摘要
目的 探讨老年医学科患者住院护理安全隐患及对策。方法 选取2023年6月至2025年5月我院老年医学科600例住院患者，随机分对照组和实验组各300例，对照组实施常规护理，实验组进行针对性护理干预，比较两组护理安全事件发生率及满意度。结果 实验组护理安全事件总发生率4.33%，显著低于对照组的16.67%（P＜0.05），其中压疮风险发生率实验组为2.00%，显著低于对照组的8.67%（P＜0.05）；实验组护理满意度96.00%，显著高于对照组的78.33%（P＜0.05）。结论 老年医学科患者住院有多重护理安全隐患，针对性护理可降风险、提质量。
关键词： 老年医学科；护理安全隐患；压疮风险；护理对策
Abstract
Objective To explore the safety hazards and countermeasures of inpatient nursing for geriatric patients. Methods 600 hospitalized patients in the Department of Geriatrics of our hospital from June 2023 to May 2025 were randomly divided into a control group and an experimental group, with 300 patients in each group. The control group received routine nursing care, while the experimental group received targeted nursing interventions. The incidence and satisfaction of nursing safety events were compared between the two groups. The total incidence of nursing safety incidents in the experimental group was 4.33%, significantly lower than the 16.67% in the control group (P<0.05). Among them, the incidence of pressure ulcer risk in the experimental group was 2.00%, significantly lower than the 8.67% in the control group (P<0.05); The nursing satisfaction rate of the experimental group was 96.00%, significantly higher than the 78.33% of the control group (P<0.05). Conclusion There are multiple nursing safety hazards for hospitalized geriatric patients, and targeted nursing can reduce risks and improve quality.
Key words： Geriatrics; Nursing safety hazards; Pressure ulcer risk; Nursing strategies
参考文献 References
[1] 史自强,马水祥,胡浩波,等.医院护理学[M].上海:上海远东出版社,2010:238.
[2] 林晓露,周春兰,肖秀英,等.失能老年人及其配偶健康素养、赋能水平与生活质量的关系研究[J].中华护理杂志, 2022, 57(08):985-991.
[3] 张航空,闫致颖.中国老年人口自评健康指标的有效性研究[J].中国卫生政策研究,2022,15(07):58-65.
[4] 李扬萩,高博,张敏.社会资本与老年人健康相关行为的关联分析[J].中国健康教育,2022,38(05):398-402.
[5] 谢丽芳,徐爱军,乔学斌.老年人健康冲击对医疗服务利用的影响[J].中国卫生经济,2022,41(06):62-66.
[6] 刘晓君,陈雅婷,蒙玲玲,等.我国老年人慢性病患病数量与健康相关生命质量的关系[J].医学与社会,2022,35(08): 73-77+83.
[7] 童立,邵建华.新时代提升老年人健康水平的思考[J].老年医学与保健,2022,28(05):956-958.
[8] 钟艳霞,余培,王霜. 核心胜任力视角下老年医学科护士护理管理的应用研究[J].中国卫生产业,2025,22(13):81-84.
[9] 王亚芹,王鹏,马晓伟. 分层次分阶段教学模式在老年医学科中的应用效果及对自我学习能力的影响[J].中国卫生产业,2025,22(13):149-152.
[10] 《老年医学科建设与管理指南(2025年版)》解读[J].医学信息,2025,38(11):193.
[11] 张京慧,于海霞,吕嘉欣,等. 老年医学科护士药物外渗防治知识的掌握现况及影响因素分析[J].中国护理管理, 2025,25(03):326-331.
[12] 王亚芹,马晓伟,王鹏. 反思性教学模式在老年医学科实习生中的带教效果[J].中国卫生产业,2025,22(03):25-28.
[13] 王俊洁,李周,肖利,等. 重庆市某三甲综合医院老年医学科护士共情疲劳现状及预测模型的构建[J].现代医院,2024,24(12):1847-1850+1855.