肿瘤内科护理质量评价关键指标在专科护理质量持续改进中的应用  

Application of Key Indicators of Tumor Internal Medicine Quality Evaluation in continuous improvement of specialized nursing quality

作　　者：李小银[1] 黄天雯[2] 杨云英[3] 卢海婷 张伟玲[2] 成守珍[4] Li Xiaoyin;Huang Tianwen;Yang Yunying;Lu Haiting;Zhang Weiling;Cheng Shouzhen(Nursing Department of the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院放射介入科,广州510080 [2]中山大学附属第一医院骨肿瘤科,广州510080 [3]中山大学附属第一医院放射治疗科,广州510080 [4]中山大学附属第一医院护理部,广州510080

出　　处：《中国实用护理杂志》2018年第36期2847-2850,共4页Chinese Journal of Practical Nursing

基　　金：广东省医学科研指令性课题项目(C2011007).

摘　　要：目的探讨肿瘤内科护理质量评价关键指标在专科护理质量持续改进中的应用效果。方法运用Delphi法构建14项肿瘤内科护理质量评价关键指标,并运用关键指标在肿瘤病区进行专科护理质量控制,收集数据并建立数据库,以数据为依据进行专科护理质量分析及持续质量改进。结果对指标开始运用第1年(2016年干预前)和运用第2年(2017年干预后)的专科护理质量评价关键指标的数据结果进行比较,其中结果指标4项有不同程度的下降,干预前和干预后数据结果分别是:化疗药物外渗发生率为0.20%(33/16 861)和0.10%(20/19 957)、重度疼痛发生率为1.65%(1 747/106 114)和1.43%(1 521/106 462)、焦虑发生率为2.17%(2 305/106 114)和1.53%(1 633/106 462)、抑郁发生率为2.27%(2 408/106 114)和1.28%(1 359/106 462),差异有统计学意义(χ^2=5.80~300.90,均P<0.05);过程指标9项均有不同程度改善。结论将14项肿瘤内科护理质量评价关键指标应用于肿瘤内科病区进行专科护理质量管理及质量持续改进,能实时、动态监测关键的专科护理质量;能精准选择临床护理优先改进项目,提高专科护理质量;能量化评价专科护理质量持续改进效果;有助于提高专科护理质量管理水平,保障患者安全。Objective To explore the application effect of key indicators of oncology nursing quality evaluation in the continuous improvement of specialist nursing quality.Methods The Delphi method was used to cons-truct 14 key indicators of oncology nursing quality evaluation, and the key indicators were used to control the quality of specialist nursing in the tumor area. Data were collected and a database was established. Based on the data, the quality of the nursing care and continuous quality improvement were carried out.Results The results of the data from the first year (before the intervention in 2016) and the second year (after the intervention in 2017) were compared with the data of the key indicators of the quality evaluation of the specialist nursing. The results showed that the indicators had different degrees of decline. The data before and after intervention were: chemotherapy drug extravasation rate 0.20% (33/16 861) and 0.10% (20/19 957), and the incidence of severe pain was 1.65% (1 747/106 114) and 1.43% (1 521/106 462). The incidence of anxiety was 2.17% (2 305/106 114) and 1.53% (1 633/106 462), and the incidence of depression was 2.27% (2 408/106 114) and 1.28% (1 359/106 462). The difference was statistically significant (χ^2=5.80-300.90, P<0.05); The other 9 indicators of process have improved to varying degrees.Conclusions 14 key indicators of oncology nursing quality evaluation are applied to the oncology ward for specialized nursing quality management and quality improvement, which can monitor the quality of key specialist nursing in real time and dynamically. It can accurately select clinical nursing priority improvement projects and improve specialist nursing. Quality; energy evaluation to improve the quality of specialist nursing quality; help improve the quality management of specialist nursing and ensure patient safety.

关 键 词：护理 质量指标 肿瘤内科 临床应用 

分 类 号：R473.73[医药卫生—护理学]