老年综合评估在老年综合病房护理安全管理中的应用效果

摘要

目的 探讨应用老年综合评估(CGA)对老年综合病房护理安全管理的干预效果.方法 回顾性分析应用CGA之前病房存在的安全问题,包括跌倒、压疮、坠床、导管滑脱、误吸.对每位患者进行CGA评估,根据评估结果个体化干预,实施综合安全管理,再次进行安全数据统计分析.结果 应用CGA评估干预前后2年内护理安全不良事件发生率比较,跌倒发生率2.46%降至0.56%,压疮发生率1.23%降至0,坠床发生率0.92%降至0,导管滑脱发生率3.08%降至0.56%,误吸发生率1.54%降至0.56%,应用CGA之后,患者在跌倒、坠床、导管脱出的不良事件发生率低于CGA应用之前,差异均有统计学意义(P<0.05).结论 通过实施CGA对住院患者进行早期综合评估和干预、病房安全管理与评价,可以减少或避免住院期间不良事件的发生,提高病房安全管理效果.%ObjectiveTo explore the effects of comprehensive geriatric assessment(CGA)on nursing safety management in general geriatric wards.Methods The safety problems existing before CGA,including falls, pressure sores,falling down from bed,catheter slippage and aspiration,were analyzed retrospectively. CGA was performed for each patient. Individualized intervention and integrated safety management was given to the patients on the basis of assessment results,after which,safety data were collected and analyzed again.Results Based on the CGA for the incidence of adverse nursing safety events within 2 years before and after the intervention,the incidence of falls dropped from 2.46% to 0.56%,the incidence of pressure sores from 1.23% to 0,the incidence of falling down from bed from 0.92% to 0,the incidence of catheter slippage from 3.08% to 0.56%,and the incidence of aspiration from 1.54% to 0.56%. The incidence of adverse events after the CGA,including falls,falling down from bed and catheter slippage,was lower than that before the CGA(P<0.05).Conclusions Early general assessment and intervention as well as ward safety management and assessment on the basis of CGA can reduce or eliminate adverse events in hospital,and enhance the effects of ward safety management.