意义（χ2值分别为45.81,282.74,490.08,10.07；P〈0.01）。结论不同标识患者身份识别正确率不同。腕带有利于提高精神病患者身份识别的正确率,而指纹识别仪正确率最高,它避免腕带在精神科使用的局限性,提高精神科护患双方身份识别的依从性,降低身份识别的缺陷率,节约人力及材料成本及提高护患双方的满意率。Objective To explore the effects of different identity identification methods in the quality of clinical nursing management of psychosis patients. Methods By the conventional recognition, wristband identification, fingerprint identification, we compared the different identification correct rate, compliance rate, defect rate, wristband material cost saving rates, satisfaction of identification for mental patients before and after the identification. Results The rate of correct identification for patients with different identification were respectively 95. 60%, 99%, 100% with statistical significance （χ2 =62. 58,P〈0. 05）. After several correct rate of identification comparison, there were statistically significant differences in any two of three groups （χ2 =25. 42,44. 99, 10. 06;P〈0. 01）. Before and after the use of fingerprint identification instrument, the mental patients to identity compliance rates were 82% and 98% （χ2 =45. 81,P〈0. 05）; defect identification rates were 36% and 6% （χ2 =282. 74,P〈0. 05）;wrist strap material cost saving rates were 5% and 45% （χ2 =490. 08,P〈0. 05）;satisfaction with the way of identifying rates were 86% and 99% （χ2 =10. 07,P〈0. 05）. Conclusions Patients with different identification have different identity recognition correct rate. Wristband helps us improve the accuracy of identification, while the fingerprint identification device have the highest correct rate to indentify mental patients to without limitation use in Psychiatry Department by improving the psychiatric nursing compliance of both patient and medical staffs identification, reducing the defect identification rate, saving manpower and material costs and improving both nurses and patients satisfaction rate.

关 键 词：精神障碍 护理管理 身份识别 腕带 指纹识别仪 

分 类 号：R473.74[医药卫生—护理学]