持续质量改进在外科管道护理中的应用
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摘要
目的探究持续质量改进在外科管道护理的临床效果。方法选取2015年6月～2017年6月在本院接受治疗的291例置管患者,按照随机数表法分为对照组(n=145)和观察组(n=146)。对照组患者采用常规护理方法,观察组采用持续质量改进护理方法,对比2组患者的管道意外发生率、焦虑评分和患者护理满意度。结果观察组发生管道意外发生率和焦虑评分均显著降低,满意度显著提高,与对照组比较差异均有统计学意义(P <0. 05)。结论外科管道护理采用持续质量改进方法能够有效降低管道意外发生率,缓解患者焦虑心情,提高患者满意度,更具安全性。
Objective To explore the effect of continuous quality improvement on patients with tubes in surgical department. Methods Eligible patients were recruited from June,2015 to June 2017,and totally 291 participants were included. The patients were randomly grouped into control group( n = 145) and observation group( n = 146). Results The incident rate and anxiety score in observation group were lower than control group( P< 0. 05). The patient's satisfaction was higher in observation group( P < 0. 05). Conclusion Continuous quality improvement can decrease incident rate,alleviate patient's anxiety,increase patient's satisfaction in surgical tube management,which is safer than regular tube care.
Objective To explore the effect of continuous quality improvement on patients with tubes in surgical department. Methods Eligible patients were recruited from June,2015 to June 2017,and totally 291 participants were included. The patients were randomly grouped into control group( n = 145) and observation group( n = 146). Results The incident rate and anxiety score in observation group were lower than control group( P< 0. 05). The patient's satisfaction was higher in observation group( P < 0. 05). Conclusion Continuous quality improvement can decrease incident rate,alleviate patient's anxiety,increase patient's satisfaction in surgical tube management,which is safer than regular tube care.
引文
[1]王敏,祝枫.持续性质量改进在提升住院患者术前准备完整率中的应用[J].当代护士(中旬刊),2015,4:173-175.
[2]董新华,李欣.持续质量改进在感染疾病科患者护理中的应用效果[J].中华现代护理杂志,2015,21(28):3406-3408.
[3]孔小阳.PDCA持续质量改进理论在免疫风湿科护理工作中的应用及评价[J].当代护士,2014(09):173-175.
[4]王玉兰,何冰娟.持续质量改进护理对老年患者胃镜检查依从性的影响[J].中国医学装备,2017,14(3):105-108.
[5]罗月婵,黄胜,吴晓婵,等.持续质量改进护理在植入袖套式血液透析导管相关感染控制中的应用[J].齐鲁护理杂志,2015,21(17):115-117.
[6]Thomas V J,Geoffrey A R,Deborah J F,et al.Improving Appropriate Use of Echocardiography and Single-Photon Emission Computed Tomographic Myocardial Perfusion Imaging:AContinuous Quality Improv ement Initiative[J].Journal of the American Society of Echocardiography:official publication of the American Society of Echocardiography,2014,27(7):749-757.
[7]沈斌,王立新,赵惠宏,等.持续质量改进对子宫腺肌症动脉栓塞术后疼痛管理的效果分析[J].中华现代护理杂志,2014,20(26):3343-3346.
[8]濮英娜,陈玲,王娜,等.持续质量改进在降低乳腺癌化疗患者PICC机械性静脉炎发生的作用[J].现代临床护理,2015,12:12-15.
[9]鲍莉莉.持续质量改进在普外科非计划性拔管中的应用[J].中国基层医药,2015,5:771-772.
[10]Coorevits L,Am VDA.Evaluation of the BD BACTEC FXblood volume monitoring system as a continuous quality improvement measure[J].European journal of clinical microbiology and infectious diseases:Official publication of the European Society of Clinical Microbiology,2015,34(7):1-8.
[11]张岸辉,谌永毅,刘翔宇等.持续质量改进在留置PICC导管乳腺癌出院患者导管维护中的应用效果[J].中华现代护理杂志,2015,35:4296-4298.
[12]周宏珍,朱亚芳,雷清梅等.实施持续质量改进对提高护理质量满意度调查作用分析[J].中国医学伦理学,2017,30(2):220-223.
[13]肖瑜,杨坚娥,黄少君等.持续质量改进在多重耐药菌感染管理中的应用效果[J].护理研究,2016,30(15):1880-1882.
[14]Continuous quality improvement in a level IIIB NICU to increase human milk use at day of life 14,day of life 28,and discharge[J].Infant,child&adolescentnutrition,2014,6(3):137-143.
[2]董新华,李欣.持续质量改进在感染疾病科患者护理中的应用效果[J].中华现代护理杂志,2015,21(28):3406-3408.
[3]孔小阳.PDCA持续质量改进理论在免疫风湿科护理工作中的应用及评价[J].当代护士,2014(09):173-175.
[4]王玉兰,何冰娟.持续质量改进护理对老年患者胃镜检查依从性的影响[J].中国医学装备,2017,14(3):105-108.
[5]罗月婵,黄胜,吴晓婵,等.持续质量改进护理在植入袖套式血液透析导管相关感染控制中的应用[J].齐鲁护理杂志,2015,21(17):115-117.
[6]Thomas V J,Geoffrey A R,Deborah J F,et al.Improving Appropriate Use of Echocardiography and Single-Photon Emission Computed Tomographic Myocardial Perfusion Imaging:AContinuous Quality Improv ement Initiative[J].Journal of the American Society of Echocardiography:official publication of the American Society of Echocardiography,2014,27(7):749-757.
[7]沈斌,王立新,赵惠宏,等.持续质量改进对子宫腺肌症动脉栓塞术后疼痛管理的效果分析[J].中华现代护理杂志,2014,20(26):3343-3346.
[8]濮英娜,陈玲,王娜,等.持续质量改进在降低乳腺癌化疗患者PICC机械性静脉炎发生的作用[J].现代临床护理,2015,12:12-15.
[9]鲍莉莉.持续质量改进在普外科非计划性拔管中的应用[J].中国基层医药,2015,5:771-772.
[10]Coorevits L,Am VDA.Evaluation of the BD BACTEC FXblood volume monitoring system as a continuous quality improvement measure[J].European journal of clinical microbiology and infectious diseases:Official publication of the European Society of Clinical Microbiology,2015,34(7):1-8.
[11]张岸辉,谌永毅,刘翔宇等.持续质量改进在留置PICC导管乳腺癌出院患者导管维护中的应用效果[J].中华现代护理杂志,2015,35:4296-4298.
[12]周宏珍,朱亚芳,雷清梅等.实施持续质量改进对提高护理质量满意度调查作用分析[J].中国医学伦理学,2017,30(2):220-223.
[13]肖瑜,杨坚娥,黄少君等.持续质量改进在多重耐药菌感染管理中的应用效果[J].护理研究,2016,30(15):1880-1882.
[14]Continuous quality improvement in a level IIIB NICU to increase human milk use at day of life 14,day of life 28,and discharge[J].Infant,child&adolescentnutrition,2014,6(3):137-143.