层级管理跌倒专科小组对眼科病房安全隐患的防控作用  

Effects of stratified management of falling special team for prevention and control of safety risk for ophthalmology ward

作　　者：杨丽[1] 董慧凤 杨卫华[2] 

机构地区：[1]浙江省湖州市中心医院眼耳鼻喉科,浙江湖州313000 [2]浙江省湖州市第一人民医院眼科,浙江湖州313000

出　　处：《中国现代医生》2016年第11期139-143,共5页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2015ZHB011)

摘　　要：目的探讨利用层级管理的跌倒专科小组在眼科病房安全管理中的应用。方法回顾性分析并选取2014年7月～2015年6月在本科住院的眼科跌倒高危患者471例为本次研究对象，按人院时间分为两组，2014年人院患者为对照组（230例），2015年入院患者为观察组（241例）。对照组采取常规护理方法，观察组成立层级管理的跌倒专科小组，通过各类知识培训，跌倒专科小组的检查，实施护理安全管理。比较两组患者的跌倒发生率、患者满意度、护士满意度、护理质控检查得分。结果观察组患者的跌倒发生率明显低于对照组（P〈0．05）；而观察组患者的满意度（除服务态度、环境安全外）及护士满意度（除相互协作性）显著高于对照组（P〈0．05）；观察组的护理质控检查得分达（97．47±0．68）分，显著高于对照组的（94．07±0．96）分，差异具有统计学意义（P〈0．05）。结论采用层级管理的跌倒专科小组模式能细化护理安全管理，强化护士安全意识，提高患者满意度，具有可行性。Objective To explore the application of falling special team with stratified management in the safety management of ophthalmology ward. Methods 471 patients with high risk of falling who were hospitalized in the Department of Ophthalmology from July 2014 to June 2015 were retrospectively analyzed and selected as the research subjects. They were assigned to two groups according to their admission time. The patients admitted in 2014 were assigned to the control group （230 patients）, and the patients admitted in 2015 were assigned to the observation group （241 patients）. The control group was given regular nursing method, and the observation group was provided With falling special team with stratified management. Nursing safety management was implemented through training of various knowledge and inspection of falling special team. Falling incidence rate, patients＇ satisfaction rate, nursing satisfaction rate and score of nursing quality control inspection were compared between the two groups of patients. Results Incidence rate of falling in the observation group was significantly lower than that in the control group （P〈0.05）; the satisfaction rate of patients （in addition to the service attitude and the environment security） and satisfaction rate of nurses （in addition to the in teroperability） in the observation group were significantly higher than those in the control group（P〈0.05）; the score of nursing quality control inspection in the observation group was （97.47±0.68） scores, significantly higher than that of （94.07±0.96） scores in the control group, and the difference was statistically significant（P〈0.05）. Conclusion The application of the falling special team with stratified management is able to refine the nursing safety management, strengthen the nursing safety awareness and improve patients＇ satisfaction rate, which is of feasibility.

关 键 词：层级管理 跌倒专科小组 安全 满意度 

分 类 号：R47[医药卫生—护理学]