医护一体化模式在呼吸内科住院患者送检痰培养标本质量管理中的应用

发布时间：2018-10-19 18:17

【摘要】：目的探讨医护一体化模式对呼吸内科住院患者痰培养送检标本质量的影响。方法成立医护一体化痰培养标本质量管理小组,分析病房送检痰培养标本不合格的原因,制定医护一体综合干预措施并予以实施。将模式实施前3个月(2014年7—9月)留取痰培养标本的患者、照护者及其留取的痰培养标本设置为对照组(n=579),模式实施后3个月(2014年10—12月)留取痰培养标本的患者、照护者及其留取的痰培养标本设置为实验组(n=554),对比医护一体化模式实施前后患者及照护者对痰培养标本留取注意事项知识掌握率、实验医学科微生物室反馈的痰培养标本合格率。结果实施医护一体化模式管理后,患者及照护者对痰培养标本留取注意事项知识掌握率有所提高、实验医学科反馈痰培养标本合格率由干预前的35.7%上升至49.5%,两组比较差异有统计学意义(P0.05)。结论不合格痰培养标本影响临床医生及时诊断和治疗,延误患者治疗时机。通过医护一体化模式对送检痰培养标本进行管理,可以提高医护人员、患者及照护者对痰培养标本留取、送检的重视,规范痰培养标本留取和送检流程,有效提高痰培养标本合格率,为临床诊断和治疗的落实提供依据。
[Abstract]:Objective to explore the effect of medical and nursing integration model on the quality of sputum culture specimen in inpatients of respiratory department. Methods the quality control group of medical and nursing integrative sputum culture specimens was set up to analyze the causes of unqualified sputum culture specimens in the ward, and the comprehensive intervention measures of medical and nursing integration were formulated and implemented. The patients who retained sputum culture specimens 3 months before the implementation of the model (July-September 2014), the caregivers and the sputum culture specimens they retained were set as the control group (nr579), and the patients who retained the sputum culture specimens 3 months after the implementation of the model (October to December 2014). The sputum culture specimens of caregivers and their retained sputum samples were set as experimental group (nnn554). The rate of knowledge mastery of sputum culture specimens was compared between patients and caregivers before and after the implementation of the integrated mode of medical and nursing care. The qualified rate of sputum culture samples feedback from microbiology department of experimental medicine department. Results after the implementation of the integrated mode of medical and nursing management, the rate of knowledge mastery of sputum culture specimens retained for attention by patients and caregivers was improved. The qualified rate of feedback sputum culture in experimental medicine department increased from 35.7% before intervention to 49.5%, the difference between the two groups was statistically significant (P0.05). Conclusion the unqualified sputum culture specimen affects the clinician's diagnosis and treatment in time and delays the time of treatment. The management of sputum culture specimen through medical and nursing integration mode can improve the attention of medical staff, patients and caregivers to the collection and examination of sputum culture specimen, and standardize the flow of sputum culture specimen retention and examination. To improve the qualified rate of sputum culture specimens and provide evidence for clinical diagnosis and treatment.
【作者单位】：四川大学华西医院呼吸内科;
【基金】：四川省科技支撑计划项目(编号:2015SZ0151)
【分类号】：R446.5

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