下肢骨牵引患者应用持续质量改进模式的效果  

Application of continuous quality improvement in patients with lower-limb skeletal traction

作　　者：杨菁[1] 刘梅[1] 杨春静[1] 陈曦[1] 刘曙[1] 王丽元[1] 吴莉 杨红艳 YANG Jing;LIU Mei;YANG Chunjing;CHEN Xi;LIU Shu;WANG Liyuan;WU Li;YANG Hongyan(Department of Orthopedics,The First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029)

机构地区：[1]南京医科大学第一附属医院骨科,江苏南京210029

出　　处：《实用临床医药杂志》2018年第8期69-72,共4页Journal of Clinical Medicine in Practice

基　　金：2010年国家临床重点专科建设项目基金(2100299)

摘　　要：目的探讨持续质量改进模式在骨牵引术后患者生理维度舒适管理中的应用。方法将2016年1—3月下肢骨折行骨牵引治疗的58例患者为对照组,2016年5—8月下肢骨折行骨牵引治疗的56例患者为实验组,实验组采用持续质量改进模式(FOCUS-PDCA)进行生理维度舒适管理,对照组按科室原有的下肢骨牵引护理流程进行护理。结果实施持续质量改进模式后,评估实验组患者生理维度舒适度的情况,牵引术后第1天、牵引术后第3天、手术前1 d的生理维度平均分均在合格分以上。结论采取FOCUS-PDCA模式进行下肢骨牵引患者生理维度舒适管理,可有效提高牵引术后患者生理维度的舒适度,提升专科护理质量,提高患者对护理的满意度。Objective To discuss the application of continuous quality improvement mode in the comfortable management of patients′physiological dimension after skeletal traction.Methods A total of 58 patients received lower limb skeletal traction from January to March 2016 were taken as control group and another 56 patients with the same therapy from May 2016 to August 2016 were included in the experimental group.continuous quality improvement mode(FOCUS-PDCA)mode was adopted in the experimental group for comfortable management and the control group was given original nursing for lower limb traction.Results After implementation of continuous quality improvement,the average scores of biological dimension in the experimental group were above the qualified score at first,third traction day,and one day before operation.Conclusion FOCUS-PDCA mode can effectively improve the comfort degree of patients′physiological dimension after traction,improve nursing quality and nursing satisfaction.

关 键 词：骨牵引 生理维度 舒适度 持续质量改进模式模式 

分 类 号：R473.6[医药卫生—护理学]