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目的实施流程管理前后,分析导致精神疾病急危状态的风险致因,了解临床流程管理对精神疾病急危状态风险致因的影响。方法选取2015年1—6月宜昌市优抚医院收治的精神病患者作为研究对象,发生急危状态120例次作为对照组;实施流程管理3个月后,2015年10月至2016年3月宜昌市优抚医院收治的精神病患者作为研究对象,发生急危状态47例次作为观察组。对照组按常规进行急危状态风险致因的预测和处理,观察组采用临床流程管理进行急危状态风险致因的预防和干预,比较两组患者急危状态风险致因情况。结果观察组急危状态处理技巧、预见急危状态风险能力、专业技能、保护性约束方式、医患沟通、医嘱风险致因均明显低于对照组,差异均有统计学意义(均P<0.05)。结论精神疾病急危状态临床流程管理有利于减少患者的急危风险致因,保证护理安全。
Objective To analyze the risk factors leading to the critical state of mental illness before and after the implementation of the process management and to understand the impact of clinical process management on the causes of the risk of mental illness. Methods From January to June 2015, patients with mental illness admitted to Yichang Hospital were investigated with 120 cases of acute state as control group. After three months of implementation of the procedure management, from October 2015 to March 2016, Yichang City Patients with mental illness admitted to the Fu-care Hospital as a research object, 47 cases of acute state occurred as the observation group. In the control group, the risk factors of acute state were predicted and treated routinely. The observation group used clinical process management to prevent and intervene risk factors of acute state. The causes of acute state risk in both groups were compared. Results In the observation group, the risk management skills in emergency group were significantly higher than those in the control group (P <0.05 for all), and the predictive risk status, professional skills, protective restraints, doctor-patient communication, ). Conclusion The clinical management of acute state of mental illness is helpful to reduce the risk of acute and dangerous patients and ensure the safety of nursing.