＂一病一品＂项目在胰腺癌患者护理中的应用  

Application of ＂disease-characteristics nursing quality improvement＂ program in the nursing of patients with pancreatic cancer

作　　者：李晶[1] 孙琳[1] 刘卓[1] 谷洪涛[1] 王兰[2] 丁炎明[2] 

机构地区：[1]北京大学第一医院普外科,100034 [2]北京大学第一医院护理部,100034

出　　处：《中华现代护理杂志》2017年第2期166-170,共5页Chinese Journal of Modern Nursing

基　　金：2010年国家临床重点专科建设项目

摘　　要：目的 探讨＂一病一品＂项目在胰腺癌患者护理中的应用及效果.方法 采用便利抽样法选取2011年1—12月北京大学第一医院普外科收治的13例胰腺癌患者为对照组,实施传统的胰腺癌护理常规,选取2015年1—12月收治的40例胰腺癌患者为观察组,实施以胰腺癌患者为中心,以循证护理为基础的胰腺癌患者＂一病一品＂优质护理项目,实施引流管护理＂SAFE计划＂和空肠造瘘管护理＂360安全营养卫士＂的护理品牌,由胰腺癌专病护士1名进行质量督导.比较两组患者平均住院日和术后平均住院日,对比实施前后护士专科护理操作分数.结果 实施＂一病一品＂项目后胰腺癌患者平均住院日和术后平均住院下降,差异有统计学意义（t值分别为2.083、2.111,P〈0.05）,护士经空肠造瘘管泵入营养液操作能力提高（t=9.051,P〈0.01）,差异均有统计学意义.结论 胰腺癌＂一病一品＂项目有益于缩短患者住院时间,提高护士专科护理操作能力,值得临床推广.Objective To explore the application and effect of ＂disease-characteristics nursing quality improvement＂ program in the nursing of patients with pancreatic cancer.Methods By convenience sampling method,13 patients with pancreatic cancer admitted to the department of general surgery of Peking University First Hospital from January to December 2011 were selected as the control group and treated by conventional nursing;while 40 patients with pancreatic cancer admitted from January to December 2015 were selected as the observation group,and treated with ＂disease-characterisitics nursing quality improvement＂program for pancreatic cancer patients that on the basis of patient-centered and evidence-based nursing. Nursing brands of ＂SAFE plan＂ for drainage tube nursing and ＂360 security nutrition guard＂ for jejunostomy tube nursing were conducted,with the quality supervised by one nurse specialized in pancreatic cancer. The average hospitalized days and postoperative hospitalized days were compared between two groups;the nurses′ scores of specialized technique before and after the implementation of plan were also compared between two groups.Results After the implementation of ＂disease-characteristics nursing quality improvement＂,both the average hospitalized days and the postoperative hospitalized days were decreased（t=2.083,2.111;P〈0.05）. Nurses′ operational capacity of pumping nutrient solution through jejunostomy tube was improved（t=9.051,P〈0.01）.Conclusions ＂Disease-characteristics nursing quality improvement＂ for patients with pancreatic cancer is beneficial to shorten patients′ hospitalized days and improve specialized operational capability of nurses,so it worth promoting in clinic.

关 键 词：胰腺肿瘤 '一病一品'项目 专科护理 

分 类 号：R473.73[医药卫生—护理学]