CAJ | 학술논문

目的：探讨单病种护理质量控制在腮腺多形性腺瘤手术患者中的应用效果。方法选取64例腮腺多形性腺瘤手术患者，采用随机数字表法随机分为观察组和对照组各32例，对照组采用传统护理方法，观察组应用单病种的护理模版对患者进行护理，即运用统一的专科护理质量标准进行护理及质控，比较两组患者护理效果及患者对护理工作的满意度。结果观察组和对照组患者相关知识掌握程度的优良率分别为93．75％和71．88％，患者满意度分别为90．63％和81．25％，两组比较差异有统计学意义（χ2值分别为7．540，13．506；P＜0．05）；两组患者在住院时间、住院费用方面比较，差异均有统计学意义（t值分别为730．00，883．50；P＜0．05）。结论通过制定腮腺多形性腺瘤手术患者单病种护理质量标准和护理模版，护士能更好地进行规范化专业的护理，可有效提高护理质量，减少患者住院时间，降低患者的住院费用，提高患者对疾病相关知识的掌握程度及患者对护理的满意度。
목적：탐토단병충호리질량공제재시선다형성선류수술환자중적응용효과。방법선취64례시선다형성선류수술환자，채용수궤수자표법수궤분위관찰조화대조조각32례，대조조채용전통호리방법，관찰조응용단병충적호리모판대환자진행호리，즉운용통일적전과호리질량표준진행호리급질공，비교량조환자호리효과급환자대호리공작적만의도。결과관찰조화대조조환자상관지식장악정도적우량솔분별위93．75％화71．88％，환자만의도분별위90．63％화81．25％，량조비교차이유통계학의의（χ2치분별위7．540，13．506；P＜0．05）；량조환자재주원시간、주원비용방면비교，차이균유통계학의의（t치분별위730．00，883．50；P＜0．05）。결론통과제정시선다형성선류수술환자단병충호리질량표준화호리모판，호사능경호지진행규범화전업적호리，가유효제고호리질량，감소환자주원시간，강저환자적주원비용，제고환자대질병상관지식적장악정도급환자대호리적만의도。
Objective To explore the effects of applying standards of diagnosis-related group ( DRG) nursing quality to patients with parotid pleomorphic adenoma .Methods Sixty-four patients in our department with parotid pleomorphic adenoma were randomly divided into control group ( n=32 ) and experimental group ( n=32 ) . The control group received traditional nursing care , while the experimental group received departmental standards of DRG ( parotid pleomorphic adenoma ) nursing.The nursing quality and effects were compared, as well as the satisfaction of patients .Results The related knowledge understanding rates in the experimental group and control group were 93.75% and 71.88%, respectively, which showed a significant difference (χ2 =7.540,P<0.05).And patients’ satisfaction rates in the experimental group and control group were 90.63% and 81.25%, respectively, which showed a significant difference (χ2 =13.506,P<0.05). There were significant differences in the mean of hospitalization days and hospitalization expenses (t=730.00, 883.50,respectively;P<0.05).Conclusions The new quality standards and template of DRG in patients with parotid pleomorphic adenoma can make nursing work more standardized , and can improve nursing quality effectively.The hospitalization days and expenses can be significantly reduced and the understanding of health education and patients ’ satisfaction can be improved .