持续质量改进在预防神经外科术后感染护理中的应用  

Application of Continuous Quality Improvement in Prevention of Infection after Neurosurgery

作　　者：温建萍[1] 李媚[1] 余同英 郑静静[1] WEN Jian-ping;LI Mei;YU Tong-ying;ZHENG Jing-jing(Department of Neurosurgery,Third People's Hospital of Huizhou,Huizhou,Guangdong Province,516000 China)

机构地区：[1]惠州市第三人民医院神经外科,广东惠州516000

出　　处：《中外医疗》2020年第12期145-147,共3页China & Foreign Medical Treatment

摘　　要：目的探讨分析持续质量改进在预防神经外科术后感染护理中的应用效果。方法方便选取2018年4-10月该院神经外科收治的50例手术患者为对照组,予以传统护理措施;选取2018年11月-2019年4月该院神经外科收治的50例手术患者为观察组,予以持续质量改进护理干预。比较两组患者的护理服务质量评分、术后感染发生情况及护理满意度之间的差异。结果观察组患者的基础护理(17.6±1.4)分、护理理念(16.8±1.7)分、护理流程(18.5±1.4)分、护理操作(18.0±1.8)分、健康教育(17.3±1.1)分等护理质量评分皆高于对照组(14.9±2.2)分、(13.7±2.2)分、(15.5±2.9)分、(15.3±2.4)分、(14.2±2.7)分,差异有统计学意义(t=7.321、7.884、6.587、6.364、7.519、P<0.05);观察组术后感染总发生率6.0%明显低于对照组20.0%,护理满意度96.0%明显高于对照组的84.0%,差异有统计学意义(χ^2=4.332、4.000,P<0.05)。结论持续质量改进护理干预模式能够有效改善神经外科护理服务质量,降低术后感染发生率,提高护理满意度,具有更高的临床应用价值,值得推广应用。Objective To explore the application of continuous quality improvement in the prevention of infection after neurosurgery.Methods The 50 surgical patients admitted to the author's hospital from April to October 2018 were selected as the control group and given traditional nursing measures.The 50 surgical patients admitted to the author's hospital from November 2018 to April 2019 were convenient selected.Patients were the observation group and were given continuous quality improvement nursing interventions.The differences of nursing service quality score,postoperative infection and nursing satisfaction were compared between the two groups of patients.Results Patients in the observation group had high nursing quality scores such as basic nursing(17.6±1.4)points,nursing philosophy(16.8±1.7)points,nursing process(18.5±1.4)points,nursing operation(18.0±1.8),and health education(17.3±1.1)points.In the control group(14.9±2.2)points,(13.7±2.2)points,(15.5±2.9)points,(15.3±2.4)points,(14.2±2.7)points(t=7.321,7.884,6.587,6.364,7.519,P<0.05);the total incidence of postoperative infection in the observation group was 6.0%It was significantly lower than the control group at 20.0%,and the nursing satisfaction was 96.0%significantly higher than the control group at 84.0%(χ^2=4.332,4.000,P<0.05).Conclusion The continuous quality improvement nursing intervention model can effectively improve the quality of neurosurgical nursing services,reduce the incidence of postoperative infections,and improve nursing satisfaction.It has higher clinical application value and is worth promoting.

关 键 词：持续质量改进 神经外科 术后感染 应用效果 

分 类 号：R473.6[医药卫生—护理学]