对老年期认知功能障碍患者实施走失风险管理的效果观察  

The effective of PDCA cycle in the lost prevention of cognitive dysfunction in elderly hospitalized patients

作　　者：祝小丹[1] 

机构地区：[1]广东省佛山市第一人民医院,广东佛山528000

出　　处：《天津护理》2015年第6期534-535,共2页Tianjin Journal of Nursing

基　　金：广东省佛山市卫生局医学科研立项课题(2014033)

摘　　要：目的:探讨PDCA循环法应用于老年期认知功能障碍患者走失风险管理的临床效果。方法:运用PDCA循环法对老年期认知功能障碍患者住院期间存在的风险问题进行持续质量改进,并与实施前进行比较。结果:实施PDCA循环管理后认知功能障碍患者走失风险评估阳性率与实施前相比较差异有统计学意义(P<0.01);患者走失发生率前后比较差异有统计学意义(P<0.01)。结论:通过应用PDCA循环分析认知功能障碍患者走失的原因,制定有针对性的护理措施,可有效提高护理人员对走失高危患者的评估与防范能力,及早甄别认知功能障碍患者,采取防护措施,降低走失发生率,保证患者安全。Objective： To investigate the clinical outcome of PDCA cycle management in the lost prevention of cognitive dysfunction hospitalized patients. Methods： The PDCA cycle method with four stages and eight steps was used to find out the lost risk factor of elderly hospitalized patients, and continuous improved management measures, compared the effect of intervention. Results： The risk positive rate of lost assessment were significantly lower after management （P〈0.01）. Conclusion：The risk management using PDCA cycle is an effective method to figure out the cause of lost eider, assess and identify high risk patients, improve the preventive measures, help to reduce the rate of lost for hospitalized elderly patients with cognitive dysfunction.

关 键 词：PDCA循环 认知功能障碍 走失 风险管理 

分 类 号：R473.74[医药卫生—护理学]