三级护理查房在新入院精神疾病患者中的应用

Effect of three-grade nursing clinical-rounds implemented on new patients with mental disorders

目的探讨对新入院精神疾病患者实施三级护理查房的效果。方法选取2010年1—12月1-6病区的新入院患者180例，采用三级护理查房模式，设为研究组。2009年1—12月1～6病区的新人院患者180例，采用普通查房模式，设为对照组。对两组患者健康教育合格率、意外事件发生率、对护理工作满意度3方面进行评价。结果研究组新人院患者健康教育合格率为96．7％，对照组为89．4％，两组比较差异有统计学意义（x2=7．264，P〈0．05）；研究组患者意外事件发生率为2．8％，对照组为10．6％，两组比较差异有统计学意义（Z=-2．726，P〈0.05）；研究组患者满意率为98．9％，对照组满意率为93．3％，两组比较差异有统计学意义（x2=6．020，P〈0.05）。结论三级护理查房对整体护理质量有明显的改善效果，值得临床推广。

Objective To assess the effect of three-grade nursing clinical-rounds implemented on new patients with mental disorders. Methods 360 new patients with mental disorders who were selected from ward one to six in our hospital were dividedl into the experimental group and control group , patients in experimental group who were selected from January to December in 2010 were given three-grade nursing clinical-rounds and patients in control group who were select from January to December in 2009 were given ordinary nursing clinical- rounds. Passing rate of health education, incidence of accident and satisfaction to nursing care in two groups were evaluated. Results Passing rate of health education in experimental group was 96.7% and 89.4% in control group, the difference was obvious（ x2 = 7. 264 ,P 〈 0.05 ）. there was statistically significant difference in the incidence of accident, 2.8% in experimental group and 10.6% in control group（Z = -2. 726,P 〈0. 05）. the satisfaction of patients were 98.9% and 93.3% in experimental and control group respectively（x2 = 6.020, P 〈 0. 05）. Conclusions Three-grade nursing clinical-rounds have a significant effect on the overall quality of nursing care, and it is worthy of spreading in clinical work.