护理质量敏感指标在烧伤患者中的应用评价  

Effect of the application of nursing quality sensitive indicators in burn patients

作　　者：李莉[1] 朱伟斌[1] 孙丽娟[1] Li Li;Zhu Weibin;Sun Lijuan(Department of Burn and Plastic Surgery,the First People's Hospital of Changzhou,Changzhou 213003, China)

机构地区：[1]江苏省常州市第一人民医院烧伤整形科,213003

出　　处：《中国实用护理杂志》2019年第7期492-496,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨护理质量敏感指标的应用对烧伤患者护理不良事件及护理满意度的影响。 方法选择2015年1月至2016年12月收治的烧伤患者90例为研究对象,根据应用护理质量敏感指标进行护理干预,分为实施前(2015年1-12月)、实施后(2016年1-12月)各45例。实施前采用传统质量管理控制方法,实施后采用护理质量敏感指标进行质量管理。比较实施前后重点护理质量监测指标、护理不良事件、护理满意度。 结果实施后,分级护理落实率、患者身份识别准确率、护士专科技能合格率、风险评估应对合格率、高危药物使用合格率分别为97.78%(44/45)、93.33%(42/45)、95.56%(43/45)、97.78%(44/45)、97.78%(44/45),明显高于实施前84.44%(38/45)、77.78%(35/45)、82.22%(37/45)、82.22%(37/45)、84.44%(38/45),差异具有统计学意义(χ^2=4.406~6.049,P<0.05);实施后使用药物错误等护理不良事件发生率为0.22%(1/450),明显低于实施前的1.78%(8/450),差异具有统计学意义(χ^2=5.499,P<0.05);实施后,患者对服务态度、基础护理、专业技能、综合护理服务质量满意度分别为95.56%(43/45)、97.78%(44/45)、97.78%(44/45)、95.56%(43/45),明显高于实施前84.44%(38/45)、82.22%(37/45)、80.00%(36/45)、82.22%(37/45),差异具有统计学意义(χ^2=4.050~7.200,P<0.05)。 结论护理质量敏感指标的应用有助于提高烧伤患者护理质量,降低护理不良事件的发生,提高患者满意度。Objective To investigate the effect of the application of nursing quality sensitive indicators on the nursing care of burn patients and their satisfaction with nursing care. MethodsA total of 90 cases of burn patients admitted from January 2015 to December 2016 were selected as study subjects. They were divided into pre-implementation group (January 2015-December 2015) and implementation group (January 2016-December 2016) for 45 cases each based on sensitive indicators of care quality. The traditional quality management control method was adopted before implementation. The quality-sensitive indicators of nursing quality were used for quality management after the implementation. The quality monitoring indicators, nursing adverse events, and nursing satisfaction were compared before and after implementation.ResultsAfter the implementation, the implementation rate of graded nursing, the accuracy of patient identification, the qualified rate of qualified nurses, the passing rate of risk assessment, and the passing rate of high-risk drugs were 97.78% (44/45) , 93.33% (42/45) , 95.56% (43/45) , 97.78% (44/45) , and 97.78% (44/45) , which were significantly higher than those before implementation 84.44% (38/45) 、77.78% (35/45) , 82.22% (37/45) , 82.22% (37/45) , and 84.44% (38/45) , respectively, and the difference was statistically significant (χ^2= 4.050-, 6.049, P<0.05). After the implementation, drug errors and other adverse events were used. The incidence rate of 0.22% (1/450) was significantly lower than the pre-implementation rate of 1.78% (8/450) , and the difference was statistically significant (χ^2=5.499, P<0.05). After implementation, patient satisfaction with service attitude, basic nursing, professional skills, and comprehensive nursing service quality was 95.56% (43/45) , 97.78% (44/45) , 95.56% (43/45) , 97.78% (44/45) , and 95.56% (43/45) , which were significantly higher than those before implementation 88.89% (40/45) , 84.44% (38/45) , 82.22% (37/45) , 80.00% (36/45) and 82.22% (37/45) , and the d

关 键 词：烧伤 护理质量敏感指标 护理不良事件 满意度 

分 类 号：R473.6[医药卫生—护理学]