前馈控制在老年科护理风险管理中的应用

Application of feedforward control in nursing risk management in Department of Geriatrics

目的：探讨前馈控制管理在老年科护理风险管理中的应用效果。方法回顾性分析2012年8月—2013年7月收治的842例老年患者的护理风险因素,针对风险因素对2013年8月—2014年7月收治的848例老年患者实施前馈控制的管理方法,对前馈控制前后的客观指标进行效果评价。结果实施前馈控制管理后,护理不良事件发生由42例降低至7例,差异有统计学意义（χ^2=26.296,P〈0.01）；患者的满意度由（93.13±1.76）分提高至（98.25±1.49）分,差异有统计学意义（t=-7.415,P〈0.01）。结论实施前馈控制管理达到对护理风险的预防和控制,有利于提高护理质量,是保障住院患者安全的有效方法。

Objective To explore the effect of feedforward control on nursing risk management in Department of Geriatrics. Methods We retrospectively analyzed the nursing risk factors in 842 cases of elderly patients from August 2012 to July 2013. Aiming at the risk factors, the management method of feedforward control was used in 848 elderly patients from August 2013 to July 2014, and we evaluated the objective indexes before and after the feedforward control. Results After the deployment of feedforward control, the incidence of nursing adverse events was significantly reduced from 42 cases to 7 cases （χ2 =26. 296,P〈0. 01）. Compared with the control group, patients satisfaction scores were remarkably increased from （93. 13 ± 1. 76） score to （98. 25 ± 1. 49） score, （t= -7. 415,P〈0. 01）. Conclusions The implementation of feedforward control and management helps to prevent and control nursing risk, which is conducive to improving the quality of nursing and is an effective method to guarantee the safety of inpatient.