摘要
目的探讨彩色腕带的应用在开放病房精神分裂症患者护理风险管理中预防和减少不良事件的效果。方法选取2016年2—9月在该院开放病房住院的精神分裂症患者119例为研究对象，按入院顺序的奇偶数排列，奇数组为实验组60例，偶数组为对照组59例。实验组在常规人院护理的基础上，根据患者存在的不同风险（冲动、出走、自伤、自杀、藏药）佩戴不同颜色的腕带，并在腕带上标注风险等级图形，提供相应的住院护理；对照组在人院后佩戴统一颜色的腕带，实施常规的住院护理。观察两组患者住院期间的不良事件发生率、患者和家属满意度、责任护士的一般自我效能感。结果两组患者的不良事件发生率，实验组2例（3．33％），对照组8例（13．56％），差异有统计学意义（P〈0．05）；两组患者和家属的满意度情况评分，实验组患者满意度（94．02±3．30）分，对照组（80．59±4．12）分；实验组家属满意度（96．45±2．37）分，对照组（84．74±6．32）分，差异均有统计学意义（均P〈0．05）；实验组责任护士的一般自我效能感得分（4．02±0．86）分，对照组（3．24±0．53）分，差异有统计学意义（P〈0．05）。结论给开放病房精神分裂症患者佩戴标示不同风险种类和风险等级的彩色腕带，可以降低患者住院期间不良事件的发生率、改善患者家属的满意度、提高家属的配合程度、提升责任护士的一般自我效能感、提高护士工作的积极性和质量，从而提高开放病房精神分裂症患者风险管理的效果。
Objective To discuss the result of the application of color wristbands to prevent and reduce ad- verse events in the nursing risk management of patients with schizophrenia in open wards. Methods A total of 119 cases of schizophrenia were placed according to the admission sequence, which is 60 patients with odd number for experimental group, and 59 patients with even number for control group. For the experimental group, addition to a conventional hospital care, wristbands of different color were worn depending on patients＂ risk levels （ impulse, running away, self- injury, suicide and medicine-hiding）. The wristbands were labeled with graphics representing risk levels. The patients were provided with appropriate hospital care. For the control group, patients wore wristbands with a uniform color and were provided with routine patient care. The incidence of adverse events during hospitalization, satisfaction and the gen-eral self-efficacy of responsible nurses were observed. Results For the incidence of adverse events, the difference between the experimental group （2 cases, 3.33% ） and control group （8 cases, 13.56% ） was statistically significant （P〈0. 05 ）. For the satisfaction of patients and family members, the differences between experimental group （94. 02 ± 3.30） and the control group （80. 59 ± 4. 12） for patients and the experimental group （96. 45± 2. 37） and the control group （84. 74 ± 6.32） for family members, respectively, were statistically significant （P〈0.05）. As for the general self-efficacy scores of responsible nurses, the score＇s difference between experimental group （4.02 ± 0.86） and the control group （3.24± 0. 53） was statistically significant （P〈0. 05）. Conclusions By ophrenia in open wards with color wristbands representing different risk categories and marking the patients with schizlevels, it can reduce the inci- dence of adverse events during hospitalization, increase the satisfaction and improve the cooperation of family members of patients, enhance the general self-efficacy of responsible nurses, promote the work motivation and quality, and thus, to get a better risk management results on patients with schizophrenia in open wards.
作者
朱萍
Zhu Ping(Fourth Ward, Guangfi Hosptial of Suzhou, Suzhou 215008, China)
出处
《国际护理学杂志》
2018年第8期1023-1027,共5页
international journal of nursing
关键词
精神分裂症
开放病房
彩色腕带
护理风险管理
Schizophrenia
Open wards
Color wristbands
Risk management in nursing
