Design and application of admission nursing assessment sheet in Department of Hepatobiliary Surgery
10.3760/cma.j.issn.1674-2907.2017.36.004
- VernacularTitle:肝胆外科入院护理评估单的构建及应用
- Author:
Honghui ZHANG
1
;
Guoping HE
;
Zeya SHI
;
Yanqun YU
;
Xiangqun PENG
Author Information
1. 湖南省人民医院肝胆外科
- Keywords:
Admission nursing assessment sheet;
Nursing quality;
Design;
Application
- From:
Chinese Journal of Modern Nursing
2017;23(36):4573-4577
- CountryChina
- Language:Chinese
-
Abstract:
Objective To formulate a comprehensive and reasonable admission nursing assessment sheet with specialty features, so as to improve quality of nursing assessment for patients at admission to Department of Hepatobiliary Surgery. Methods According to characteristics of patients newly admitted to Department of Hepatobiliary Surgery and need of medical service,a nursing assessment sheet suitable for inpatients to Department of Hepatobiliary Surgery was designed,with main contents including basic information, physical examinations for nursing,conditions of daily life,social and psychological conditions,specialty examinations,risk of falling down from bed,and risk of pressure sores. Incidence rate of adverse nursing events like patients' falling down from bed or pressure sores,and the patients' satisfaction were compared before (June 2014 to May 2015) and after (June 2015 to May 2016) application of this sheet. Results After application of this new version of admission nursing assessment sheet,incidence of adverse nursing events happened to inpatients dropped from 2.95% to 0.91% (χ2=4.386,P< 0.05);patients' satisfaction increased from (83.16±10.62) to (90.41±8.66) (t=14.103,P<0.05). Conclusions By using this new version of admission nursing assessment sheet,status of the patients can be assessed in a diversified and multi-dimensional way,so that incidence of falling down from the bed can be lowered,medical risks be decreases,patients' satisfaction be increased,and nursing efficiency be improved,which make it worth promoting in Department of Hepatobiliary Surgery.
