优质护理活动中应用风险管理措施提高住院老年患者安全的效果分析  

Analysis on effect of using risk management measures in high quality nursing activities for improving safety of hospitalized elderly patients

作　　者：吴安琪[1] 吕珊[2] 李爱丽[1] 蒋书云[2] 乔娜[2] 

机构地区：[1]陕西能源职业技术学院医学护理系,陕西西安710613 [2]第四军医大学西京医院心血管外科,陕西西安710032

出　　处：《现代医药卫生》2016年第23期3589-3592,共4页Journal of Modern Medicine & Health

摘　　要：目的探讨风险管理措施在优质护理活动中的应用对住院老年患者安全的影响。方法选取2014年1月至2015年12月第四军医大学西京医院收治的598例年龄大于或等于60岁的老年患者作为研究对象,对优质护理活动开展过程中风险管理措施实施前后住院老年患者(分别为298、300例)安全事件的预防和控制情况进行回顾性分析。结果与风险管理实施前比较,风险管理实施后患者跌倒、坠床、噎呛、压疮、静脉炎、管路滑脱、深静脉血栓等不良事件发生率明显下降,差异均有统计学意义(P<0.05);风险管理实施后患者满意度[99.33%(298/300)]明显高于实施前[95.30%(284/298)],差异有统计学意义(P<0.05)。结论在医院优质护理活动过程中实施风险管理措施,有助于降低老年患者住院期间不良事件的发生风险,改善患者对护理质量的满意度。Objective To investigate the effect of applying the risk management measures in the high quality nursing ac-tivities on the safety of hospitalized elderly patients. Methods Totally 598 elderly inpatients aged ≥60 years old in our hospital from January 2014 to December 2015 were selected as the research subjects. The prevention and control situation in elderly inpa-tients（298 cases and 300 cases） before and after implementing the risk management measures during the process of high quality nursing activities were retrospectively analyzed. Results Compared with before the implementation of risk management measures,the occurrence rates of adverse events such as falling down,falling bed,choke,pressure sores,phlebitis,piping slippage and deep vein thrombosis after implementing the risk management measures were significantly decreased compared with before imple-mentation,the difference was statistically significant（P〈0.05）;the patient satisfaction after the implementation of risk management measures was 99.33%（298/300）,which was significantly higher than 95.30%（284/298） before implementation,the difference was statistically significant（P〈0.05）. Conclusion Implementing the risk management measures during the process of the high quality nursing activities is conducive to reduce the risk of adverse events occurrence during the period of elderly patients hospitalization and improves the patient satisfaction on nursing quality.

关 键 词：风险管理 优质护理 住院病人 病人满意度 护理工作 

分 类 号：R473.74[医药卫生—护理学]