持续质量改进方法降低神经内科住院患者坠床跌倒发生率应用探究.docVIP

持续质量改进方法降低神经内科住院患者坠床跌倒发生率应用探究 　　【摘要】 目的：探讨持续质量改进在降低神经内科住院患者坠床跌倒发生率中的应用效果。方法：对照组为2016年6-12月笔者所在医院神经内科收治的120例住院患者，研究组则为2017年1月-6月笔者所在医院神经内科收治的120例住院患者。对照组实施常规护理，研究组则在此基础上实施持续质量改进。对比两组护理满意度和坠床跌倒发生情况。结果：干预后，研究组坠床率为0，跌倒率为0.8%；对照组坠床率为5.8%，跌倒率为7.5%。两组坠床率、跌倒率比较差异均有统计学意义（P0.05）；研究组满意度优于对照组，差异有统计学意义（P0.05）。结论：在神经内科住院患者护理中，实施持续质量改进的效果理想，能减少坠床、跌倒的发生，提升护理满意度，值得进行深入研究和推广。 　　【关键词】 神经内科； 住院患者； 持续质量改进； 坠床； 跌倒 　　doi：10.14033/j.cnki.cfmr.2017.28.087 文献标识码 B 文章编号 1674-6805（2017）28-0165-02 　　【Abstract】 Objective：To explore the effect of continuous quality improvement in reducing the incidence of bed fall in hospitalized patients.Method：In the control group，120 hospitalized patients were enrolled in the department of neurology from June 2016 to December 2016.The study group was treated with 120 inpatients admitted to the Department of Neurology from January 2017 to June 2017.The control group was given routine care，while the study group implemented continuous quality improvement on this basis.The nursing satisfaction and incidence of bed fall of two groups were compared.Result：After the intervention，the incidence of bed fall in the study group was 0，the fall rate was 0.8%，the incidence of bed fall in the control group was 5.8%，and the fall rate was 7.5%，the differences were statistically significant （P0.05）.The satisfaction rate of the study group was better than that of the control group，the difference was statistically significant （P0.05）.Conclusion：In the nursing of patients with neurology，the effect of continuous quality improvement can be reduced，which can reduce the occurrence of falling bed and fall，and improve the nursing satisfaction.It is worthy of further study and popularization. 　　【Key words】 Neurology； Hospitalized patients； Continuous quality improvement； Falling bed； Fall down 　　First-author’s address： The First Affiliated Hospital of Xiamen University， Xiamen 361003，China 　　多?瞪窬?内科患者病情较为危重，且年龄大，护理工作繁重，极易出现坠床、跌倒现象，导致医疗纠纷发生率较其他科室更高[1]。这就需要加强神经内科护理管理，提升护理质量，预防坠床、跌倒，