老年慢性病住院患者常见护理不良事件的原因分析及对策研究

Reason Analysis and Countermeasure Research of Elderly Inpatients with Chronic Illnesses Common Nursing Adverse Events

目的:通过对老年慢性病住院患者护理不良事件原因的分析,制定有效的防范。方法采用回顾性调查方法,分析2012~2013年成都市慢性病医院住院老年慢性病患者发生67例护理不良事件的相关影响因素。结果67例护理不良事件中发生级别以二级为主占41.8%,不良事件分类以跌倒为主41例,占61.2%。护理人员工作年限及不同上班时间对护理不良事件发生率的影响有统计学意义,针对老年慢性病住院患者发生护理不良事件的类型及时间,制定相应的对策。结论护理工作中必须加强对低年资护士的管理,加强责任心,加强对陪护的专业培训,护士长加强安全管理,重点强化节假日及夜间护理工作的安全管理,有效减少不良事件的发生。

Objective Analyze the causes of adverse events in nursing of Geriatric hospital in order to work out ef ective preventive measures.Methods Col ect ing the adverse events in nursing in our hospital from 2012~2013,and using the regression analysis to analyze the factors of these 67 cases.Results In these 67 cases of adverse events,the highest incidence is level I adverse events,It accounted for 41.8%.And the most events is fal s,it accountied for 61.2%.The length of nurses working life and the dif erent working hours for nursing incidence of adverse events was statistical y significant.Conclusion The elderly patients with high risk of nursing adverse events,by analyzing the causes of nursing adverse events in our hospital,it indicates that nurses working life and job title has a closely realtionship,we must strengthen the management of low seniority nurses,and strengthen the sense of responsibility and professional training of care workers.In addition,we should strengthen safety management,especial y holidays and night safety management in order to ef ectively reduce the incidence of adverse events in nursing.