全面开展优质护理对患者安全的效果

Analysis of influence of developing quality nursing comprehensively on patient safety

目的探讨全面开展优质护理对患者安全的效果。方法选取2007年1月~2015年12月乐山市人民医院住院患者314178例为研究对象,采用历史性对照分为观察组(全面开展优质护理后)198062例和对照组(优质护理开展前及开展优质护理试点第一年)116116例,对照组实施常规护理及优质护理试点,观察组全面实施优质护理,分析两组患者发生护理不良事件的数据及发生趋势,对比两组患者护理不良事发生情况,评价优质护理对患者安全的影响。结果观察组护理不良事件发生显著少于对照组,发生率逐年下降;跌倒坠床、用药相关事件、输血相关事件发生率观察组明显低于对照组,差异均有统计学意义(均P<0.05);管道滑脱、手术相关事件、意外事件发生率差异无统计学意义(均P>0.05);两组患者均无非预期压疮发生。结论全面实施优质护理,能够减少护理不良事件发生,为患者提供安全优质的护理服务,体现护理专业的价值。

Objective To explore the influence of developing comprehensive quality nursing on patient safety. Methods 314178 hospitalized patients in People＇s Hospital of Leshan from Jan. 2007 to Dee. 2015 were divided into ob- servation group （198062 cases） and comparison group （116116 cases）. The comparison group was treated with conven- tional nursing. The observation group was treated with comprehensive quality nursing. The data and tendency of nursing adverse events were analyzed. The influence of quality nursing care on patient safety was evaluated. Results The occur- rence of nursing adverse events of observation group was significantly less than that of the comparison group（P〈0.05）. The incidence rate decreased year by year. The incidence rate of falling, treatment-related events, transfusion-related e- vents of the observation group were significantly lower than that of the comparison group（P〈0.05）. The difference of the incidence rate of pipe slippage and surgery-related events and accidents had no statistic meaning（P〉0.05）. Patients of both groups did not experience the unexpected pressure ulcer. Conclusion Comprehensive quality nursing can reduce nursing adverse events, provide safe and high quality nursing for patients, and realize the value of nursing profession.