＂一病一品＂项目在直肠癌患者管理中的应用效果  

Application effect of ＂disease-characteristics nursing quality improvement＂ program in the management of rectal cancer patients

作　　者：刘卓[1] 徐征[1] 谷洪涛[1] 丁炎明[2] 王兰[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180-183,共4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＂项目提高直肠癌患者护理质量的临床效果.方法 北京大学第一医院普外科通过以患者为中心,以循证护理为根基,寻找疾病最佳护理证据,并以疾病最佳护理证据为参考,创建直肠癌品牌特色管理,构建病房督导体制等实施直肠癌＂一病一品＂项目.观察并比较实施前（2012年）和实施后（2015年）患者满意度、护士满意度和疾病管理指标的差异.结果 与实施前相比,实施直肠癌＂一病一品＂项目有效提高了患者满意度（χ2=18.990,P〈0.001）、护士满意度（χ2=9.463,P=0.002）、术前造口定位率增加（χ2=17.053,P〈0.001）、早期造口并发症发生率下降（χ2=5.291,P=0.021）、门诊随访量增加（χ2=10.459,P=0.001）,患者平均住院日缩短（t=128.34,P〈0.001）,差异均有统计学意义.结论 直肠癌＂一病一品＂项目是提高直肠患者护理质量行之有效的方法.Objective To explore the clinical effect of ＂disease-characteristics nursing quality improvement＂ program（DNQIP）in improving the nursing quality of rectal cancer patients.Methods On basis of patient-centered and evidence-based practice,Department of General Surgery of Peking University First Hospital searched for the optimal nursing practice,created the characteristic management of rectal cancer and implemented the DNQIP program. We explored and compared the differences of patients in patient satisfaction, nurses＇ satisfaction,disease management index before（2012）and after（2015）the implementation of DNQIP. Results Compared with the indicatiors before the implementation,DNQIP effectively improved patient satisfaction（χ2=18.990,P〈0.001）,nurses＇ satisfaction（χ2=9.463,P=0.002）,increased the number of stoma positioning（χ2=17.053,P〈0.001）,decreased the incidence rate of the stoma complications（χ2=5.291, P=0.021）,increased outpatient follow-up number（χ2=10.459,P=0.001）and effectively shorten the average length of stay（ALOS）（t=128.34,P〈0.001）.Conclusions DNQIP is an effective method to improve the nursing quality of patients with rectal cancer.

关 键 词：直肠肿瘤 专科护理 '一病一品'项目 

分 类 号：R473.73[医药卫生—护理学]