摘要
目的：通过临床资料的回顾性调查，总结分析在我国精神卫生领域具有里程碑意义的《中华人民共和国精神卫生法》及《三级精神病医院评审标准》的实施，对精神科住院患者约束保护护理管理质量及约束情况的影响，以期为进一步规范精神科约束保护的流程及路径提供科学依据。方法通过传统常规的约束保护护理措施（对照组）和严格按照精神卫生法及三级精神病专科医院评审标准执行的约束保护护理措施的落实（观察组），分析比较两组措施对精神科住院患者约束保护的医嘱正确执行合格率、护理程序应用合格率、护理记录合格率、基础护理合格率、不良事件发生率、患者约束率、平均每人次约束时间、平均每人约束次数的影响。结果观察组和对照组约束保护的医嘱正确执行合格率、护理程序应用合格率、护理记录合格率、基础护理合格率、不良事件发生率差异均有统计学意义（P＜0．05）；观察组和对照组约束率比较差异有统计学意义（χ2＝10．11，P＜0．05）；两组平均每人次约束时间、平均每人约束次数差异均有统计学意义（ t值分别是7．92，47．88；P＜0．05）。结论精神卫生法及三级精神病专科医院评审标准的实施有利于提高精神科住院患者约束保护的临床护理管理质量，降低约束率，降低平均每人次约束时间及平均每人约束次数。
Objective To investigate the effects of the implementation of Mental Health Law of the People′s Republic of China and the “review standard of the tertiary mental hospitals” on the quality of restrictive regulations among inpatients with mental diseases , in order to provide references for the further standardization and management using retrospective investigation of the clinical data .Methods The patients of control group received the normal restrictive protective nursing and the patients of intervention group was strictly carried out the restrictive protective care in accordance with the mental health law and the “review standard of the tertiary mental hospitals”.The effects were compared between the two groups including：qualified rate of proper practice following doctor′s advice , the application of nursing procedures , nursing records , basic nursing care , incidence of the adverse event , patients′restraint rate, average restraint time per person , and average restraint frequency per person.Results The differences of the qualified rate of proper practice following doctor′s advice, the application of nursing procedures , nursing records , basic nursing care , and the incidence rate of the adverse event had statistical significance between the two groups （P〈0.05）.The restraint rate were statistical different （χ2 =10.11, P〈0.05）, as well as the average restraint time and frequency per person （t=7.92, 47.88;P〈0.05）.Conclusions The implementation of mental health law and the “standard of review of the tertiary mental hospitals” can significantly improve the quality of clinical restrictive protective nursing management , and reduce the restraint rate as well as the average restraint time and frequency per person .
出处
《中华现代护理杂志》
2016年第12期1743-1746,共4页
Chinese Journal of Modern Nursing
关键词
精神障碍
约束保护
精神卫生法
三级精神病医院评审标准
Mental disorder
Restrictive protection
Mental Health Law
Review standard of review of the tertiary mental hospitals
