封闭式负压引流治疗软组织爆炸伤创面患者护理质量标准的建立及应用  

Establishment and application of nursing quality standard for patients with parenchyma trauma cured by VSD

作　　者：杏玲芝[1] 张华[1] 焦耿军[1] 王云[1] 

机构地区：[1]兰州军区兰州总医院安宁分院护理部,730050

出　　处：《中华现代护理杂志》2014年第32期4061-4065,共5页Chinese Journal of Modern Nursing

摘　　要：目的：建立封闭式负压引流（ VSD）治疗软组织爆炸伤创面护理质量标准，探讨其合理性及可操作性，为客观评价VSD治疗爆炸伤创面的护理质量提供依据与检测工具。方法采用理论研究与临床调研相结合的方法初步拟订护理质量标准；应用德尔菲专家咨询法，对21名专家进行2轮问卷咨询，定量分析各指标的权重。采用随机数字表法将采用VSD治疗软组织损伤创面感染的120例患者随机分为观察组65例，对照组55例，观察组患者以护理质量评价标准作为指引进行专科护理及质量评价，对照组患者采用常规护理。比较两组患者住院日、抗生素使用天数以及患者、家属的满意度等方面的差异。结果护理质量标准包括Ⅰ级指标5条、Ⅱ级指标40条；观察组患者住院日为（14．90±0．60）d、抗生素使用天数为（8．32±1．44）d，均低于对照组患者[（18．90±1．30），（9．94±1．68）d]，两组比较差异均有统计学意义（t值分别为18．965，4．538；P＜0．05）；观察组患者、家属的满意度分别为96．9％，98．5％，均高于对照组（83．6％，89．1％），差异有统计学意义（χ2值分别为4．67，4．35；P＜0．05）。结论护理质量标准指标体系各级指标的条目专家意见集中，研究结果可信度高，对VSD治疗软组织爆炸伤护理质量提供了客观、可量化的依据。Objective To establish nursing quality standard for parenchyma high explosive injury cured by VSD and discuss its rationality and maneuver ability.This study aimed to provide evidence and testing tools to evaluate nursing quality of VSD cured parenchyma high explosive injury.Methods We utilized theoretical research and clinical investigation,which applied Delphy of expert consultation method （21 experts and 2-rounds questionnaire and consultation） to quantitatively analyze the weight of all index and to establish standard of nursing quality care.Totals of 120 patients with parenchyma high explosive injury cured by VSD were divided into two groups randomly： experimental group （ sixty five cases ） and control group （ fifty five cases ） .The experimental group guided professional nursing and nursing quality assessment by the standard of nursing quality care, while the control group received routine. The difference had been compared on the length of hospitalization, the days of antibiotic utilization and the satisfaction of patients and families.Results The standard of nursing quality included 5 first level indexes and 40 second level indexes.In the experimental group, the length of hospitalization （ 14.90 ±0.60 ） d and the days of antibiotic utilization （ 8.32 ±1.44 ） d, respectively were lower than the control group[（18.90 ±1.30） d and （9.94 ±1.68） d respectively）], the differences were statistically significant （t=18.965,4.538, respectively;P〈0.05）.The satisfaction of patients and families were 96.9%and 98.5%in the experimental group while that of the control group were 83.6%and 89.1%respectively, the differences were statistically significant （χ2 =18.965,4.538, respectively;P〈0.05）. Conclusions The index system and clauses for different level of nursing quality standard acquired centralized comments from expert, so they have high reliability and provide an objective and quantifiable evidence for VSD cured parenchyma high explosive injury.

关 键 词：质量控制 封闭式负压引流 软组织爆炸伤 护理质量评价标准 

分 类 号：R473.6[医药卫生—护理学]