改良手环佩戴法在神经外科住院患者身份识别中的应用和体会.docVIP

精品论文 参考文献 改良手环佩戴法在神经外科住院患者身份识别中的应用和体会 （中山大学附属第一医院 510700） [摘要] 目的 探讨改良手环佩戴法对神经外科住院患者身份识别的影响。 方法 将232名神经外科住院患者按医疗护理分组分为对照组和实验组各116例。对照组按常规方法佩戴手环，实验组按神经外科改良手环佩戴法对住院患者身份进行识别, 并采用问卷式调查法对两组患者及医务人员进行调查。 同时记录两组患者识别及核对所需时间，进行统计分析。结果 1.两种方法均未出现识别混乱等错误。2.实验组组核对使用时间较对照组显著减少。3. 护理工作满意度实验组明显高于对照组。结论 改良手环佩戴法有效可行，可以提高医务人员对神经外科住院患者身份识别的准确性, 加强了对患者的安全管理, 提高了工作效率, 提高了患者及医务人员满意度，可行临床推广。 [关键词] 手环; 身份识别; 护理安全; 护理干预 [Abstract] Objective: To explore the effect of modified wristband wearing method for identification of patients in neurosurgery. Methods: 232 patients in neurosurgery were divided into control group and experimental group, and each one has 116 cases. Control group wear wristbands by conventional method, the experimental group use the modified wristband wearing method, and take the questionnaire survey on two groups of patients and medical staff to investigate the effect. At the same time, record the required time for identifying in each group, then statistical analysis. Results: 1.Both two methods do not present identification error.2. The checking time was significantly reduced by experimental way. 3. The nursing job satisfaction of experimental group is significantly higher than that of the control group. Conclusion: is effective and feasible to improve the medical staff to identify patients accurately in neurosurgery. It can strengthen the safety of the patient management, improve the work efficiency, enhance medical care satisfaction of the patients and staff. Modified wristband wearing method is worth to clinical promotion. [key words] wristband; Identity; Nursing safety; Nursing intervention 患者身份的准确辨认是保证医疗护理工作安全的前提，是医疗护理工作安全的保障, 它是对患者在住院期间接受治疗护理时准确、安全、快速的查对依据[1,2]。而神经外科由于其专业的特殊性，收治急诊、昏迷、精神异常、老年、偏瘫、失语、无名氏等病人较多，无疑给医疗护理人员查对工作带来诸多不便，为保证医疗护理人员及时、准确识别病人，保障医疗安全，我院使用手环作为患者身份标识。为了能对患者进行快速身份的识别, 提高医疗护理人员对患者身份识别的准确性 , 使查对有可靠依据, 提高各项操作的速度, 防止因操作错误引起护理缺陷及护患纠纷, 神经外科从2015年1月起， 使用了改良手环佩戴法对住院患者进行手环佩戴，效果较好，现介绍如下。 1 资料和方法 1.1 一般资料 选择在我院神经外科住院的患者232例，男98例，女134例，平均