Journal of International Psychiatry

[Abstract] Objective To investigate the application value of color-coded wristbands in nursing risk management of hospitalized elderly patients with mental disorders. Methods From October 2014 to Nine 2016, 200 hospitalized elderly patients with mental disorders in our hospital were randomly divided into the experimental group and the control group, 100 cases in each group. The nursing risk management was performed in both groups, and identity information of the two groups was respectively managed by color-coded wristbands and traditional method. The correct rate of identification, incidence of nursing errors, incidence of adverse events, psychological scores [scored by Nurses Observation Scale for Inpatient Evaluation (NOSIE)], frequency of nurse-patient disputes and the readmission rate after 90 days were compared between the two groups. Results After nursing intervention, the correct rate of identification in the experimental group was significantly higher than that in the control group, the incidence rates of nursing errors and adverse events were significantly lower than those in the control group, and the readmission rate after 90 days was significantly lower than that in the control group (P < 0.05). Before nursing intervention, NOSIE scores showed no significant differences between the two groups (P > 0.05). After the nursing intervention, the NOSIE scores were significantly lower than those before the nursing intervention, and the decrease of scores in experimental group was greater than that in the control group (P < 0.05). Conclusion The application of color-coded wristbands in nursing risk management of hospitalized elderly patients with mental disorders can effectively improve the correct rate of identification, reduce the incidence of nursing errors, adverse events and psychological scores and reduce the readmission rate.

[Key words] Mental disorder; Elderly; Color-coded wristbands; Nursing; Risk management