基于JCI标准对住院精神分裂症患者攻击行为实施管理的实践.pdfVIP

护理安全 Nursing Safety 基于JCI标准对住院精神分裂症患者攻击 行为实施管理的实践      王桂梅 解红文 朱琳娜 谢红芬 罗娟 [ 摘 要] 目的：探讨JCI标准下住院精神分裂症患者攻击行为管理的实践效果。方法：对本院 2013 年1-12月具有攻击行 为的 80 例精神分裂症患者进行3周的美国医疗机构评审联合委员会国际部 (JCI) 标准管理，建立风险管理小组、完善攻击培训， 进行全面系统评估、追踪评价并持续质量改进。结果：改进后，攻击风险等级为III 级的患者从13.75% 降至6.25%；IV级从 11.25% 降至3.75%；修改版外显攻击行为量表（MOAS) 各因子得分及最后设置的加权总分与改进前有统计学差异（P0.01）； 护士用住院患者观察量表（NOSIE) 各因子得分与改进前有统计学差异（P0.05）。结论：JCI标准管理有助于减轻患者的易激 惹性，提高社会兴趣，促进社会能力的恢复；降低患者攻击风险等级，减少攻击行为的发生，保障护理安全。 [ 关键词 ] JCI；安全；精神分裂症患者；攻击行为 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.04.024 The practice effects of aggressive behavior management under Joint Commission International standards among in- patients with schizophrenia / WANG Guimei, XIE Hongwen, ZHU Linna, XIE Hongfen, LUO Juan// Nursing Department, Zhenjiang Mental Health Center, Jiangsu province, 212005 China /// Chinese Nursing Management-2015,15(4): 467-470 [Abstract] Objective: To explore the practice effects of aggressive behavior management under Joint Commission International (JCI) standards among in-patients with schizophrenia Methods: We recruited 80 cases with aggressive behavior among schizophrenic patients and managed them under JCI standards for 3 weeks. We established risk management team, improved attack training, assessed systematically and comprehensively, and evaluated and improve the quality continuously. Results: Attack risk assessment indicated that we reduced risk grade III from 13.75% to 6.25% and risk grade IV from 11.25% to 3.75% after using JCI management. There were significant difference between the scores of each factor and total weighted score of Modified version of the overt