ICF分类中“参与”与“环境因素”交叉作用模式在康复病房护理安全管理中的应用

In ICF classification “participation” and “environmental factors” cross function model application in rehabilitation ward nursing safety management

目的促进患者参与康复,降低康复病房护理风险的发生率。方法应用简明ICF代码相关分类进行危险因素评估,找出高危人群,提高患者的依从性,使患者及家属参与"自我护理",做好患者积极参与所必要的环境处理。结果与2015年相比较,2016年患者护理不良事件的发生率比较P<0.05,差异有统计学意义。结论应用ICF分类中"参与"与"环境因素"交叉作用模式,辩证识别患者的可参与性与环境的提供,患者在住院期间保证最大限度的"参与"并未增加不良事件的发生率。

Objective To reduce or avoid the nursing risk in rehabilitation ward,reduce the incidence of adverse events for clients with rehabilitation period. Methods Application of brief ICF code to evaluate risk factors related to classification,identify the high risk population,promote adherence to the client,make the client and family to participate in＂self-care＂,prepare the necessary processing environment that is ready for client＇s actively participate. Results Compared with 2015,in 2016,the incidence of adverse events for client care significantly lower. Conclusion Application of ICF in the classification of＂participation＂and＂environmental factors＂cross function model,the participation of clients with dialectical recognition,environment,make the clients during hospitalization to ensure maximum＂self-care＂and security.