Analysis of the application effect of key patient management in clinical nursing care in geriatric psychiatry
重点病员管理在老年精神科临床护理管理中的应用效果分析

摘要

目的 分析在老年精神科临床护理管理中开展重点病员管理的临床应用效果。方法 随机选取2024年9月至2025年9月期间我院老年精神科收治的患者80例作为分析对象，分组采取随机数字表法，共分成40例观察组与40例对照组，对照组采取常规护理管理，观察组开展重点病员管理，将两组护理管理质量进行详细对比分析。结果 管理后两组结果比较显示，观察组的安全护理质量以及患者的遵医行为与对照组相比显著提升，暴力事件以及不良事件发生率均显著低于对照组，最终获得家属对护理的满意度明显高于对照组（P<0.05）。结论 将重点病员管理应用于老年精神科护理管理中，可进一步提升临床护理安全管理质量，增强患者的遵医行为，从而减少暴力事件以及不良事件的发生。

Abstract

Objective To analyze the clinical application effects of key patient management in the clinical nursing care of the elderly psychiatric department.
Methods A total of 80 patients admitted to the elderly psychiatric department of our hospital from September 2024 to September 2025 were randomly selected as the study subjects. They were divided into an observation group (40 cases) and a control group (40 cases) using a random number table method. The control group received conventional nursing management, while the observation group implemented key patient management. The quality of nursing management between the two groups was comprehensively compared and analyzed.
Results Post-management results showed that the observation group had significantly improved safety nursing quality and patient compliance compared to the control group. The incidence of violent incidents and adverse events was significantly lower in the observation group, and the satisfaction of family members with nursing care was notably higher (P<0.05).
Conclusion   Applying key patient management in the elderly psychiatric department can further enhance the quality of clinical nursing safety management, improve patient compliance, and thereby reduce the occurrence of violent incidents and adverse events.