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目的:研究加强睡眠管理对精神病患者住院安全的影响。方法:研究对象选取为2014年1月~2015年1月之间杭州市第七人民医院收治的100例精神病患者,采用随机分组方案分为观察组和对照组各50例,对照组采用常规护理管理措施,观察组则加强睡眠管理,内容包括成立睡眠管理干预小组、建立睡眠管理记录本对患者的睡眠进行管理和记录,将患者的睡眠情况加入交接班内容,并将患者的睡眠质量加入到护理质量考核中,对比两组患者的住院日安全事件发生率及护理满意度。结果:观察组的住院日安全事件发生率为0.21%,显著低于对照组的0.89%,差异具有统计学意义(P<0.05);观察组患者的护理满意度为96.0%,显著高于对照组的78.0%,差异具有统计学意义(P<0.05)。结论:做好精神病患者的睡眠管理,能够有效改善精神病患者的睡眠质量,减少失眠对精神病患者生理、心理状况的影响,从而控制不良事件的发生率,提高了患者的护理满意度。
Objectives: To study the effects of sleep management on the safety of inpatients with mental illness. Methods: The subjects were selected from January 2014 to January 2015 in Hangzhou Seventh People’s Hospital admitted 100 cases of mental illness, randomized divided into observation group and control group, 50 cases in each group, the control group using routine care Management measures, the observation group is to strengthen sleep management, including the establishment of sleep management intervention group, the establishment of sleep management records on the patient’s sleep management and records, the patient’s sleep situation to join the shift content, and the patient’s sleep quality added to Nursing quality assessment, compared two groups of patients hospitalized day incidence of safety incidents and nursing satisfaction. Results: The incidence of hospitalization day safety events in the observation group was 0.21%, which was significantly lower than that in the control group (0.89%, P <0.05). The satisfaction rate of nursing in the observation group was 96.0%, which was significantly higher than that of the control group Group, 78.0%, the difference was statistically significant (P <0.05). Conclusion: To do a good job in the sleep management of mental patients, can effectively improve the quality of sleep in patients with mental disorders and reduce the impact of insomnia on the physiological and psychological conditions of patients with mental illness, so as to control the incidence of adverse events and improve patient satisfaction with nursing.