中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
3期
337-339
,共3页
围手术期护理%持续质量改进%根因分析
圍手術期護理%持續質量改進%根因分析
위수술기호리%지속질량개진%근인분석
Perioperative nursing%Continuous quality improvement%Root cause analysis
目的：采用持续质量改进方法解决围手术期护理过程中的不规范护理行为，提高围手术期护理质量。方法按照围手术期护理常规及护理质量检查标准，制定围手术期护理质量效果调查表，在持续质量改进前后对10个病区的术后康复患者进行围手术期护理效果调查，并对病区围手术期护理质量进行检查。结果通过持续质量改进，各病区围手术期护理质量均有提高，其中神经外科从（78．7±3．25）分提高至（96．3±1．29）分，心胸外科从（70．1±4．31）分提高至（98．2±1．09）分，与改进前比较差异均有统计学意义（ t值分别为19．86，18．87；P＜0．01）。持续质量改进前后围手术期护理存在问题下降，手术室护士术前未访视从25．4％下降至3．6％，术后腕带保存不当从10．6％下降至3．6％，与改进前比较差异均有统计学意义（χ2值分别为23．72，9．13；P＜0．01）。结论通过围手术期持续质量改进有效地提高了围手术期护理质量，有效减少术后并发症的发生，并提高了住院患者的满意度。
目的：採用持續質量改進方法解決圍手術期護理過程中的不規範護理行為，提高圍手術期護理質量。方法按照圍手術期護理常規及護理質量檢查標準，製定圍手術期護理質量效果調查錶，在持續質量改進前後對10箇病區的術後康複患者進行圍手術期護理效果調查，併對病區圍手術期護理質量進行檢查。結果通過持續質量改進，各病區圍手術期護理質量均有提高，其中神經外科從（78．7±3．25）分提高至（96．3±1．29）分，心胸外科從（70．1±4．31）分提高至（98．2±1．09）分，與改進前比較差異均有統計學意義（ t值分彆為19．86，18．87；P＜0．01）。持續質量改進前後圍手術期護理存在問題下降，手術室護士術前未訪視從25．4％下降至3．6％，術後腕帶保存不噹從10．6％下降至3．6％，與改進前比較差異均有統計學意義（χ2值分彆為23．72，9．13；P＜0．01）。結論通過圍手術期持續質量改進有效地提高瞭圍手術期護理質量，有效減少術後併髮癥的髮生，併提高瞭住院患者的滿意度。
목적：채용지속질량개진방법해결위수술기호리과정중적불규범호리행위，제고위수술기호리질량。방법안조위수술기호리상규급호리질량검사표준，제정위수술기호리질량효과조사표，재지속질량개진전후대10개병구적술후강복환자진행위수술기호리효과조사，병대병구위수술기호리질량진행검사。결과통과지속질량개진，각병구위수술기호리질량균유제고，기중신경외과종（78．7±3．25）분제고지（96．3±1．29）분，심흉외과종（70．1±4．31）분제고지（98．2±1．09）분，여개진전비교차이균유통계학의의（ t치분별위19．86，18．87；P＜0．01）。지속질량개진전후위수술기호리존재문제하강，수술실호사술전미방시종25．4％하강지3．6％，술후완대보존불당종10．6％하강지3．6％，여개진전비교차이균유통계학의의（χ2치분별위23．72，9．13；P＜0．01）。결론통과위수술기지속질량개진유효지제고료위수술기호리질량，유효감소술후병발증적발생，병제고료주원환자적만의도。
Objective To improve perioperative nursing behaviors and nursing quality by continuous quality improvement .Methods Questionnaire on perioperative nursing quality was designed according to perioperative nursing routine and quality inspection , and was used to investigate perioperative nursing effect and quality on postoperative patients in 10 wards before and after continuous quality improvement .Results Through continuous quality improvement , perioperative nursing quality in all wards was improved .The score improved from (78.7 ±3.25)to (96.3 ±1.29)in Neurosurgery Department, from (70.1 ±4.31) to (98.2 ±1.09) in Cardiothoracic Department , and the differences were statistically significant ( t=19.86,18.87, respectively;P<0.01).Problems of nursing also dropped after continuous quality improvement , the rate of no preoperative visits by nurses decreased from 25.4% to 3.6%, the rate of wrong reservation of postoperative wristbands decreased from 10.6% to 3.6%, and the differences were statistically significant (χ2 =23.72, 9.13, respectively;P<0.01).Conclusions Continuous quality improvement can effectively enhance perioperative nursing quality, reduce postoperative complications and improve patients ’ satisfaction.
