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Chinese Journal of Clinicians(Electronic Edition) ›› 2021, Vol. 15 ›› Issue (12): 1031-1036. doi: 10.3877/cma.j.issn.1674-0785.2021.12.021

• Nursing Garden • Previous Articles    

Special management for control of adverse nursing events in elderly inpatients

Ling Liu1,(), Li Gao2, Ting Zhao3, Qinglian Liu4   

  1. 1. Department of Urology, the People's Hospital of Deyang, Deyang 618000, China
    2. Department of Burn Surgery, the People's Hospital of Deyang, Deyang 618000, China
    3. Department of Gynecology, the People's Hospital of Deyang, Deyang 618000, China
    4. Department of Nephrology, the People's Hospital of Deyang, Deyang 618000, China
  • Received:2021-06-10 Online:2021-12-15 Published:2022-04-16
  • Contact: Ling Liu

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

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