CAJ | 학술논문

目的：调查家庭病床患者护理不良事件发生情况，探讨其影响因素。方法采用前瞻性调查方法，2011年6月-2012年5月调查上海市浦东新区4家社区卫生服务中心301例家庭病床患者1年内护理不良事件发生情况、原因以及对患者健康的影响。对患者一般情况、健康状况进行评估，并对照顾者的情况进行调查。结果301例家庭病床患者1年共发生护理不良事件506起，平均每位患者发生护理不良事件1.7起。护理不良事件中以感染事件的发生率最高（31.9%），其次为饮食护理事件（22.6%）、用药护理事件（20.9%）、皮肤护理事件（16.9%）、伤害事件（15.9%）。随着年龄的增长，护理不良事件发生率有增高的趋势（χ2趋势=13.54，P <0.001）。不同患者配偶情况、居住情况、照顾情况，照顾者有无照顾护理培训，照顾者为外聘或家人，患者不同生活能力、视力、听力、是否卧床不起、有无负性情绪，其家庭病床护理不良事件发生率比较，差异均有统计学意义（P <0.05）。结论家庭病床患者护理不良事件发生率较高，其原因有管理因素和照护因素，还与患者自身的健康状况及疾病特征有关。
목적：조사가정병상환자호리불량사건발생정황，탐토기영향인소。방법채용전첨성조사방법，2011년6월-2012년5월조사상해시포동신구4가사구위생복무중심301례가정병상환자1년내호리불량사건발생정황、원인이급대환자건강적영향。대환자일반정황、건강상황진행평고，병대조고자적정황진행조사。결과301례가정병상환자1년공발생호리불량사건506기，평균매위환자발생호리불량사건1.7기。호리불량사건중이감염사건적발생솔최고（31.9%），기차위음식호리사건（22.6%）、용약호리사건（20.9%）、피부호리사건（16.9%）、상해사건（15.9%）。수착년령적증장，호리불량사건발생솔유증고적추세（χ2추세=13.54，P <0.001）。불동환자배우정황、거주정황、조고정황，조고자유무조고호리배훈，조고자위외빙혹가인，환자불동생활능력、시력、은력、시부와상불기、유무부성정서，기가정병상호리불량사건발생솔비교，차이균유통계학의의（P <0.05）。결론가정병상환자호리불량사건발생솔교고，기원인유관리인소화조호인소，환여환자자신적건강상황급질병특정유관。
Objective To investigate the incidence of nursing adverse events in the family ward and to explore the in-fluencing factors. Methods By using prospective study method,nursing adverse events were analyzed among 301 family ward pa-tients in four community centers in Pudong New Area in Shanghai from June 2011 to May 2012. Categories of nursing adverse e-vents,as well as their causes and effects on health were collected. Patients′ general circumstances,health status,and caregivers′circumstances were also analyzed. Results Of the 301 family ward patients,a total of 506 nursing adverse events were recorded with an average of 1. 7 per patient. Infection had the highest incidence(31. 9% ),followed by dietary(22. 6% ),medication re-lated(20. 9% ),skin care(16. 9% ),and injury(15. 9% )events. It was found that as age increased,the incidence of ad-verse events significantly increased(χ2 = 13. 54,P < 0. 001). Spouse,living situation,care requirements,nursing training, external or family, circumstances, disability, vision, hearing, bedridden, negative emotional family circumstances, and deathbed care were associated with a significant increase in the incidence of adverse events(P < 0. 05). Conclusion The inci-dence of nursing adverse events in family ward patients is high,primarily due to caregiving and management factors,patients′symptoms,and health status.