精神病科护理不良事件原因及对策分析

发布时间：2018-03-15 05:37

本文选题：精神病科　切入点：护理不良事件　出处：《当代医学》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨精神病科护理不良事件原因及对策。方法选取68例护理不良事件作为研究对象,对护理不良事件发生状况进行回顾性分析,统计护理不良事件的发生状况及原因,总结出护理不良事件的护理对策。结果 68例护理不良事件中无伤害21例,轻中度损害39例,重度损害8例。轻中度损害发生率与无伤害、重度损害相比明显较高。护理不良事件中他人攻击发生率为33.8%,坠床、跌倒发生率为17.6%,自伤发生率为11.9%,走失发生率为11.9%,用药错误发生率为5.9%,压疮发生率为2.9%,猝死发生率为2.9%,异物吞食发生率为4.4%,自缢发生率为2.9%,疾病发作发生率为2.9%,噎食发生率为2.9%。其中他人攻击发生率与坠床、跌倒发生率相比明显较高。护理不良事件发生原因包括风险意识较低、风险意识较低、责任心较低、服务态度较差、护理素质较低、沟通能力较差、组织管理较差、基础设施缺乏、护理工作安排不合理、患者病症较为复杂、护理工作流程混乱、规章制度要求较低、团队协作较差、医护沟通较差、知识培训较差。其中风险意识较低发生率与沟通能力较差相比明显较高。结论精神病科护理中护理不良事件发生原因较多,临床需根据实际护理不良事件发生原因,采取针对性措施,减少护理不良事件发生率,提高临床护理效果。
[Abstract]:Objective to explore the causes and countermeasures of nursing adverse events in psychiatric department. Methods 68 cases of nursing adverse events were selected as the research object, the occurrence status of nursing adverse events was analyzed retrospectively, and the occurrence status and causes of nursing adverse events were counted. Results there were 21 cases of no injury, 39 cases of mild to moderate injury, 8 cases of severe injury. The incidence of other people's attack in the adverse events of nursing was 33.8%, falling down the bed, the incidence of severe injury was significantly higher than that of severe injury. The incidence of fall was 17.6m, the incidence of self-injury was 11.9m, the incidence of loss was 11.9m, the incidence of medication error was 5.9. the incidence of pressure sore was 2.9. the incidence of sudden death was 2.9. the incidence of foreign body swallowing was 4.4. the incidence of self-hanging was 2.9. the incidence of disease attack was 2.9b. The incidence of eating is 2.9%, in which others attack and fall into bed, The causes of adverse events included low risk awareness, low risk awareness, low sense of responsibility, poor service attitude, low nursing quality, poor communication ability, poor organization and management. Lack of infrastructure, unreasonable arrangement of nursing work, complicated patient disease, chaotic nursing work flow, low requirements of rules and regulations, poor team cooperation, poor communication between doctors and nurses, The incidence of risk awareness was significantly higher than that of poor communication ability. Conclusion there are many causes of adverse nursing events in psychiatric nursing, and the clinical reasons should be based on the actual nursing adverse events. Take targeted measures to reduce the incidence of adverse events and improve the clinical nursing effect.
【作者单位】：江西省上饶市第三人民医院;
【分类号】：R473.74

【相似文献】