安全目标管理在重度烧伤并反应性精神障碍病人中的应用

目的]探讨安全目标管理在重度烧伤并精神障碍病人中的应用效果,为病人提供一套科学系统的安全护理。方法]将85例重度烧伤并精神障碍病人分为干预组45例和对照组40例,干预组实施安全目标管理,制定护理安全目标;准确评估病人,制定安全防范预案;加强病房及病人安全管理,注意用药安全,防止意外,对病人进行认知行为干预,促进精神康复。对照组则按烧伤并反应性精神障碍的常规护理。结果]实施安全目标管理以来,干预组护理不安全事件的发生率明显低于对照组(P<0.05),病人精神症状的持续时间较对照组短(P<0.01),家属对护理工作的满意度较对照组高(P<0.01)。结论]实施安全目标管理,能提高护士的安全防范意识,有效减少反应性精神障碍病人不安全事件的发生,避免护理风险,确保医疗护理安全。

Application of safety objectives management in severe burns patients complicated with reactive mental disorder

Objective:To probe into the applied effect of safe objective management in severe burns patients complicated with mental disorders,so as to provide a series of scientific and systematic safe care for patients.Methods:A total of 85 severe burns patients complicated with mental disorders were randomly divided into intervention group and control group,45 cases in each,safe object management was carried out for intervention group cases,including making the target of nursing safety,evaluating paitents correctly and making safety precautions plan;strengthening ward and patient safety management,paying attention to drug safety,preventing accidents,cognitive-behavioral intervention for patients to promote psychiatric rehabilitation.Routine nursing was given to control group cases.Results:Since the implementation of safety objective management,the incidence of nursing unsafe event in intervention group was much lower than that of control group(P<0.05).Duration of psychiatric symptoms of patients was shorter than that of control group(P<0.01),the satisfaction of family member to nursing work was better than of control group(P<0.01).Conclusion:the implementation of safety objective management can enhance the security awareness of nurses,effectively reduce the incidence of unsafe event of reactive mental disorders patients,avoid nursing risk,and ensure the medical and nursing safety.