Application of“six preventions” risk assessment form in psychiatry to reduce the accidents occurrence among inpatients
10.3760/cma.j.issn.1674-2907.2013.36.004
- VernacularTitle:精神科“六防”风险评估表在降低住院患者意外事件中的应用
- Author:
Ju-Fang JIANG
1
;
Lan-Fen DING
;
Hai-Yan GE
;
Xia-Yan CAO
Author Information
1. 214151,南京医科大学附属无锡精神卫生中心精神科
- Keywords:
Psychiatry,hospital;
Inpatients;
“Six prevention”risk assessment form;
Accidents
- From:
Chinese Journal of Modern Nursing
2013;48(36):4448-4451
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of “six preventions” risk assessment form in psychiatry to reduce the accidents occurrence among inpatients .Methods By the time of admission , 233 inpatients were divided into control and intervention group ,from May 2011 to December 2012 as the control group (116 cases), from March 2012 to December 2012 as intervention group ( 117 cases ) .After the patients were admitted to hospital in the intervention group , psychiatric nursesusedself-designed “six preventions” risk assessment form ( impulsion prevention ,running-outprevention , hiding medicine prevention , self-abandonprevention , falling down prevention , and choking prevention ) to assess the risk , divided into high , medium and low risk level according to the rating results , and then implemented tiered nursing intervention , while the control group received routine treatment and nursing .Results Comparing the number and rate of accidents occurrence in the two groups ,the intervention group had three cases with a rate of 2.56%, and the control group had 24 cases with a rate of 20.69%.The difference was statistically significant (χ2 =18.67, P<0.01).For the intervention group, the comparison of the rate of accidents between different types and durations showed no statistical significance ( P>0.05).For the control group, the comparison of the rate of accidents between different types and durations showed a statistical significance (χ2 =14.63,7.79,respectively;P<0.05).Schizophrenia and duration less than 1 year contributed the higher rate of accidents occurrence with a statistical significance (χ2 =23.62, 23.45, respectively;P<0.01).Conclusions Adopting psychiatric risk assessment form of “six prevention” to stratify inpatients can effectively reduce the rate of accidents occurrence .
