Safety factor analysis and precaution of elderly alimentary tract hemorrhage patients

Abstract

Objective To analyze unsafely factors of elderly alimentary tract hemorrhage patients,strengthen nursing safety, assure nursing quality, improve patients' satisfaction and avoid adverse events happen to our bestMethods 223 elderly alimentary tract hemorrhage were collected from January to December in 2009, and safety factors, corresponding precaution have been made meanwhile.Days in hospital, recurrence of bleeding and passing rate of basic nursing and satisfaction rate of and incident of safety problems were compared with those 201 peering collected in 2008.Results Of all the physical factors, suffering chronic disease in elderly patients is most and accounts for 85.4%.Of all the psychological factors, low economical status is most and accounts for 54%. Less communication between nurses and and inadequate instruction is most (67%) of environmental and nurse staff factors.Average days in hospital were reduced in 2009 than in 2008 [(9.3 ±0.35)d vs(11.5 ±0.50)d, t =52.887, P ＜0.01].Passing rate,satisfaction rate were improved and bleeding recurrence rate were decreased, compared with those in 2008 (P ＜0.05).Conclusions It will gain better nursing efficacy through analyzing security issue carefully, finding out the disadvantage factor influencing patients' security and adopting effectve nursing safety control strategy. Key words: Elderly; Alimentary tract hemorrhage; Safety factors; Precaution