摘要
目的探讨ACMMM管理模型在老年患者不安全事件中的应用效果。方法选择2017年5月至2018年5月在解放军陆军总医院连续住院时间超过3个月的老年患者的资料进行回顾性分析,按照患者的住院时间分为A组和B组,其中A组为2016年5月至2017年5月住院(1 258例),B组为2017年6月至2018年5月住院(1 309例)。A组患者予以常规护理干预,B组患者在予以常规护理干预的基础上联合予以实施ACMMM管理模型干预措施。对2组患者各类不安全事件的发生情况、发生跌倒的严重程度、患者的护理满意度进行对比。结果A组患者中有47例发生不安全事件,B组患者中有11例发生不安全事件,A组发生不安全事件的人数比例高于B组,差异有统计学意义(χ^2=24.358,P<0.05),其中A组跌倒、压疮、烫伤的发生频率高于B组,差异有统计学意义(χ^2=7.966,4.353,5.800,P<0.05),2组患者在坠床、走失、窒息、自伤、误服的发生频率差异无统计学意义(P>0.05),A组发生跌倒患者的严重程度高于B组,差异有统计学意义(Z=-2.124,P<0.05),B组患者的护理满意度79.53%(1 041/1 309),A组患者的护理满意度57.15%(719/1 258),B组的护理满意程度也优于A组,差异均有统计学意义(Z=-15.238,χ^2=148.962,P<0.05)。结论采用ACMMM管理模型对长期住院老年患者进行护理干预,能够有效减少老年患者不安全事件的发生情况,降低跌倒等相关伤害的严重程度,有效提高患者护理满意程度。
Objective To explore the application of ACMMM management model in elderly patients with unsafe events. Methods A retrospective analysis of elderly patients who had been hospitalized for more than three months at the Chinese People′s Liberation Army General Hospital from May 2017 to May 2018 was performed. According to the patient′s hospitalization time, they were divided into group A and group B. Group A was hospitalized between May 2016 and May 2017 (n=1 258), and group B was hospitalized between June 2017 and May 2018 (n=1 309). Patients in group A were given routine nursing intervention, and patients in group B were combined to implement ACMMM management model intervention on the basis of routine nursing intervention. The incidence of various types of unsafe events in the two groups of patients was compared. The severity of the fall in the two groups of patients was compared. Comparison of nursing satisfaction between the two groups of patients. Results In group A, 47 patients had unsafe events, 11 patients in group B had unsafe events, and group A had higher incidence of unsafe events than group B (χ^2=24.358, P<0.05). In group A, the frequency of pressure sores and burns was higher than that of group B (χ^2=7.966, 4.353, 5.800, P<0.05). There was no statistically significant difference in the frequency of occurrence of falling, suffocation, self-injury, and misuse between the two groups (P>0.05). The severity of patients with falls in group A was higher than that in group B (Z=-2.124, P<0.05). The satisfaction of nursing in group B was 79.53%(1 041/1 309), the satisfaction of nursing in group A was 57.15%(719/1 258), and the satisfaction degree in group B was better than that in group A. The data were statistically significant (Z=-15.238,χ^2=148.962, P <0.05). Conclusions The use of ACMMM management model for long-term hospitalized elderly patients with nursing intervention can effectively reduce the incidence of unsafe events in elderly patients, reduce the severity of falls and other related injurie
作者
高红卫
徐小飞
Gao Hongwei;Xu Xiaofei(Brain Hospital of Beijing Military General Hospital, Beijing 100700, China)
出处
《中国实用护理杂志》
2019年第19期1448-1452,共5页
Chinese Journal of Practical Nursing
关键词
不安全事件
老龄化
长期住院
跌倒
压疮
Unsafe incident
Aging
Long-term hospitalization
Fall
Pressure sore
