临床流程管理对精神疾病急危状态风险致因的影响

Psychiatric emergency state of clinical process management risk cause study

目的实施流程管理前后,分析导致精神疾病急危状态的风险致因,了解临床流程管理对精神疾病急危状态风险致因的影响。方法选取2015年1—6月宜昌市优抚医院收治的精神病患者作为研究对象,发生急危状态120例次作为对照组;实施流程管理3个月后,2015年10月至2016年3月宜昌市优抚医院收治的精神病患者作为研究对象,发生急危状态47例次作为观察组。对照组按常规进行急危状态风险致因的预测和处理,观察组采用临床流程管理进行急危状态风险致因的预防和干预,比较两组患者急危状态风险致因情况。结果观察组急危状态处理技巧、预见急危状态风险能力、专业技能、保护性约束方式、医患沟通、医嘱风险致因均明显低于对照组,差异均有统计学意义(均P<0.05)。结论精神疾病急危状态临床流程管理有利于减少患者的急危风险致因,保证护理安全。

Objective Lead to mental disease before and after the implementation of process management, analysis the risk of state patients cause,understanding the state of mental illness patients clinical process management risk cause effect. Methods Will in January 2015-June 2015 in hospital psychiatric patients as the research object,the state 120 patients as control group,the implementation of process management after 3 months,in October 2015-March 2016 in the hospital psychiatric patients as the research object,the occurrence state of 47 patients passengers as observation group and control group according to conventional forecast and deal with the state risk patients cause;Observation group USES the clinical process management of prevention and intervention of the state risk patients cause,respectively to compare the risk state of patients in both groups cause,and will be in the two groups were compared. Results Observation group patients state handling skills,foresee the acute risk ability, professional skills,protective constraint method,the risk of doctor-patient communication,and the doctor＇s advice cause obvious lower than the control group（P〈0.05）.Conclusion State of mental illness patients clinical process management is beneficial to reduce patients the risk cause patients,guarantee nursing safety.