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目的采用集束化护理措施对呼吸科老年患者的坠跌事件实施干预,考察其干预效果,并进行护理满意度的调查。方法将绍兴市人民医院呼吸内科2015年1月—2016年1月收治的108例老年患者,随机1∶1分为对照组(54例)和观察组(54例)。对照组给予常规护理,观察组在此基础上实施集束化护理干预措施。比较2组患者的坠跌发生率和护理服务满意度,并采用统计学软件SPSS 17.0对数据进行分析。结果观察组患者的坠跌事件显著低于对照组,差异有统计学意义(P<0.05)。在护理服务满意度方面,观察组在护患沟通、健康教育、护理程序、详细服务及功能锻炼方面的均分分别是(9.35±0.64)、(9.37±0.52)、(9.41±0.57)、(9.32±0.47)、(9.40±0.54)分;在对照组如上均分分别是(8.26±1.04)、(8.29±0.98)、(8.61±1.01)、(8.84±0.92)、(8.70±1.02)分,2组护理满意度比较的差异有统计学意义(P<0.01)。结论集束化护理干预能够有效地降低呼吸内科老年患者发生坠跌事件的风险,可提高护理质量,更利于患者的康复。
OBJECTIVE: To adopt the cluster nursing measures to intervene the falls of elderly patients in the respiratory department, investigate the intervention effect, and investigate the satisfaction of nursing. Methods A total of 108 elderly patients admitted to Department of Respiratory Medicine, Shaoxing People ’s Hospital from January 2015 to January 2016 were randomly divided into control group (n = 54) and observation group (n = 54). The control group was given routine care, and the observation group implemented the cluster nursing intervention on the basis. The incidence of crash and nursing service satisfaction were compared between the two groups, and the data were analyzed using the statistical software SPSS 17.0. Results The fall event in the observation group was significantly lower than that in the control group, with a significant difference (P <0.05). In terms of nursing service satisfaction, the average scores of observation group in terms of patient-nurse-patient communication, health education, nursing procedure, detailed service and functional exercise were 9.35 ± 0.64, 9.37 ± 0.52, 9.41 ± 0.57, 9.32 ± 0.47) and (9.40 ± 0.54) respectively. The mean score of the control group were (8.26 ± 1.04), (8.29 ± 0.98), (8.61 ± 1.01), (8.84 ± 0.92) and (8.70 ± 1.02) There was significant difference between the two groups in nursing satisfaction (P <0.01). Conclusion Cluster nursing intervention can effectively reduce the risk of fall events in elderly patients with respiratory medicine, improve the quality of nursing care, and be more conducive to the rehabilitation of patients.