中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
7期
823-826
,共4页
伤口感染%优化流程管理%换药室%患者满意度%管理质量
傷口感染%優化流程管理%換藥室%患者滿意度%管理質量
상구감염%우화류정관리%환약실%환자만의도%관리질량
Wound infection%Optimization process management%Dressing room%Patients'satisfaction%Management quality
目的 探讨门诊换药室优化流程管理对减少患者伤口感染发生率和提高管理质量的影响.方法 评估2010年门诊换药室换药流程管理的缺陷和不足,对流程管理进行优化,并于2011年实施,比较优化流程管理前后清洁伤口换药、清创缝合伤口换药的伤口感染发生率,患者对换药室工作满意度以及管理质量.结果 2010年门诊换药室患者伤口感染发生率为1.39％,患者满意度为92.8％,201 1年实施优化流程管理后患者发生伤口感染发生率为0.39％,患者满意度为99.9％,实施前后比较差异均有统计学意义(x2分别为6.23,5.67;P ＜0.01).实施后管理质量各项目环境布局、操作规程、消毒隔离、无菌技术、医用垃圾处置、健康教育覆盖率得分分别为(99.13±1.64),(98.06±1.27),(99.95±1.04),(99.75 ±2.12),(99.25±1.33),(99.96±0.21)分,均高于实施前的(91.65±2.10),(91.21±2.73),(93.82±1.35),(93.58±3.89),(90.34±2.14),(90.27 ±1.55)分,差异均有统计学意义(t分别为6.47,4.73,4.96,5.13,4.89,6.35；P＜0.01).结论 优化流程管理能有效控制门诊换药室患者伤口感染的发生,提升了患者满意度,提高了护理管理质量.
目的 探討門診換藥室優化流程管理對減少患者傷口感染髮生率和提高管理質量的影響.方法 評估2010年門診換藥室換藥流程管理的缺陷和不足,對流程管理進行優化,併于2011年實施,比較優化流程管理前後清潔傷口換藥、清創縫閤傷口換藥的傷口感染髮生率,患者對換藥室工作滿意度以及管理質量.結果 2010年門診換藥室患者傷口感染髮生率為1.39％,患者滿意度為92.8％,201 1年實施優化流程管理後患者髮生傷口感染髮生率為0.39％,患者滿意度為99.9％,實施前後比較差異均有統計學意義(x2分彆為6.23,5.67;P ＜0.01).實施後管理質量各項目環境佈跼、操作規程、消毒隔離、無菌技術、醫用垃圾處置、健康教育覆蓋率得分分彆為(99.13±1.64),(98.06±1.27),(99.95±1.04),(99.75 ±2.12),(99.25±1.33),(99.96±0.21)分,均高于實施前的(91.65±2.10),(91.21±2.73),(93.82±1.35),(93.58±3.89),(90.34±2.14),(90.27 ±1.55)分,差異均有統計學意義(t分彆為6.47,4.73,4.96,5.13,4.89,6.35；P＜0.01).結論 優化流程管理能有效控製門診換藥室患者傷口感染的髮生,提升瞭患者滿意度,提高瞭護理管理質量.
목적 탐토문진환약실우화류정관리대감소환자상구감염발생솔화제고관리질량적영향.방법 평고2010년문진환약실환약류정관리적결함화불족,대류정관리진행우화,병우2011년실시,비교우화류정관리전후청길상구환약、청창봉합상구환약적상구감염발생솔,환자대환약실공작만의도이급관리질량.결과 2010년문진환약실환자상구감염발생솔위1.39％,환자만의도위92.8％,201 1년실시우화류정관리후환자발생상구감염발생솔위0.39％,환자만의도위99.9％,실시전후비교차이균유통계학의의(x2분별위6.23,5.67;P ＜0.01).실시후관리질량각항목배경포국、조작규정、소독격리、무균기술、의용랄급처치、건강교육복개솔득분분별위(99.13±1.64),(98.06±1.27),(99.95±1.04),(99.75 ±2.12),(99.25±1.33),(99.96±0.21)분,균고우실시전적(91.65±2.10),(91.21±2.73),(93.82±1.35),(93.58±3.89),(90.34±2.14),(90.27 ±1.55)분,차이균유통계학의의(t분별위6.47,4.73,4.96,5.13,4.89,6.35；P＜0.01).결론 우화류정관리능유효공제문진환약실환자상구감염적발생,제승료환자만의도,제고료호리관리질량.
Objective To explore clinic dressing room optimization process management on reducing patients wound infection rate and improve the influence on the quality of management.Methods The original dressing process management defects and shortages of the original process management in 2010 were assessment and optimized.And optimization process management was implemented in January 2011 to December.Then,before and after optimization process management implementation,wound infection rate of clean the wound dressing and debridement suture wound dressing,patients' satisfaction,and management quality were observed and compared.Results Before and after optimization process management implementation,wound infection rate (1.39％ vs 0.39％) and patients' satisfaction (92.8％ vs 99.9％) were significantly improved (x2 =6.23,5.67,respectively;P ＜ 0.01).The project quality management environment layout,operating rules,disinfection and isolation,aseptic technique,medical waste disposal,health education coverage average comparison,after the implementation,[(99.13 ± 1.64),(98.06 ± 1.27),(99.95 ± 1.04),(99.75 ± 2.12),(99.25 ±1.33),(99.96 ±0.21)] were higher than that before the implementation [(91.65 ±2.10),(91.21 ±2.73),(93.82 ± 1.35),(93.58 ± 3.89),(90.34 ± 2.14),(90.27 ± 1.55)],and the differences were statistically significant (t =6.47,4.73,4.96,5.131,4.89,6.35,respectively;P ＜ 0.01).Conclusions Optimization process management can effectively control patients' wound infection in outpatient dressing room,and improve their satisfaction and quality of nursing management.
