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| Application effect of sensitive indicators of nursing quality in safety management of elderly inpatients#br# |
| ZHANG Min1 YIN Fang2 HUI Fengju3 WU Qian4 LIU Hongling5 LIU Yan6 LI Fengyun7 |
1.Department of Teaching, Cangzhou People’s Hospital, Hebei Province, Changzhou 061000, China;
2.Department of General Surgery, Cangzhou People’s Hospital, Hebei Province, Changzhou 061000, China;
3.Department of Neurosurgery, Cangzhou People’s Hospital, Hebei Province, Changzhou 061000, China;
4.Office of Quality Management, Cangzhou People’s Hospital, Hebei Province, Changzhou 061000, China;
5.Department of Nursing, Cangzhou People’s Hospital, Hebei Province, Changzhou 061000, China;
6.Department of Vascular Surgery, Cangzhou People’s Hospital, Hebei Province, Changzhou 061000, China;
7.Department of Critical Care, Cangzhou People’s Hospital, Hebei Province, Changzhou 061000, China |
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Abstract Objective To explore the application effect of sensitive indicators of nursing quality in the safety management of elderly inpatients. Methods A total of 53 elderly inpatients who received treatment in Cangzhou People’s Hospital (“our hospital” for short) before the application of sensitive indicators of nursing quality from January to May 2020 were selected as the control group. At the same time, a total of 53 elder patients who received treatment in our hospital from June 2020 to March 2021 after applying the sensitive indicators of nursing quality were selected as the research group. The control group was given the routine nursing quality management mode, while the research group was given the nursing quality-sensitive index management mode. Sensitive indicators of nursing quality, quality of life scores, self-rating anxiety scale (SAS) scores, self-rating depression scale (SDS) scores, and incidence of adverse events were compared between the two groups. Results The accuracy rate of specialist assessment, individualized rehabilitation training rate, nursing specialist diagnosis rate, risk assessment accuracy rate, and health education awareness rate in the study group were higher than those in the control group, with statistically significant differences (P ＜ 0.05). After the intervention, the scores of physiological function, physiological function, physical pain, mental health and overall health of the two groups were higher than those before treatment, while those of the research group were higher than those of the control group, with statistical significant differences (P ＜ 0.05). After the intervention, the SAS and SDS scores of the two groups were lower than those before the intervention, while those of the study group were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of adverse events in the study group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The application of nursing quality-sensitive indicators during the safety management of elderly hospitalized patients can reduce the possibility of adverse events, effectively relieve the patients’ various negative emotions, and promote the further improvement of nursing quality, which can be widely used.
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[1] 宦红美，金小芹，张艳.护理质量敏感指标在神经内科老年住院患者安全管理中的应用研究[J].中国实用护理杂志，2019，5（7）：501-505.
[2] 赵诗雨，晏蓉，喻姣花，等.基于循证构建肠内营养护理质量敏感指标体系[J].中华护理杂志，2019，54（3）：344-349.
[3] Swuste P，Gulijk CV，Groeneweg J，et al. From clapham junction to macondo，deepwater horizon：Risk and safety management in high-tech-high-hazard sectors [J]. Safety Science，2020，121（3）：249-282.
[4] 马丽，佟银侠，张元红，等.肠造口患者护理质量敏感性指标的建立与应用研究[J].重庆医学，2019，32（A1）：174-177.
[5] 吴建梅，王丽梨.护理质量敏感性指标改进在预防和降低患儿跌落中的运用[J].重庆医学，2019（A1）：299-301.
[6] Le T，Jeon HJ，Truong N，et al. Applying the Haar-cascade Algorithm for Detecting Safety Equipment in Safety Management Systems for Multiple Working Environme-nts [J]. Electronics，2019，8（10）：1079-1081.
[7] 王梅杰，刘芳丽，殷月.健康素养对PCI术后再住院患者生活质量的影响及中介因素分析[J].重庆医学，2020，49（8）：113-117.
[8] 高秀娟，吕云霞.循证护理对老年冠心病患者介入术后SAS、SDS评分及生活质量的影响[J].中外女性健康研究，2019（7）：171-172.
[9] Rojo-Bezares B，Toca L，JM Azcona-Gutiérrez，et al. Streptococcus dysgalactiae subsp. equisimilis from invasive and non-invasive infections in Spain：combining epidemiology，molecular characterization，and genetic diversity [J]. Eur J Clin Microbiol Infect Dis，2021，40（8）：1-9.
[10] 丁文霞，马苏，陈佳，等.集束化护理策略在无痛胃肠镜联合检查患者安全管理中的应用[J].中华消化内镜杂志，2019，6（11）：850-852.
[11] 马兰，张晓媛，王秋芳，等.护理风险分析及安全管理对维持性血液透析患者生活质量及心理状态的影响[J]. 贵州医药，2019，43（12）：1998-1999.
[12] Jha B，Hc A，Smn B，et al. A point prevalence study to determine the inpatient rate of carbapenemase-producing organisms at a large London NHS Trust-Science Direct [J]. J Hosp Infect，2020，104（1）：12-19.
[13] 吴欣娟，李真，曹晶，等.住院脑卒中患者卧床常见并发症与出院后生活质量的相关性研究[J].中华护理杂志，2019，54（10）：7-11.
[14] 张玮，白洁，杨学青，等.老年综合评估在老年冠心病患者健康管理中的应用效果[J].中华老年医学杂志，2019， 38（4）：371-374.
[15] Nandi A，Obiechina N，Johal S，et al. Prevalence Of Fracture Risk By FRAX Tool Amongst Elderly Inpatients At Increased Risk Of Falls （Abstract） [J]. Osteoporosis International，2019，30（2）：654-655.
[16] 马晓茸，张瑜.心血管内科护理安全管理中护理质量敏感指标的应用价值[J].临床医学研究与实践，2019，4（25）：148-149.
[17] 吴琼.落实五大护理敏感指标在心血管内科安全护理管理中的效果分析[J].当代医学，2020，26（3）：3-6.
[18] 赵春海，蔡红霞，苏晓光.二级护士长值班制对护理质量敏感指标的影响[J].基层医学论坛，2019，23（18）：3-6.
[19] 杜利娜，刘辉.护理质量敏感指标在骨科护理管理中的运用效果研究[J].中外医学研究，2019，17（10）：111-112.
[20] 杨赛，李素云，黄海燕.住院患者肠内营养护理质量敏感性指标的构建[J].护理学杂志，2019，34（9）：104-106.
[21] 邹琦，吴亚，张娟.多层防御管理体系在急诊患者护理安全管理中的应用效果[J].国际护理学杂志，2021，40（19）：3463-3466.
[22] 任晓晓，黄巧，李绣球，等.基于护理敏感性结局指标构建防跌倒过程质量监控模式的研究[J].现代医院，2021， 21（2）：215-218.
[23] 颜云琼，钟燕文，严彩铃，等.手术室基于护理敏感指标的护理质量管理的临床应用效果研究[J].中国医学创新，2020，17（15）：98-102.
[24] 杨静，卢静.护理质量敏感指标在胃肠道手术患者围术期安全管理中的应用[J].中国医药导报，2020，17（31）：4-7.
[25] 郁涛，谭澍，黎林富，等.护理质量敏感指标在精神科护理质量持续改进中的应用[J].临床心身疾病杂志，2020， 26（5）：4-5.
[26] 和顺香，张萍，李蕊.康复护理专科质量敏感指标在脑卒中偏瘫患者护理质量管理中的应用效果观察[J].健康必读，2019（35）：275-276.
[27] 丁湘云，冯志英，郭亮梅，等.信息化技术在护理敏感质量指标监控中的应用进展[J].中国医药导报，2020，17（7）：46-50.
[28] 蒋军艳，郑秋菊，丁珍兰.改良早期预警评分结合信息系统在妇科住院患者护理中的应用[J].中国当代医药，2021，28（15）：253-255.
[29] 姜小燕，卢才荣.护理质量敏感指标在基层中医院病房管理中的应用研究[J].基层医学论坛，2021，25（21）：3-6.
[30] 王莹，喻姣花，张艳.专科护理质量敏感指标管理模式在神经内科住院患者中的应用[J].齐鲁护理杂志，2020， 473（5）：38-40. |
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