摘要
目的探讨JCI标准下住院抑郁症患者自杀风险管理的实践效果.方法将抑郁症患者120例,分为试验组60例和对照组60例。对照组患者采取常规护理措施,试验组采取医疗机构评审联合委员会国际部标准管理及现状分析、建立风险管理组,全面系统风险评估、应急预案演练,追踪评价并持续质量改进。采用自杀危险因素评估量表、自杀意念自评量表、简易应对方式问卷对两组患者进行调查.结果 45 d后两组患者自杀风险等级试验组低于对照组(P<0.01);自杀意念中绝望、睡眠、乐观因子间结果试验组低于对照组(P<0.01);简易应对方式问卷中积极应对维度和消极应对维度得分试验组均低于对照组(P<0.01)。结论运用JCI标准管理,可减轻患者的负性思维,减少患者自杀风险的发生,保障护理正常进行,保障患者安全。
Objective To evaluate on JCI standard the practice effects of suicide risk management with hospitalized depression patients. Methods A to- tal of 120 patient with depression were divided into the control group（ n = 120 ）and the research group（ n = 120）. The research group managed under JCI （Joint Commission International Accreditation of the International Department ） standard for 45 days. Through analyzing of the status, establishing of risk management group, emergency plan exercise, tracking evaluation and continuous quality improvement. And the control group received routine nursing measures for preventing the negative. Results Research group at the end of the 45 day suicide level had significant statistical meaning （P 〈 0.01 ）. The self - assessment lists of sui- cidal ideation in despair, sleep,optimistic factor had significant differences （ P 〈 0.01 ）. Coping with dimensions of simplified coping style questionnaire and negative coping dimensions have significant differences （ P 〈 0.01 ）. Conclusion The use of JCI standard management can reduce the negative thinking of pa- tients, reduce the occurrence of nursing risk in patients with suicide, guarantee the normal nursing, ensure the safety of patients.
出处
《护理管理杂志》
2015年第10期737-739,760,共4页
Journal of Nursing Administration
基金
2014年镇江市科技支撑计划(社会发展)指导性项目(FZ2014040)
