基于护理质量反馈构建精准护理模式应用于食管癌患者临床效果观察  

Observation of clinical effects of precise nursing model based on nursing quality feed back on esophageal cancer patients

作　　者：卢欣欢[1] 罗玉华[1] 黄灵[1] 陈相宜[2] Lu Xinhuan;Luo Yuhua;Huang Ling;Chen Xiangyi(Department of Cardiac Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;School of Basic Medical Sciences,Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院心胸外科,南宁530021 [2]广西医科大学基础医学院,南宁530021

出　　处：《广西医科大学学报》2020年第2期326-329,共4页Journal of Guangxi Medical University

基　　金：广西自然科学基金资助项目(No.2013GXNSFAA019244);广西高校科学技术研究课题资助项目(No.KY2015YB061);广西壮族自治区卫生厅课题资助项目(No.Z2014655)。

摘　　要：目的:以护理质量反馈管理为基础,构建精准护理模式,观察其对食管癌患者的护理效果,为该模式的细化实施与推广提供依据。方法:选取2017年12月至2018年12月在广西医科大学第一附属医院行食管癌根治术的90例患者为研究对象,随机分为对照组和观察组,每组45例。对照组采用护理规范实施常规护理,观察组采用动态护理质量反馈模式进行精准护理。护理效果观察指标为术后首次下床活动时间、住院天数、焦虑程度(SAS评分)、疼痛程度(VAS评分)、并发症发生率和护理满意度情况。结果:观察组患者的术后首次下床活动时间、住院天数明显短于对照组,术后第1天和第3天疼痛评分、出院前焦虑评分及并发症发生率均明显低于对照组,护理满意度显著高于对照组(P<0.05或P<0.01)。结论:基于动态护理质量反馈的精准护理模式,可提高食管癌患者的围手术期护理满意度,改善护理质量,有推广价值。Objective:Build a precise nursing model based on nursing quality feedback management,and observe its effects on the nursing of patients with esophageal cancer to provide a basis for the implementation and promotion of this model.Methods:Ninety patients who underwent radical esophageal cancer surgery in the First Affiliated Hospital of Guangxi Medical University from December 2017 to December 2018 were selected as the research subjects.The subjects were randomly divided into a control group and an observation group,with 45 cases in each group.The control group was given routine nursing care,and dynamic nursing quality feedback model was used in the observation group for precise nursing.Indicators of nursing effect included the time of first out of bed activity,the length of hospital stay,degree of anxiety(Self-Rating Anxiety Scale,SAS score),degree of pain(Visual Analogue Scale,VAS score),the incidence of complications,and the degree of satisfaction with nursing.Results:Compared to control group,time of first out of bed activity and hospital stays in the observation group were significantly shorter than that in control group;the SAS score at day 1 and day 3 after surgery,VAS score before discharge,and incidence of complications in the observation group were significantly lower than those in the control group,while the degree of satisfaction for nursing was significantly higher than that in the control group(P<0.05 or P<0.01).Conclusion:The precise nursing model based on dynamic nursing quality feedback can improve the nursing satisfaction and nursing quality during perioperative period for patients with esophageal cancer,which is worthy to promotion.

关 键 词：护理质量反馈 精准护理 食管癌 质量持续改善 

分 类 号：R473.73[医药卫生—护理学]