护理安全评分表用于高龄住院患者安全预防的研究

Study in application of nurse security scale in elderly inpatients for security precaution

目的寻找有利于高龄住院患者安全预防的最佳方法。方法选取2006年1—8月收治的296例高龄住院患者和2007年卜8月收治的336例高龄住院患者，分别作为对照组和改进组，改进组采用护理安全评分表进行“危机程度”评分，实施针对性的安全防范措施；对照组使用常规的安全护理措施，2组患者分别在住院时间、发生不安全事件的人数等方面进行对比。结果2组患者分别在住院时间、发生不安全事件的人数、家属满意度、护理2组患者护士的交接班时间、护士满意度，进行对比，差异均有统计学意义：结论高龄患者在入院当日使用“护理安全评分表”进行“危机程度”评估，确定其危险指数，并实施针对性的安全护理防范措施，可明显降低高龄住院患者不安全事件的发生并减少住院时间，同时能缩短护上交接班时间，提高交接班效牢，实现护患双赢。

Objective To seek the best method for security precaution of elderly inpatients. Methods Elderly patients（296 cases） from January to August in 2006 and elderly patients（336 cases） from January to August in 2007 were divided into the control group and the improved group.The improved group received selective safety precaution measures after assessment of crisis degree by nurse, security scale.The control group was given routine security nursing measures.The hospitalization time and incidence of unsafe events were compared in the two groups. Results The two groups were different in the following aspects： hospitalization time, incidence of unsafe events,satisfaction degree of family members,shift time of nurses, satisfaction degree of nurses. Conclusions To supply selective security nursing for elderly patients after assessment of crisis degree by nurse security scale at the admission day could decrease the incidence of unsafe events and hospitalization time.At the same time it shortened the shift time and increased shift efficiency to realize the win-win relations between nurses and patients.