摘要目的 探讨护理质量敏感指标在神经内科老年住院患者安全管理中的应用效果.方法 选择2016年1月至2017年12月收治的神经内科患者160例为研究对象,根据应用护理质量敏感指标时间分为实施前(2016年1-12月)、实施后(2017年1-12月)各80例.实施前采用传统护理质量管理模式,实施后采用护理质量敏感指标管理模式,比较实施前后优先改进指标、护理不良事件、患者满意度等.结果 实施后,风险评估正确率、护理技术规范执行率,给药操作正确率、分级护理执行率、个体化康复训练率明显高于实施前,差异有统计学意义(χ2=4.103～5.769,P＜0.05);压力性损伤等护理不良事件发生率为3.75%(3/80),明显低于实施前20.0%(16/80),差异有统计学意义(χ2=7.206,P＜0.05);患者满意度96.25%(77/80),明显高于实施前87.50%(70/80),差异有统计学意义(χ2=4.103,P＜0.05).结论 护理质量敏感指标的实施有助于提高神经内科老年住院患者护理质量,减少护理不良事件发生,改善患者满意度.

abstractsObjective To investigate the effect of sensitive indicators of nursing quality in the management of elderly inpatients in neurology department. Methods A total of 160 inpatients in the department of neurology who were admitted between January 2016 and December 2017 were selected as study subjects. The patients were divided into pre-implementation (January to December 2016) and post-implementation (2017 Month-December) with 80 cases each. Traditional nursing Quality Management mode was adopted before implementation, and the management mode of nursing quality sensitive index was adopted after implementation. These two with priority improvement indicators, adverse events in nursing care, patient satisfaction and so on were compared. Results After the implementation, the correct rate of risk assessment, the implementation rate of nursing specifications, the correct rate of drug delivery, the rate of graded care execution, and the rate of individualized rehabilitation training were significantly higher than before implementation.The difference was statistically significant (χ2=4.103-5.769, P<0.05). The incidence rate of adverse events such as stress injury was 3.75% (3/80), which was significantly lower than that before implementation 20.0% (16/80). The difference was statistically significant (χ2=7.206, P<0.05). The patient satisfaction rate was 96.25%(77/80), which was significantly higher than 87.50% (70/80) before implementation.The difference was statistically significant (χ2=4.103, P<0.05). Conclusion The implementation of the sensitive index of nursing quality can improve the nursing quality of elderly inpatients in the department of neurology, reduce the occurrence of nursing adverse events and improve the satisfaction of patients.