住院患儿不安全因素的分析及对策

Insecurity Factors in Hospitalized Children: Analysis and Preventive Strategies

目的 减少住院患儿的非医疗意外非医疗技术意外伤害事件的发生。方法 回顾性分析1998年11月至2000年10月住院期间患儿发生非医疗技术意外伤害的原因,针对分析结果自2000年11月起逐步完善各项安全管理措施,比较实施安全管理前后(分别为对照组和观察组)住院患儿非医疗技术意外伤害事件的发生率。结果 对照组患儿非医疗技术意外伤害事件的发生率为0.37％(8/2166),观察组为0.04％(1/2250),两组有显著差异(P<0.05)。结论 由于患儿缺乏自卫意识,在儿科护理工作中应加强安全管理,以降低住院患儿非医疗技术意外伤害事件的发生率。

Objective To decrease the occurrence of non-medical unexpected injuries in hospitalized children. Methods 2166 pediatric patients hospitalized from Nov. 1998 -2000 were investigated retrospectively. During the hospitalized stay, 8 children sustained non-medical unexpected injuries ( control group). Based on the analysis of the causes of these injuries, we improved the facilities, carried out health education and intensified related safety management from Nov. 2000. Between Nov. 2000 and Oct. 2002, only one non-medical unexpected injury occurred out of 2 250 hospitalized children (study group. Result The difference between the two groups was significant so far as the non-medical unexpected injuries were concerned. Conclusion Strengthening safety management is essential to decrease the rate of non-medical unexpected injuries events in pediatric nursing settings.