集束化护理对呼吸科老年患者坠跌事件的干预效果和护理满意度调查

Effect of care bundle on the fall events of the elderly patients in Department of respiration and survey on nursing satisfaction

目的采用集束化护理措施对呼吸科老年患者的坠跌事件实施干预,考察其干预效果,并进行护理满意度的调查。方法将绍兴市人民医院呼吸内科2015年1月—2016年1月收治的108例老年患者,随机1∶1分为对照组(54例)和观察组(54例)。对照组给予常规护理,观察组在此基础上实施集束化护理干预措施。比较2组患者的坠跌发生率和护理服务满意度,并采用统计学软件SPSS 17.0对数据进行分析。结果观察组患者的坠跌事件显著低于对照组,差异有统计学意义(P<0.05)。在护理服务满意度方面,观察组在护患沟通、健康教育、护理程序、详细服务及功能锻炼方面的均分分别是(9.35±0.64)、(9.37±0.52)、(9.41±0.57)、(9.32±0.47)、(9.40±0.54)分;在对照组如上均分分别是(8.26±1.04)、(8.29±0.98)、(8.61±1.01)、(8.84±0.92)、(8.70±1.02)分,2组护理满意度比较的差异有统计学意义(P<0.01)。结论集束化护理干预能够有效地降低呼吸内科老年患者发生坠跌事件的风险,可提高护理质量,更利于患者的康复。

Objective To investigate the effect of care bundle on the fall event in the elderly patients in Department of respiration, and survey the satisfaction of patients to care bundle intervention. Methods Total 108 elderly patients stayed in the respiratory department of our hospital between January,2015 and January,2016 were randomly divided into control group and observation group with 54 cases in each group （equal proportion）. The control group received the routine nurs- ing, while the observation group received additional care bundle. The incidence of fall events and nursing service satisfac- tion were compared between the two groups. All the data were analyzed with SPSS 17.0. Results Falling down event of observation group was significantly lower than that in the control group, the difference was statistically significant （ P 〈 0.05）. The mean score for communication between nurses and patients, health education, nursing procedures, detailed service and functional exercise in the observation group were 9.35 ± 0.64,9.37 ± 0.52,9.41 ± 0.57,9.32 ± 0.47 and 9.40 ± 0. 54 , respectively , and in the control group were 8.26 ± 1.04,8.29 ± 0.98,8.61 ± 1.01,8.84 ± 0.92 and 8.70 ± 1.02, respectively, the difference in the nursing satisfaction of patients between the two groups was statistical sig- nificant （ P 〈 0.01 ）. Conclusion The bundling nursing intervention can effectively reduce the risk of fall events in elderly patients in the respiratory department, and improve the quality of care service and the recovery of patients.