摘要
目的 探讨项目管理在降低住院精神患者约束使用情况的应用效果.方法 2014年10月—2015年12月采用整群抽样法选择笔者所在医院160人护理人员为研究对象.运用项目管理的方法,完善约束相关制度、流程、指引并强化培训、落实和督查,观察项目实施前（2014年10—12月）和实施后（2015年10—12月）精神疾病院封闭病区住院患者约束使用率、约束持续时间、约束次数,约束护理达标率及不良事件发生例次.结果 项目管理后约束使用率为53.42%、约束持续时间为（4.07±0.50）h、患者约束次数为（2.35±1.25）次,均低于实施前,差异均有统计学意义（P〈0.01）,约束护理达标率由83%提高到93%,差异有统计学意义（P〈0.01）,不良事件发生例次差异无统计学意义（P〉0.05）.结论 项目管理为护理管理人员提供了先进的管理方法,降低住院精神疾病患者约束率,提高了约束护理质量.
Objective To explore the effects of project management to reduce the rate of physical restraint for psychiatric inpatients.Methods From October 2014 to December 2015, 160 nurses was selected for the study in the hospital by whole group sampling method. Through the perfect system, processes and guide construction for physical restraint, as well as more training, implement and supervision, we observed the rate, duration and frequency of physical restraint, the achieved rate of physical restraint nursing quality and the adverse event incidences before （October to December in 2014） and after （October to December in 2015） project management.Results After the project management, the restraint rate was 53.42%, the duration of restraint （4.07±0.50）h, and the restraint＇s times for patients （2.35±1.25）, which were all lower than that before the intervention （P〈0.01）. The qualified restraint rate increased from 83% to 93% （P〈0.01）; but the rate of adverse event had no statistical significance （P〉0.05）.Conclusions Project management not only provides advanced management methods for nurse administrators, but also reduces the rate of physical restraint for psychiatric inpatients, and improves the quality of physical restraint nursing.
出处
《中华现代护理杂志》
2017年第19期2499-2502,共4页
Chinese Journal of Modern Nursing
基金
深圳市科技计划项目（JCYJ20140415092628048）
关键词
精神病
项目管理
住院
约束率
护理质量
Mental disorder
Project management
Hospitalization
Rate of physical restraint
Nursing quality
