Special management for control of adverse nursing events in elderly inpatients

doi:10.3877/cma.j.issn.1674-0785.2021.12.021

Abstract

Abstract:

Objective

To evaluate the value of special management in the management and control of adverse nursing events in elderly inpatients.

Methods

Eighty elderly inpatients admitted to Deyang People's Hospital from January 2017 to February 2019 were selected as the research subjects, and they were divided into either a control group or an observation group according to the time of admission. The control group included 40 elderly patients admitted from January 2017 to January 2018 who underwent routine management, and 40 elderly inpatients admitted from February 2018 to February 2019 who underwent special management were included in the observation group. The satisfaction to management, the incidence of nursing adverse events, and the scores of nursing quality, nurses' humanistic quality, and patient safety competencies were compared between the two groups.

Results

The degree of satisfaction to management was significantly higher in the observation group than in the control group (95.00% vs 80.00%, P＜0.05). The incidence of adverse nursing events in the observation group was significantly lower than that of the control group (12.50% vs 32.50%, P＜0.05). After the management, the scores of ward management, nurses' working ability, health education, nursing service attitude, and nurses' image as well as the total score were significantly higher than those before the management in both group (P＜0.05 each); these scores were significantly higher in the observation group than in the control group (P＜0.05 each). The scores of professional ethics, cultural quality, legal quality, aesthetic quality, and psychological quality as well as the total score after management were significantly higher than those before management in both groups (P＜0.05 each); these scores were significantly higher in the observation group than in the control group (P＜0.05 each). The scores of knowledge factors, system factors, attitude factors, and skill factors as well as the total score after management were significantly higher than those before management in both groups (P＜0.05 each); these scores were significantly higher in the observation group than in the control group (P＜0.05 each).

Conclusion

Special management can reduce the incidence of adverse nursing events, improve patients' satisfaction to management, and improve the quality of care in elderly inpatients, and it is worthy of clinical promotion.

Key words: Special management, Adverse nursing events, Nursing quality

Ling Liu, Li Gao, Ting Zhao, Qinglian Liu. Special management for control of adverse nursing events in elderly inpatients[J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(12): 1031-1036.

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Figures/Tables 6

组别	例数	性别（例，男/女）	年龄（岁， $x ¯$ ±s）
观察组	40	20/20	72.16±4.56
对照组	40	18/22	73.42±5.42
t/χ²值		0.200	1.125
P值		0.654	0.264

组别	例数	性别（例，男/女）	年龄（岁， $x ¯$ ±s）
观察组	40	20/20	72.16±4.56
对照组	40	18/22	73.42±5.42
t/χ²值		0.200	1.125
P值		0.654	0.264

组别	例数	非常满意	一般满意	不满意	满意
观察组	40	26（65.00）	12（30.00）	2（5.00）	38（95.00）
对照组	40	13（32.50）	19（47.50）	8（20.00）	32（80.00）
χ²值					4.114
P值					0.042

组别	例数	跌倒	非计划拔管	压力性损伤	发生率
观察组	40	1（2.50）	1（2.50）	3（7.50）	5（12.50）
对照组	40	5（12.50）	3（7.50）	5（12.50）	13（32.50）
χ²值					4.587
P值					0.032

项目	观察组（40例）	对照组（40例）	t值	P值
病区管理
管理前	4.98±1.02	5.14±1.57	0.540	0.590
管理后	15.97±5.43^a	10.22±3.36^a	5.695	＜0.001
护士工作能力
管理前	5.72±1.46	5.83±1.39	0.345	0.730
管理后	16.98±4.22^a	10.06±3.15^a	8.311	＜0.001
健康教育
管理前	6.03±2.44	6.12±2.35	0.168	0.867
管理后	15.87±6.44^a	9.87±2.64^a	5.452	＜0.001
护理服务态度
管理前	5.17±1.38	5.21±1.31	0.132	0.894
管理后	16.43±5.81^a	10.03±3.45^a	5.990	＜0.001
护士形象
管理前	6.02±2.33	6.11±2.08	0.182	0.855
管理后	15.88±4.36^a	10.12±3.28^a	6.676	＜0.001
总分
管理前	47.77±5.36	47.38±5.41	0.328	0.746
管理后	59.87±4.25^a	50.06±3.28^a	11.557	＜0.001

项目	观察组（40例）	对照组（40例）	t值	P值
职业道德素质
管理前	5.32±0.81	5.41±0.74	0.518	0.605
管理后	16.78±4.23^a	11.23±2.57^a	7.091	＜0.001
文化素质
管理前	5.36±0.14	5.27±0.15	1.541	0.127
管理后	17.21±3.54^a	11.33±4.39^a	6.594	＜0.001
法律素质
管理前	5.41±1.14	5.38±1.19	0.115	0.908
管理后	16.38±5.41^a	10.27±4.39^a	5.546	＜0.001
审美素质
管理前	5.09±1.24	5.28±1.26	0.679	0.498
管理后	15.97±3.67^a	9.32±4.21^a	7.530	＜0.001
心理素质
管理前	5.89±1.11	5.64±1.09	1.016	0.312
管理后	16.94±4.06^a	11.13±3.87^a	6.551	＜0.001
总分
管理前	45.77±7.24	45.74±7.36	0.018	0.985
管理后	61.22±6.08^a	52.39±6.42^a	6.315	＜0.001

项目	观察组（40例）	对照组（40例）	t值	P值
知识因素
管理前	6.78±2.16	6.59±2.38	0.373	0.709
管理后	16.44±3.87^a	11.82±4.02^a	5.236	＜0.001
系统因素
管理前	5.87±2.33	6.01±2.17	0.278	0.781
管理后	18.94±5.32^a	10.55±4.79^a	7.412	＜0.001
态度因素
管理前	5.47±1.93	5.54±1.86	0.165	0.869
管理后	17.56±5.47^a	10.49±4.36^a	6.392	＜0.001
技能因素
管理前	5.67±1.31	5.63±1.28	0.138	0.890
管理后	16.84±4.76^a	11.23±4.28^a	5.542	＜0.001
总分
管理前	6.05±2.11	6.11±2.49	0.116	0.907
管理后	62.58±5.46^a	51.03±5.79^a	9.178	＜0.001

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