摘要
目的 探讨护理质量持续改进对防控眼科住院患者跌倒的影响. 方法 成立科室防跌倒项目质量持续改进小组,注重专科特点,引入＆quot;知信行＆quot;理论,提高医患认知,协调配合,按照评估、告知、预防、救治、改进的安全管理程序实施预见性、针对性护理,有效防控跌倒风险. 比较质量持续改进前（2011—2012年）和改进后（ 2013 年 1 月—2014 年 6 月）住院患者意外跌倒发生率和护理质量.结果 改进前住院患者意外跌倒发生率0. 27%（7∕2 569）,改进后无一例跌倒发生（χ2 =6. 50,P 〈0. 05）;改进后护士宣教率和执行率分别为100%和97. 52%,患方知晓率、执行率及满意度分别为91. 98%,90. 01%,98. 49%,均高于改进前,差异有统计学意义（χ2 值分别为224. 67,78. 09,58. 37, 256. 70,135. 56;P〈0. 01）. 结论 运用护理程序,开展护理质量持续改进,提高安全意识,改进认知和行为,可有效防控眼科住院患者意外跌倒事件的发生,提高护理质量,患者安全和满意度.
Objective To explore the influencing of continuous quality improvement on fall prevention of hospitalized patients in Department of Ophthalmology. Methods It was established fall program team of continuous quality improvement, in order to focus specialty, bring into knowledge-attitude-behavior model so as to improve cognition of medical staff and patients, coordinate and cooperate, carry out predictive and targeted nursing according to evaluate, inform, prevent, rescue and improve safety management procedure. The fall incidence and nursing quality were compared in inpatients between before （ 2011 to 2012 ） and after （ January 2013 to June 2014 ） continuous quality improvement. Results Before improvement, the fall incidence in inpatients was 0. 27% （ 7∕2 569 ） and dropped to 0 after improvement （χ2 = 6. 50, P 〈 0. 05 ）; after improvement, nurse educated rate and executed rate were 100% and 97. 52%; patient′s awareness rate, executed rate and satisfaction rate were 91. 98%, 90. 01% and 98. 49% better than those before improvement （χ2 =224. 67,78. 09,58. 37,256. 70,135. 56;P〈0. 01）. Conclusions Nursing procedure is used to develop nursing quality continuous improvement, enhance safety awareness, improve cognition and behavior, so as to effectively prevent hospitalized patients to fall down in Department of Ophthalmology, enhance nursing quality, patient′s safety and satisfaction.
出处
《中华现代护理杂志》
2015年第31期3761-3765,共5页
Chinese Journal of Modern Nursing
关键词
眼科
住院患者
跌倒
安全管理
护理质量持续改进
Department of Ophthalmology
Hospitalized patients
Fall
Safety management
Continuous improvement of nursing quality
