CAJ | 학술논문

目的：缩短血液透析患者候诊时间,改善预诊秩序,避免发生意外事件,确保医疗及护理安全。方法选取2013年1—6月接受血液透析治疗的294例患者为研究对象。2013年1—3月收治的150例患者为对照组,采取传统预诊模式,4—6月收治的144例患者为干预组,采取错峰预诊的方法,应用品管圈手法对患者候诊、预诊、联机等就诊环节进行持续质量改进。观察干预前后患者在候诊、预诊、等待联机的时间变化和患者对预诊秩序的满意度变化。结果干预3个月后,患者就诊的等候时间较前缩短了11 min,患者对预诊秩序改善的满意度由80.00%提高到94.40%,差异具有统计学意义(χ2=13.792,P<0.05)。结论实施错峰预诊,患者候诊时间缩短,预诊秩序井然,进出人员减少,减少交叉感染机会,增强了以患者为中心的服务理念,公平合理,患者对护理工作满意度显著提高；责任护士根据患者排号先后顺序穿刺联机,上机过程从容有序,就诊环境改善,有效避免了意外事件的发生。
목적：축단혈액투석환자후진시간,개선예진질서,피면발생의외사건,학보의료급호리안전。방법선취2013년1—6월접수혈액투석치료적294례환자위연구대상。2013년1—3월수치적150례환자위대조조,채취전통예진모식,4—6월수치적144례환자위간예조,채취착봉예진적방법,응용품관권수법대환자후진、예진、련궤등취진배절진행지속질량개진。관찰간예전후환자재후진、예진、등대련궤적시간변화화환자대예진질서적만의도변화。결과간예3개월후,환자취진적등후시간교전축단료11 min,환자대예진질서개선적만의도유80.00%제고도94.40%,차이구유통계학의의(χ2=13.792,P<0.05)。결론실시착봉예진,환자후진시간축단,예진질서정연,진출인원감소,감소교차감염궤회,증강료이환자위중심적복무이념,공평합리,환자대호리공작만의도현저제고；책임호사근거환자배호선후순서천자련궤,상궤과정종용유서,취진배경개선,유효피면료의외사건적발생。
Objective To investigate the effect of shortening the hemodialysis patients′waiting time for treatment on improving the medical condition. Methods A total of 294 hemodialysis patients in our dialysis center were randomly enrolled in the study from January to June, 2013. The patients, enrolled from January to March, received traditional method ( n=150 ) , and the patients, enrolled from April to June received quality control circle method (n=144), using of the method of slip the peak waiting time for treatment. The application of quality control circle was applied in patients′ waiting, pre-diagnosis, on-line and other medical aspect of continuous quality. The time and satisfaction were compared. Results Three months after the intervention, the waiting time of patients shortened 11 minutes compared with before. The satisfaction of patients improved from 80. 00% to 94. 40% in the pre-diagnosis in order, and the difference was statistically significant (χ2 =13. 792, P<0. 05). Conclusions The implementation of slip the peak waiting time for treatment shortened patients′waiting time and make the pre-diagnosis in order. It can not only reduces the incidence of cross infection, but enhance the concept of nursing care-fair and reasonable. Patients satisfaction on nursing work is also significantly improved, so it effectively avoid the accidental events.