| 张倩,文丽,雷曾珍,代鼎环,康晓东.护理专案在防范脑性瘫痪患儿住院期间不良事件发生的应用[J].上海护理,2022,22(4): |
| 护理专案在防范脑性瘫痪患儿住院期间不良事件发生的应用 |
| Application of nursing project management on prevention of adverse events during hospitalization of children with cerebral palsy |
| DOI： |
| 中文关键词: 脑性瘫痪 儿童 不良事件 护理专案 患者安全 |
| 英文关键词:Cerebral palsy Child Adverse events Nursing project Patient safety |
| 基金项目:四川省卫生和健康委员会(16PJ380) |
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| 中文摘要: |
| 目的 摘要：目的 探讨护理专案在防范脑性瘫痪患儿住院期间不良事件中的实施效果，为提升脑瘫患儿住院安全提供参考。方法 在分析我院脑瘫患儿住院期间不良事件发生情况的基础上开展实施护理专案管理。具体措施包括：针对患儿及家长开展全程、全方位的健康宣教，开展病区护士及康复治疗师培训，把好病区患儿安全管理“七道关口”，以及确保护理专案组成员对核心制度的执行力。比较专案护理实施前（2017年1月至2018年12月）及实施后（2019年1月至2020年12月）医护人员专业理论考核成绩，患儿家长对相关宣教措施的知晓率、配合率与住院满意度，以及脑瘫患儿住院期间不良事件发生情况。结果 护理专案实施后，20名医务人员的专业理论成绩较之前明显提高（t=2.168，P=0.037），患儿家长的疾病健康宣教措施的知晓率、配合率及满意度均高于护理专案实施前（P<0.05）。护理专案实施后，住院脑瘫患儿不良事件发生率为2.33％（5/215），较实施前的16.09％（28/215）明显降低，差异有统计学意义（?2=23.475，P<0.001）。结论 以降低脑瘫患儿住院期间不良事件发生率为主题的护理专案，可有效提升医护人员的专业知识水平，提高患儿家长健康宣教措施的知晓率、依从性和满意度，切实降低脑瘫患儿住院期间不良事件的发生率，对确保患儿安全、提升护理质量有积极促进作用。 |
| 英文摘要: |
| Abstract：Objective To explore the application of nursing project management in preventing adverse events of children with cerebral palsy during hospitalization, so as to provide reference for improving the hospitalization safety of children with cerebral palsy. Methods Nursing project management was carried out based on the analysis of the adverse events of children with cerebral palsy in our hospital, as specific measures include: carrying out whole process and all-round health education for children and parents, carrying out training for ward nurses and rehabilitation therapists, "seven passes" for the safety management of children in ward, and ensuring the implementation of the core system by the members of the nursing task force. The professional theory assessment results of medical staff, the awareness rate, cooperation rate and hospitalization satisfaction of the parents of the children with relevant publicity and education measures, as well as the incidence of adverse events during the hospitalization of children with cerebral palsy before implementation of the nursing project (January 2017 to December 2018) and after (January 2019 to December 2020) were compared. Results After the implementation of the nursing project, the professional theory scores of 20 medical staff were significantly higher than those before (t = 2.168, P = 0.037). The awareness rate, cooperation rate and satisfaction of the parents of children's disease and health education measures were higher than those before (P < 0.05). After the implementation of nursing project, the incidence of adverse events in hospitalized children with cerebral palsy was 2.33% (5 / 215), which was significantly lower than 16.09% (28 / 215) before the implementation, and the difference was statistically significant (?2 = 23.475, P < 0.001). Conclusion The nursing project with the theme of reducing the incidence of adverse events during hospitalization of children with cerebral palsy can effectively improve the professional knowledge level of medical staff, improve the awareness rate, compliance and satisfaction of health education measures of children's parents, effectively reduce the incidence of adverse events during hospitalization of children with cerebral palsy, and play a positive role in ensuring the safety of children and improving the quality of nursing. |
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