Search

Applying Good Care Service via Risk Management to Improve the Safety of Elder In-patients

【摘要】　目的　探讨优质护理活动中应用风险管理措施提高住院老年患者安全的作用和意义。　方法　对2010年2月-2011年3月开展优质护理活动实施风险管理后，其老年住院患者安全事件预防控制情况进行回顾分析。　结果　应用风险管理措施后老年住院患者的护理不良事件发生减少，患者对护理工作的满意度提高。　结论　加强风险管理有助于保障患者安全，提高患者满意度，构建和谐护患关系。【Abstract】　Objective　To investigate the role and the effect of risk management in good care service on the safety of elder in-patients.　Methods　From February 2010 to March 2011, the risk management was carried out during applying good care service. The prevention and control of the poor nursing events for the elder in-patients were retrospectively analyzed.　Results　The poor nursing events for the elder in-patients decreased obviously after the application of risk management, and the patients were pleased with the service of nurses.　Conclusion　Risk management is conducive to prove the safety of the in-patients, improve the degree of satisfaction of the patients, and make the harmonious relations between the nurses and the patients.

自制护理标识在老年病房中的应用

【摘要】　目的　探讨护理标识在老年病房安全管理中的应用。　方法　自行设计、制作护理标识并在临床中应用，对比使用前后护理不良事件发生率、检查延误率并进行统计学分析。　结果　使用护理标识后护理不良事件发生率、检查延误率明显降低，有统计学意义（Plt;0.05）。　结论　在老年病房应用护理标识，可以预防护理不良事件发生，减少延误检查，提高工作效率，增强安全防范意识，为患者提供安全护理。

A multicenter survey on the current status of delirium knowledge among geriatric nurses in Sichuan province

Methods To explore the level of delirium knowledge of geriatric nurses in Sichuan province and analyze the factors, so as to provide the basis for systematic and targeted knowledge training on delirium and clinical management. Methods Using the self-designed “the Questionnaire of Elderly Delirium Knowledge”, geriatric nurses from 22 hospitals in Sichuan province were investigated through a convenient sampling method from September 2018 to February 2019. Results A total of 475 geriatric nurses were investigated. The average delirium knowledge score of the 475 geriatric nurses was 69.51±12.42. Multiple linear regression analysis showed that the main factors affecting the score of delirium-related knowledge were the education of nurses (P=0.037), technical title (P<0.001), years of working in the geriatric department (P=0.001), and the level of working hospital (P=0.001). Conclusions The level of delirium knowledge of geriatric nurses is low and can not meet the needs of clinical work. Nursing managers should carry out delirium knowledge training according to the different characteristics of nurses.

体验式教学结合案例教学法在老年专科护士培训中的应用研究

目的研究应用体验式教学结合案例教学法进行老年专科护士培训的效果。 方法对2013年9月－2015年4月参加四川省老年专科护士培训的110名学员应用体验式教学结合案例教学法进行培训，分别于培训前后采用老年知识问卷（FAQ1）和老年人态度量表（KAOP）来调查学员老化知识水平和对老年人的态度。同时在培训结束后采用四川大学临床医学院课堂教学质量学生评价表评价教学效果，并与2012年首届专科护士培训学员评教水平进行比较。 结果培训后学员的老化知识得分和对老年人的态度得分均较培训前提高，差异有统计学意义（P＜0.05），且教学效果高于2012年首届专科护士培训学员评教水平。 结论应用体验式教学结合案例教学法进行老年专科护士培训，可有效提高学员老化知识水平，改善学员对老年人的态度，提高学习积极性，提高教学质量。

中、晚期老年性痴呆伴肺部感染患者的护理

Investigation on the Knowledge Demand among Family Caregivers for the Elderly

ObjectiveTo discuss the demands for nursing knowledge among family caregivers for elderly people, in order to provide a basis for nurses to provide effective education for these people. MethodsBetween May and June 2012, a questionnaire which contained the condition of demands for nursing knowledge and the burden of care was used to investigate 1 600 family caregivers for the elderly people. ResultsThe caregivers had a demand for nursing knowledge, which may include the knowledge on medicine, disease and caregiving. The demand for knowledge was correlated with relationship between the caregivers and care recipients, health condition of the caregivers and care burden. ConclusionThe demands for nursing knowledge are higher in those who have spouse and high burden of care, without disease and symptom; we should pay more attention on them and take measures to reduce their burden of care.

老年慢性阻塞性肺疾病患者使用干粉吸入器相关因素分析

【摘要】　目的　探讨影响老年慢性阻塞性肺疾病患者正确熟练使用干粉吸入器的相关因素。　方法　2010年5-12月通过调查问卷方式收集患者基本资料，包括年龄、文化程度、照护者情况及照护者的文化程度等信息；调查患者从初次接触到能独立熟练使用干粉吸入器所需的练习次数，并就相关因素进行分组分析。　结果　患者的年龄、文化程度、照护者情况及照护者的文化程度，对患者熟练掌握干粉吸入器的使用方法有一定影响，其差异有统计学意义（Plt;0.05）。　结论　80岁以下、高中以上学历患者，大专以上学历照护者能较快熟练掌握干粉吸入器的使用方法。指导患者接受吸入治疗需要同时考虑患者及照护者的情况，有针对性的进行指导。

加强分诊队伍建设，持续提升门诊患者就医体验

【摘要】　总结加强分诊队伍建设，提高门诊医疗护理质量，持续提升门诊患者的就医体验的方法与经验。通过建立管理机制、加强分诊队伍人才培养、优化分诊队伍结构、完善考核体制、评价体系，提高分诊护士综合素质等措施，提高了门诊医疗护理质量及患者满意度及分诊护士的自身价值感和自信心。实践表明，加强分诊队伍建设，提高分诊护士整体素质结构是持续提升门诊患者就医体验至关重要的环节。

一种多腔气管导管介绍

输血护理记录流程及质量监测表的设计与应用

2014年4月护理部质量控制科对全院各护理单元进行了输血管理专项督查，结果显示各护理单元在输血医嘱开具、输血医嘱执行、输血执行单、输血护理记录、输血袋管理及输血资料管理方面存在缺陷。该研究回顾性分析了2014年1月－4月老年科输血护理病历。经过总结分析，发现老年科输血护理记录存在输血记录单填写不规范、输血医嘱执行记录时间不一致、输血护理记录信息不完整等缺陷。因此，于2014年6月开展头脑风暴，根据讨论结果设计了输血护理记录流程和质量监测表。通过培训学习，输血护士和护理组长掌握了登记表、流程图的使用方法，能遵循流程及时、准确、全面执行输血记录，护士长应用质量监测表对输血护理记录质量实时监控，反馈输血记录亮点和问题，进行持续质量改进。6个月以后，输血护理记录缺陷较前明显较少，有效提高了输血护理记录质量。