[摘要] 目的 分析精神科護(hù)理不良事件原因分析及防范措施。方法 統(tǒng)計(jì)該院2016年1—12月主動(dòng)上報(bào)的50例精神科護(hù)理不良事件，對(duì)護(hù)理不良事件出現(xiàn)的具體原因進(jìn)行分析，并且找出相應(yīng)的防范措施。結(jié)果 患者間互傷是導(dǎo)致精神科護(hù)理不良事件出現(xiàn)的主要原因，所占比重為24.00%，除此之外，醫(yī)囑執(zhí)行錯(cuò)誤、暴力促使護(hù)理人員受傷、給藥錯(cuò)誤、治療不及時(shí)、針刺傷、壓瘡、燙傷、跌倒、墜床、藥物中毒、管道滑脫、標(biāo)本錯(cuò)誤等也是導(dǎo)致護(hù)理不良事件出現(xiàn)的原因；午間、夜間、凌晨、飯前、交接班、節(jié)假日、節(jié)前及工作繁忙時(shí)是精神科護(hù)理不良事件發(fā)生的主要時(shí)間段，所占比重為66.00%；護(hù)齡為6～9年N2級(jí)護(hù)理人員不良護(hù)理事件發(fā)生率最高，所占比重為60.00%，與其它級(jí)層對(duì)比差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 精神科護(hù)理不良事件出現(xiàn)的原因多種多樣，護(hù)理管理者要對(duì)其加強(qiáng)管理，將護(hù)理人員的安全意識(shí)提高，對(duì)人力資源進(jìn)行合理配備，加強(qiáng)重點(diǎn)時(shí)段、重點(diǎn)人員管理，查找護(hù)理工作中的薄弱環(huán)節(jié)及安全隱患，防患于未然，有效保障護(hù)理安全。
　　[關(guān)鍵詞] 精神科；護(hù)理不良事件；原因分析；防范措施
　　[中圖分類(lèi)號(hào)] R5 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2018）01（c）-0147-03
　　[Abstract] Objective This paper tries to analyze the causes and preventive measures of nursing adverse events in psychiatric department. Methods 50 cases of psychiatric nursing adverse events reported by this hospital from January to December 2016 were analyzed， and the specific causes of nursing adverse events were analyzed， and the corresponding preventive measures were found out. Results The patients of mutual injury was the main cause of psychiatric nursing adverse events， the proportion was 24.00%， in addition， implementation errors， violence prompted nursing staff injury， medication errors， not timely treatment， stab wounds， pressure sores， burns， falls， falling out of bed， drug poisoning， spondylolisthesis， pipeline sample error were the causes of nursing adverse events； noon， night and before dawn， before meals， shift， holidays， before holiday and busy work were the main period of psychiatric nursing adverse events， the proportion was 66.00%； nursing age for 6～9 years N2， whose nursing adverse incident rate accounted for the highest proportion of 60.00%， compared with the other levels the differences was statistically signifinant（P<0.05）. Conclusion There are various causes of psychiatric nursing adverse events， nursing managers should strengthen the management of the nursing staff， help them increase their safety awareness， improve the human resource reasonably allocation， strengthen key period， key personnel management， find the weak links in nursing work and safety hazards， take preventive measures to effectively protect the safety of nursing.
　　[Key words] Psychiatric department； Nursing adverse events； Cause analysis； Preventive measures
　　臨床上，護(hù)理不良事件指的是發(fā)生于護(hù)理過(guò)程中，并且未預(yù)計(jì)、不屬于計(jì)劃中，并且不希望出現(xiàn)的事件。護(hù)理不良事件主要包括患者在住院期間出現(xiàn)的燙傷、窒息、誤吸、走失、用藥錯(cuò)誤以及跌倒等意外情況[1-3]。現(xiàn)階段，我國(guó)住院精神疾病患者具有較高的意外發(fā)生率，這也會(huì)相應(yīng)的導(dǎo)致護(hù)患關(guān)系惡化。醫(yī)院精神科屬于護(hù)理不良事件的高發(fā)病區(qū)[4-5]。為了對(duì)精神科護(hù)理不良事件進(jìn)行有效防范，該研究方便選取2016年1—12月該院主動(dòng)上報(bào)的50例精神科護(hù)理不良事件，對(duì)護(hù)理不良事件出現(xiàn)的具體原因進(jìn)行分析，總結(jié)如下。
　　1 資料與方法

相關(guān)熱詞搜索：防范措施 護(hù)理 精神科 不良 原因