持续实施三级护理质量管理对精神卫生专科医院住院患者不良事件和严重程度的影响

Effects of continuousthree-level nursing quality management on adverse eventsand severity among inpatients in mental health specialized hospital

目的探讨持续实施三级护理质量管理对精神卫生专科医院住院患者不良事件的产生和严重程度的影响。方法以某三级甲等精神卫生专科医院26个病区2014—2017年发生的202起不良事件上报资料为基础,应用回归分析探讨持续使用三级护理质量管理方法对不良事件发生率和严重程度的影响。结果持续三级护理质量管理方法的实施可使不良事件发生率有所下降(R^2=0.278,F=5.421,P<0.05),严重程度有所下降(R^2=0.73,F=3.872,P<0.05)。结论三级护理措施能够在一定程度上减少不良事件的产生,有效降低不良事件所致后果的严重性,但是面对精神障碍患者突发事件的应对时,此方法未能起到理想效果,而且在使用此方式时,需要注意改进1、2级护理等级患者的相应护理措施。

Objective To explore the effects of continuous three-level nursing quality management on adverse events and severity among inpatients in mental health specialized hospital.Methods This study was based on data of 202 adverse events from 26 wards at a ClassⅢGrade A mental health specialized hospital from 2014 to 2017.The regression analysiswas used to explore the effects of continuous three-level nursing quality management on the incidence of adverse events and severity.Results Continuous three-level nursing quality management could reduce the incidence of adverse events(R^2=0.278,F=5.421,P<0.05)and decrease the severity(R^2=0.73,F=3.872,P<0.05)with statistical differences.Conclusions Three-level nursing intervention can reduce the adverse events and decrease the severity.However,it has no idea effects on dealing with emergency events of mental disorder patients.Improvements of nursing intervention for patients with one-level or two-level nursing should be paid attention to when using this method.