无缝隙护理质量管理在消化内镜诊疗患者的应用及效果评价

发布时间：2018-04-27 18:47

  本文选题：无缝隙护理 + 并发症　； 参考：《郑州大学》2015年硕士论文

【摘要】：目的探讨无缝隙护理质量管理在消化内镜诊疗患者的应用及效果。方法采用类实验性研究方法,选择2013年10月至2014年6月间在郑州大学第一附属医院消化内科行内镜诊疗住院的患者1215人作为对照组,采用常规护理模式。选择2014年8月到2015年4月,无缝隙护理模式建立后在郑州大学第一附属医院消化内科行内镜诊疗的住院患者1000例作为实验组,采用无缝隙护理管理模式。比较两组住院患者的①护理质量达标率,患者对护理工作的满意度,护理安全不良事件发生率;②肠道准备质量,各项内镜下治疗并发症发生率;③患者术后恢复时间,住院天数,住院开销等;④采用病历资料搜集联合电话回访等方法统计患者的资料及满意度、护理安全不良事件发生率等。结果两组住院患者在性别、年龄、学历、原发病及病变位置方面差异无统计学意义(P0.05),具有可比性。1.实验组护理文书书写(评分≥90分)达标率98.60%(986/1000)明显高于对照组护理文书书写达标率76.38%(928/1215),X2=230.6664,差异具有统计学意义(P0.01)。2.实验组总满意率95.60%(956/1000)明显高于对照组总满意率88.81%(1079/1215),X2=33.9070,差异具有统计学意义(P0.01)。3.实验组护理安全不良事件发生率0.90%(9/1000)明显低于对照组2.39%(29/1215),X2=7.1917,差异具有统计学意义(P0.01)。4.实验组肠道准备评分为3分患者人数明显高于对照组,X2=160.3100,差异具有统计学意义(P0.01)。5.实验组内镜治疗下并发症发生率25例(2.50%)明显低于对照组74例(6.09%),X2=16.5622,差异具有统计学意义(P0.01)。6.实验组单纯消化内镜检查患者和经消化内镜治疗患者的胃肠功能恢复时间明显短于对照组,差异具有统计学意义(P0.01)。7.实验组单纯检查、消化内镜治疗患者在住院时间和住院费用方面均小于(短于)对照组,差异具有统计学意义(P0.01)。结论通过无缝隙护理质量管理,能够提高护理文书书写水平和达标率,规范护理文书的书写;提高患者及其家属的满意度;降低消化内镜诊疗过程中的护理安全不良事件发生率,减少或避免护理安全隐患;提高肠道准备质量,从而提高消化内镜阳性率和降低复诊内镜阳性率,减少患者重复医疗;降低内镜治疗下并发症发生率,促进患者胃肠功能早期恢复,缩短住院时间和降低住院费用;提高出院后患者的生活质量。
[Abstract]:Objective to explore the application and effect of seamless nursing quality management in the diagnosis and treatment of digestive endoscopy. Methods from October 2013 to June 2014, 1215 patients in the Department of Digestive Medicine of Zhengzhou University were selected as the control group with routine nursing model. From August 2014 to April 2015, 1000 inpatients who underwent endoscopic diagnosis and treatment in the Department of Digestive Medicine, first affiliated Hospital of Zhengzhou University, were selected as the experimental group after the establishment of the seamless nursing model. The rate of nursing quality reached the standard, the satisfaction of patients with nursing work, the incidence of adverse events of nursing safety and the quality of intestinal preparation were compared between the two groups. The postoperative recovery time of the patients with complications after endoscopic treatment was compared. The data and satisfaction of patients and the incidence rate of adverse events of nursing safety were analyzed by the methods of medical record data collection and telephone return visit. Results there was no significant difference in sex, age, educational background, primary disease and pathological location between the two groups (P 0.05). The rate of nursing document writing (score 鈮，

本文编号：1811879