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危害分析与关键控制点原理在精神科住院患者风险管理中的应用

Application of Hazard Analysis and Critical Control Point Principle in Risk Management of Psychiatric Inpatients
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摘要 目的:探讨危害分析与关键控制点原理在精神科住院患者风险管理中的应用效果。方法:选取2021年9月—2022年12月于福建省龙岩市第三医院精神科诊治的100例精神科住院患者为研究对象,采用随机数字表法分组为对照组(n=50)和观察组(n=50)。对照组采用常规抗精神病药物治疗、健康教育、常规风险管理;观察组施行常规抗精神病药物治疗、健康教育、危害分析和关键控制点风险管理模式。比较两组不良事件发生率、心理状态及治疗满意度。结果:观察组实施后3个月、6个月不良事件发生率低于对照组,差异有统计学意义(P<0.05);两组实施1个月不良事件发生率比较,差异无统计学意义(P>0.05);观察组实施后焦虑、抑郁评分均低于对照组,差异有统计学意义(P<0.05);观察组治疗满意度高于对照组,差异有统计学意义(P<0.05)。结论:危害分析与关键控制点原理在精神科住院患者风险管理中的应用效果良好,可降低不良事件发生率,改善患者不良心理状态,且患者满意度较高。 Objective:To explore the application effect of hazard analysis and critical control point principle in risk management of psychiatric inpatients.Methods:A total of 100 psychiatric inpatients diagnosed and treated in the Department of Psychiatry,the Third Hospital of Longyan,Fujian Province from September 2021 to December 2022 were selected as the research objects.They were divided into control group(n=50)and observation group(n=50)by random number table method.The control group was treated with routine antipsychotic drugs,health education and routine risk management.The patients in the observation group were treated with conventional antipsychotic drugs,health education,hazard analysis and critical control point risk management model.The incidence of adverse events,psychological status and nursing satisfaction were compared between the two groups.Results:The incidence of adverse events in the observation group was lower than that in the control group at 3 months and 6 months after implementation,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse events between the two groups at 1 month(P>0.05).The scores of anxiety and depression in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of hazard analysis and critical control point principle in risk management of psychiatric inpatients has good effect,which can reduce the probability of adverse events,improve the patients’bad mental state and improve the patients’satisfaction.
作者 吴红英 李惠颖 黄艳 汤丽斌 WU Hongying;Li Huiying;HUANG Yan;TANG Libin(Psychiatric Department of the Third Hospital of Longyan,Longyan 364000,Fujian,China)
出处 《中国药物滥用防治杂志》 CAS 2023年第10期1698-1701,共4页 Chinese Journal of Drug Abuse Prevention and Treatment
基金 龙岩市科技创新联合资金卫生项目(编号:FLY2021CWS010015)。
关键词 危害分析 关键控制点原理 精神科 风险管理 Hazard analysis Critical control point principle Psychiatric Department Risk management
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