CAJ | 학술논문

目的：探讨全员参与质量管理模式对内分泌科护理质量的影响。方法从2012年1月开始实施全员参与护理质量管理模式,将本科室护理人员分成6组,轮流参与护理质量管理,评价全员参与质控实施前(2010年1月—2011年12月)和实施后(2012年1月—2013年12月)内分泌科的护理质量、护理缺陷重复发生率及患者的满意度。结果实施全员参与护理质量管理后患者安置、饮食护理、病情观察、护理实效、健康教育、护士行为、护理记录、效果评价及质量标准评分分别为(28.31±0.82),(9.56±0.33),(9.82±0.11),(28.63±0.82),(9.86±0.12),(28.25±1.02),(9.91±0.08),(9.58±0.36),(9.77±0.22)分,分别优于实施前,差异有统计学意义(t值分别为-6.254,-5.236,-3.145,-6.124,-5.412,-2.596,-4.251,-4.315,-4.211；P<0.05)。实施全员参与治理控制后患者的总满意度由实施前的90.0%提高到实施后的100.0%,差异有统计学意义(χ2=6.236,P<0.05)。实施全员参与治理控制后安置患者、饮食护理不当、记录不全、病情观察不及时、医疗纠纷、用药有误、内分泌疾病注意事项介绍不全发生人数均有所减少,与实施前比较,差异有统计学意义(χ2值分别为3.569,4.425,3.885,6.659,4.236,3.805,8.559；P<0.05)。结论全员参与护理质量控制管理充分调动了全体护士的工作积极性,提高了护士的质量管理意识,同时也提高了护士的管理能力和护理质量,提高了患者对护士的满意度。
목적：탐토전원삼여질량관리모식대내분비과호리질량적영향。방법종2012년1월개시실시전원삼여호리질량관리모식,장본과실호리인원분성6조,륜류삼여호리질량관리,평개전원삼여질공실시전(2010년1월—2011년12월)화실시후(2012년1월—2013년12월)내분비과적호리질량、호리결함중복발생솔급환자적만의도。결과실시전원삼여호리질량관리후환자안치、음식호리、병정관찰、호리실효、건강교육、호사행위、호리기록、효과평개급질량표준평분분별위(28.31±0.82),(9.56±0.33),(9.82±0.11),(28.63±0.82),(9.86±0.12),(28.25±1.02),(9.91±0.08),(9.58±0.36),(9.77±0.22)분,분별우우실시전,차이유통계학의의(t치분별위-6.254,-5.236,-3.145,-6.124,-5.412,-2.596,-4.251,-4.315,-4.211；P<0.05)。실시전원삼여치리공제후환자적총만의도유실시전적90.0%제고도실시후적100.0%,차이유통계학의의(χ2=6.236,P<0.05)。실시전원삼여치리공제후안치환자、음식호리불당、기록불전、병정관찰불급시、의료규분、용약유오、내분비질병주의사항개소불전발생인수균유소감소,여실시전비교,차이유통계학의의(χ2치분별위3.569,4.425,3.885,6.659,4.236,3.805,8.559；P<0.05)。결론전원삼여호리질량공제관리충분조동료전체호사적공작적겁성,제고료호사적질량관리의식,동시야제고료호사적관리능력화호리질량,제고료환자대호사적만의도。
Objective To explore the impact of the total participation in quality management on the nursing quality of endocrine department. Methods Since January 2012, all the nurses participated in the nursing quality management mode. The nurses were divided into 6 groups and took turns to participate in nursing quality management and evaluated the nursing quality, nursing defects repetition rate and patients′ satisfaction before ( January 2010 to December 2011 ) and after ( January 2012 to December 2013 ) the intervention of quality control. Results After implementation of the participation in nursing quality management, the scores of patients settlement, diet nursing, symptom observation, nursing effect, health education, nursing behavior, nursing record, effect evaluation and quality standard were (28. 31 ± 0. 82), (9. 56 ± 0. 33), (9. 82 ± 0. 11), (28. 63 ± 0. 82), (9. 86 ± 0. 12), (28. 25 ± 1. 02), (9. 91 ± 0. 08), (9. 58 ± 0. 36) and (9. 77 ± 0. 22), which were significantly higher than those before the implementation ( t = -6. 254, -5. 236, -3. 145, -6. 124,-5. 412, -2. 596, -4. 251, -4. 315, -4. 211, respectively;P <0. 05). The satisfaction increased from 90. 0% to 100. 0% after the implementation, which had significant difference (χ2 =6. 236,P <0. 05). The incidences of improper patients settlement, improper diet nursing, record incomplete, symptom observation not in time, medical dispute, misuse of medication, incomplete of health education decreased significantly (χ2 =3. 569, 4. 425, 3. 885, 6. 659, 4. 236, 3. 805, 8. 559, respectively;P <0. 05). Conclusions Through the total participation in nursing quality control management, we fully mobilize all the nurses′ working enthusiasm, improve the quality of the nurse management consciousness, and improve the management ability of the nurses and nursing quality, so as the patients′satisfaction of nurses.