层级管理跌倒专科小组对眼科病房安全隐患的防控作用

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1、层级管理跌倒专科小组对眼科病房安全隐患的防控作用［摘要］忖的探讨利用层级管理的跌倒专科小组在眼科病房安全管理中的应用。方法回顾性分析并选取2014年7刀〜2015年6刀在本科住院的眼科跌倒高危患者471例为本次研究对象，按入院时间分为两组，2014年入院患者为对照组(230例)，2015年入院患者为观察组(241例)。对照组采取常规护理方法，观察组成立层级悸理的跌倒专科小组，通过各类知识培训，跌倒专科小组的检查，实施护理安全管理。比较两组患者的跌倒发牛率、患者满意度、护士满意度、护理质控检杳得分。结果观察组患者的跌倒发生率明显低于对照组(P<0.05)；而观察组患者的满意度(除服务态度、环

2、境安全外)及护士满意度(除相互协作性)显著高于对照组(P<0.05)；观察组的护理质控检査得分达(97.47±0.68)分,显著高于对照组的(94.07±0.96)分，差异具冇统计学意义(P<0.05)。结论采用层级管理的跌倒专科小组模式能细化护理安全管理，强化护士安全意识，提高患者满意度，具冇可行性。［关键词］层级管理；跌倒专科小组；安全；满意度［Abstract］ObjectiveToexploretheapplicationoffallingspecialteamwithstratifiedmanagementinthesafetymanagementofophthalmologyw

3、ard・Methods471patientswithhighriskoffallingwhowerehospiLalizedintheDepartmentofOphthalmologyfromJuly2014toJune2015wereretrospectivelyanalyzedandselectedastheresearchsubjects.Theywereassignedtotwogroupsaccordingtotheiradmissiontime.Thepatientsadmittedin2014wereassignedtothecontrolgroup(230patients)

4、,andthepatientsadmittedin2015wereassignodtotheobservationgroup(241patients)・Thecontrolgroupwasgivenregu1arnursingmethod,andtheobservationgroupwasprovidedwithfal1ingspecialteamwithstratifiedmanagement.Nursingsafetymanagomentwasimp1cmontedthroughtrainingofvariousknowledgeandinspectionoffal1ingspecia

5、lteam.FalIingincidencerate,patients'satisfactionrate,nursingsatisfactionrateandscoreofnursingqualitycontrolinspcctionwerecomparedbetweenthetwogroupsofpatients・ResultsIncidencerateoffal1ingintheobservationgroupwassignificantlylowerthanthatinthecontrolgroup(P<0.05)；thesatisfactionrateofpatients(inad

6、ditiontotheserviceattitudeandtheenvironmentsecurity)andsatisfactionrateofnurses(inadditiontotheinteroperabi1ity)intheobservationgroupweresignificantlyhigherthanthoseinthecontrolgroup(P〈0.05)；thescoreofnursingqualitycontrolinspectionintheobservationgroupwas(97・47土0.68)scores,significantlyhigherthan

7、thatof（94.07±0.96）scoresinthecontrolgroup,andthedifferenccwasstatistical1ysignificant（P<0.05）.ConelusionTheapplicationofthefallingspecialteamwithstratifiedmanagementisabletorefinethenursingsafetymanagement,streng