危机管理对精神科患者护理质量及风险事件的影响

【目的】探讨危机管理对精神科患者护理质量及风险事件的影响。【方法】2014年6月至2015年6月对本院精神科患者应用危机管理，并与应用危机管理前（2013年6月至2014年5月）进行对比，分析危机管理对精神科护理质量、护理纠纷、风险事件及患者家属满意度的影响。【结果】危机管理实施后基础护理、专科护理、危险患者管理、护理记录、病房环境／安全、急救药品／器械及护理质量总评分显著高于实施前（P ＜00．5）；护理风险事件、护患纠纷发生率、护理投诉率、护理差错率显著低于实施前（ P ＜00．5）；患者家属满意率显著高于实施前（ P ＜00．5）。【结论】危机管理可以效提高精神科患者护理质量，降低护理风险事件及护理差错率的发生，有助于提高患者家属满意率，降低护理纠纷发生。

Efficacy of Crisis Management on Quality of Nursing Care and Risk Events in Patients with Psy-chiatric Disorders

Objective]To investigate the effect of crisis management of nursing quality and risk events on pa‐tients with psychiatric disorders .Methods]From June 2014 to June 2015 ,the crisis management had been applied in the patients with psychiatric disorders in our hospital ,and the efficacy had been compared with those effects under‐went (June 2013 to May 2014) .The effects of crisis management on the quality of psychiatric nursing ,nursing dis‐putes ,risk events and the satisfaction degree of patients'family members were analyzed .Results] After the imple‐mentation of crisis management ,the indicators of basic nursing ,nursing records ,ward environment /safety ,first aid drugs /equipment and total nursing quality score were significantly higher than those before implementation ( P <0 0.5) .Nursing risk events ,nurse‐patient disputes ,nursing complaint rate and nursing error rate were significantly lower than those before implementation ( P <0 0.5);Patients'satisfaction rate was higher than that before the imple‐mentation ( P <0 0.5) .Conclusion]Crisis management can effectively improve the quality of nursing care ,reduce the incidence of nursing risk events and nursing error rate .It is helpful to improve the satisfaction rate of patients'families ,and reduce the occurrence of nursing disputes .