颜色标识腕带在住院老年精神病患者护理风险管理中的应用效果  

Application effect of color-coded wristbands on nursing risk management of hospitalized elderly patients with mental disorders

作　　者：王春丽 刘莹 夏萍 方开琴 李岭 

机构地区：[1]扬州五台山医院,扬州225002 [2]盐城市第一人民医院

出　　处：《国际精神病学杂志》2017年第6期1080-1083,共4页Journal Of International Psychiatry

摘　　要：目的探讨颜色标识腕带在住院老年精神病患者护理风险管理中的应用价值。方法将2014年10月~2016年9月我院住院部收治的200例老年精神病患者随机分为实验组及对照组各100例。患者入院后均实施护理风险管理外,实验组予以颜色标识腕带管理,对照组予以传统方法进行身份信息管理。比较护理干预后两组身份识别正确率、护理差错发生率、不良事件发生率、心理状况评分[护士用住院病人观察量表(NOSIE)评分]、护患纠纷发生例数及90天后再入院率。结果护理干预后实验组身份识别正确率较对照组明显高,护理差错率、自杀自伤、他伤、毁物、逃跑及藏药不良事件发生率较对照组明显低,护患纠纷发生例数较对照组明显少,而90天后再入院率较对照组显著低,上述差异具有统计学意义(P<0.05);护理干预后两组NOSIE评分较护理干预前明显降低,且实验组评分较对照组更低,差异有统计学意义(P<0.05)。结论颜色标识腕带在住院老年精神病患者护理风险管理中可更有效提高身份识别正确率,降低护理差错率、不良事件发生率及患者再入院率,改善患者的心理状况。Objective To investigate the application effect of color-coded wristbands on nursing risk management of hospitalized elderly patients with mental disorders.Methods From October 2014 to September 2016,200 hospitalized elderly patients with mental disorders treated in our hospital were selected and randomly divided into the experimental group and the control group,100 cases in each group.The nursing risk management was performed in both groups,meanwhile,the experimental group were given color-coded wristbands management and the control group were given traditional method.The correct rate of identification,incidence of nursing errors,incidence of adverse events,psychological status scores [evaluated by Nurses Observation Scale for Inpatient Evaluation（NOSIE）],frequency of nurse-patient disputes and the readmission rate after 90 days were compared between the two groups.Results After nursing intervention,the correct rate of identification of the experimental group was significantly higher than that of the control group,the incidence rates of nursing errors and adverse events were significantly lower than those in the control group,and the readmission rate after 90 days was significantly lower than that in the control group,all the differences mentioned above were all statistically significant（P〈0.05）.After the nursing intervention,the NOSIE scores in both two groups were significantly lower than those before the nursing intervention,and the scores in experimental group was significantly lower than that in the control group（P〈0.05）.Conclusion The application of color-coded wristbands on nursing risk management of hospitalized elderly patients with mental disorders can be more effective to improve the correct rate of identification and psychological status,reduce the incidence of nursing errors,adverse events the readmission rate.

关 键 词：精神疾病 老年 颜色标识腕带 护理 风险管理 

分 类 号：R749[医药卫生—神经病学与精神病学]