精细化管理在预防坠床/跌倒护理不良事件中的应用及可行性分析

Application and Feasibility Analysis of Fine Management in Preventing Nursing Adverse Events of Falling Bed/Falling

目的:分析精细化管理在预防坠床/跌倒护理不良事件中的应用及可行性。方法:回顾性分析2017年5月-2018年5月笔者所在医院收治的158例住院患者的临床资料,按照管理方式的不同将其分为对照组和试验组,各79例。对照组给予常规管理进行干预,试验组给予精细化管理进行干预。比较两组坠床/跌倒护理不良事件发生率、护理质量评分、住院时间、住院费用、护理满意度。结果:试验组患者出现坠床、跌倒不良事件发生率明显低于对照组,差异均有统计学意义(P<0.05)。试验组护理质量评分明显高于对照组,住院时间明显短于对照组,住院费用明显低于对照组,差异均有统计学意义(P<0.05)。试验组护理总满意率为97.47%,高于对照组的83.54%,试验组满意度评分明显高于对照组,差异均有统计学意义(P<0.05)。结论:给予住院患者进行精细化管理,可明显降低坠床/跌倒护理不良事件发生率,明显提高患者满意率,具有极高的可行性。

Objective:To analyze the application and feasibility of fine management in preventing falling bed/falling nursing adverse events.Method:The clinical data of 158 hospitalized patients admitted in our hospital from May 2017 to May 2018 were retrospectively analyzed.They were divided into the control group and the experimental group according to different management methods,with 79 cases in each group.The control group was intervened by routine management,while the experimental group was intervened by fine management.The incidence of adverse events,nursing quality score,hospitalization time,hospitalization expenses and nursing satisfaction were compared between the two groups.Result:The incidence of adverse events of falling bed and falling in the experimental group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).The nursing quality score of the experimental group was significantly higher than that of the control group,and the hospitalization time was significantly shorter than that of the control group,and the hospitalization expenses was significantly lower than that of the control group,the differences were statistically significant(P<0.05).The total nursing satisfaction rate of the experimental group was 97.47%,which was higher than 83.54%of the control group,and the satisfaction score of the experimental group was significantly higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Fine management of hospitalized patients can significantly reduce the incidence of adverse events in fall bed/fall nursing,and significantly improve the satisfaction rate of patients,which has a very high feasibility.