护士长访视系统的建立对护理服务及不良事件发生情况的影响

Effects of head nurses visiting information system in the care and adverse events of obstetrics and gynecology in critically Ill patients

目的探讨护士长访视系统的建立对危重症患者护理服务及不良事件发生情况的影响,探寻更有效、更方便、更实用的护理方法。方法选取255例呼吸内科病房危重症患者为研究对象,按入院日期分为观察组152例与对照组103例,对照组给予常规护理模式,观察组在院护理信息平台基础上建立了护士长访视系统,采用SPSS14.0统计学软件比较2组患者护士长访视次数、护理服务质量评分及不良事件发生情况。结果护士长访视系统建立后,护士长访视的患者数量比访视前增加150.5%;护理人员在文件管理、消毒隔离、护士专业知识、临床专业护理、健康教育、护理人员培训、案例学习的得分均高于护士长访视系统建立前[(14.82±2.60)/(11.79±3.00),(14.01±2.04)/(9.03±2.79),(13.42±3.37)/(9.05±3.58),(14.01±2.04)/(9.06±2.79),(14.05±1.66)/(8.23±3.15),(13.90±2.34)/(9.02±2.84),(13.74±3.18)/(8.91±3.00)]分,差异有统计学意义(P<0.05);不良事件发生率下降16.63%。结论护士长访视系统的建立明显增加了护士长的访视次数,提高了护理服务质量,降低了不良事件的发生,可以在呼吸内科护理工作中推广应用。

Objective To investigate the effects of head nurses visiting information system in the care and adverse events of Gynecology in critically ill patients,to investigate the methods of care for more effective,more convenient and more practical. Methods A total of 206 critically ill patients with Gynecology were chosen and were divided into the control group（ n = 103） and the observation group（ n = 103） according to the hospital date. The control group received conventional nursing mode while the observation group was given the head nurses visiting information system was stablished based on the Nurses Information System（ NIS）. The number of head nurses visiting,the score of quality of care,the incidence of adverse events were analyzed and compared between two groups. Results After the application of the system,the number of head nurses visiting increased by 150. 5%. After the establishment of the system of nurse visits,nurses in document management,disinfection and isolation,nursing knowledge,clinical professional nursing,health education,nursing training and case studies of scores were higher than before the establishment [（ 14. 82 ± 2. 60） /（ 11. 79 ± 3. 00）,（14. 01 ± 2. 04） /（9. 03 ± 2. 79）,（13. 42 ± 3. 37） /（9. 05 ± 3. 58）,（14. 01 ± 2. 04） /（9. 06 ± 2. 79）,（14. 05 ± 1. 66） /（8. 23 ± 3. 15）,（13. 90 ± 2. 34） /（9. 02 ± 2. 84）,（13. 74 ± 3. 18） /（8. 91 ± 3. 00）],theses differences were statistically significant between the two groups（ P 0. 05）;the incidence of adverse events decreased by 16. 63%. Conclusion Through the stablishment of head nurses visiting information system can increased the number of head nurses visiting Gynecology in critically ill patients,improve the score of quality of care and reduce the incidence of adverse events,and was compatible with extended applications in Obstetrics and Gynecology nursing work.