中国医院
中國醫院
중국의원
CHINESE HOSPITALS
2014年
11期
68-70
,共3页
医疗质量%重症监护室%约束护理
醫療質量%重癥鑑護室%約束護理
의료질량%중증감호실%약속호리
medical quality%ICU%restraint nursing
目的：从护士、患者及管理三个角度出发，实施持续护理质量改进，为提高ICU约束患者的护理质量提供依据及支持。方法：采取便利抽样方法，抽取140例ICU患者进入对照组，134例ICU患者进入观察组实施持续质量改进方法（CQI）。结果：CQI实施前后，对照组和观察组患者身体约束的使用率、不良事件发生率差异显著（P<0.05），观察组家属对身体约束接受程度和相关服务满意度高于对照组家属（P<0.05），QCI实施前后ICU护士约束护理知识的回答准确率等明显提高。结论：CQI能有效降低身体约束使用率和不良事件发生率，有利于护理人员约束护理相关理论知识和行为提高，有利于护患关系和谐。
目的：從護士、患者及管理三箇角度齣髮，實施持續護理質量改進，為提高ICU約束患者的護理質量提供依據及支持。方法：採取便利抽樣方法，抽取140例ICU患者進入對照組，134例ICU患者進入觀察組實施持續質量改進方法（CQI）。結果：CQI實施前後，對照組和觀察組患者身體約束的使用率、不良事件髮生率差異顯著（P<0.05），觀察組傢屬對身體約束接受程度和相關服務滿意度高于對照組傢屬（P<0.05），QCI實施前後ICU護士約束護理知識的迴答準確率等明顯提高。結論：CQI能有效降低身體約束使用率和不良事件髮生率，有利于護理人員約束護理相關理論知識和行為提高，有利于護患關繫和諧。
목적：종호사、환자급관리삼개각도출발，실시지속호리질량개진，위제고ICU약속환자적호리질량제공의거급지지。방법：채취편리추양방법，추취140례ICU환자진입대조조，134례ICU환자진입관찰조실시지속질량개진방법（CQI）。결과：CQI실시전후，대조조화관찰조환자신체약속적사용솔、불량사건발생솔차이현저（P<0.05），관찰조가속대신체약속접수정도화상관복무만의도고우대조조가속（P<0.05），QCI실시전후ICU호사약속호리지식적회답준학솔등명현제고。결론：CQI능유효강저신체약속사용솔화불량사건발생솔，유리우호리인원약속호리상관이론지식화행위제고，유리우호환관계화해。
Objectives: Applying continuous quality improvement in ICU restraint patient nursing to find out approaches on improving nursing quality in aspects of nurse, patient and hospital manager. Methods:140 ICU patients were selected in control group by convenience sampling and 134 patients in treatment group. The treatment group carried out continuous quality improvement. Results:Before and after implementing continuous quality improvement, there were significant gap (p<0.05) in body restraint rate and incidence rate of defect event between control group and treatment group. The acceptability of body restraint and satisfaction rate in treatment group was better than that of control group(p<0.05). The accuracy rate of nurse’s restraint nursing skill was greatly promoted after implementing continuous quality improvement. Conclusions:Continuous quality improvement can effectively decrease body restraint rate and defect event, also can promote nurse’s nursing theory and skill in restraint nursing and improve hospital patient relationship.
