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Open Access Article

Contemporary Nursing. 2020; 1: (3) ; 250-252 ; DOI: 10.12208/j.cn.20200082.

Discussion on risk assessment and safety nursing of gastrointestinal nursing for elderly inpatients
老年住院患者消化内科护理风险评价与安全护理探讨

作者: 樊翠芬 *

云南省第一人民医院昆明理工大学附属医院消化内科 云南昆明

*通讯作者: 樊翠芬,单位:云南省第一人民医院昆明理工大学附属医院消化内科 云南昆明;

发布时间: 2020-09-07 总浏览量: 606

摘要

目的 分析消化内科老年住院患者护理风险及其相关安全护理措施。方法 于我院消化内科选取64例患者作为研究对象,患有胃溃疡、消化道出血、十二指肠溃疡等消化内科疾病,符合诊断标准。入组后按照每组32例患者的标准进行随机分配,一组为使用常规护理的对照组,另一组为使用安全管理的观察组,在护理后对比风险发生率、患者心理状态评分及护理质量评分。结果 使用安全管理的观察组,仅出现1例坠床,风险发生率3.12%;对照组2例坠床,2例跌倒,1例压疮,1例管道堵塞,风险发生率18.75%,观察组风险发生率显著低于对照组,统计学意义明显,(P<0.05)。其次,在护理干预后,观察组SAS、SDS评分分别为(39.36±3.54)分、(38.54±2.96)分,护理质量(93.64±4.18)分;对照组SAS、SDS、护理质量评分分别为(50.36±5.12)分、(49.23±4.77)分、(81.63±3.44)分,对比来看两组数据间存在统计学意义,(P<0.05)。结论 在消化内科老年住院患者的护理工作中应用安全管理能够进一步提升护理安全性,促使患者更快的康复。

关键词: 消化内科;老年住院患者;护理风险;安全管理;应用价值

Abstract

Objective: To analyze the nursing risk of elderly inpatients in digestive medicine and related safety nursing measures.
Methods: 64 patients were selected as the research subjects in the Department of Gastroenterology of our hospital, suffering from gastrointestinal diseases such as gastric ulcer, gastrointestinal bleeding, duodenal ulcer, etc., which met the diagnostic criteria. After enrollment, they were randomly assigned according to the standard of 32 patients in each group. One group was a control group using routine care, and the other group was an observation group using safety management. The risk rate, patient mental state score and nursing were compared after care. Quality score.
Results: In the observation group using safety management, there was only 1 case of bed falling, with a risk rate of 3.12%; in the control group, 2 cases of bed fall, 2 cases of falls, 1 case of pressure ulcers, and 1 case of clogged pipes, the risk rate of 18.75%, observation The risk rate of the group was significantly lower than that of the control group, with statistically significant significance (P<0.05). Second, after nursing intervention, the SAS and SDS scores of the observation group were (39.36±3.54), (38.54±2.96) points, and the quality of nursing (93.64±4.18) points; the control group SAS, SDS, and nursing quality scores were ( 50.36±5.12) points, (49.23±4.77) points, (81.63±3.44) points, and there is statistical significance between the two groups of data (P<0.05).
Conclusion  : The application of safety management in the nursing of elderly inpatients in the Department of Gastroenterology can further improve the safety of nursing and promote faster recovery of patients.

Key words: Gastroenterology; Elderly Inpatients; Nursing Risk; Safety Management; Application Value

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引用本文

樊翠芬, 老年住院患者消化内科护理风险评价与安全护理探讨[J]. 当代护理, 2020; 1: (3) : 250-252.