肿瘤专科护理敏感质量指标的构建及在肿瘤科护理质量改善中的应用  

Construction of oncology special nursing sensitive quality index and its application in improvement of nursing quality in Oncology Department

作　　者：何莉[1] 刘晓梅[2] 张碧荣 He Li;Liu Xiaomei;Zhang Birong(Department of Oncology,Shaanxi Provincial People's Hospital,Xi'an 710068,China;Department of Nursing,Shaanxi Provincial People's Hospital,Xi'an 710068,China)

机构地区：[1]陕西省人民医院肿瘤内科,西安710068 [2]陕西省人民医院护理部,西安710068

出　　处：《中华现代护理杂志》2021年第10期1331-1335,共5页Chinese Journal of Modern Nursing

基　　金：陕西省2017年重点研发项目(2017SF-061)。

摘　　要：目的探讨构建肿瘤专科护理敏感质量指标对肿瘤科护理质量的作用。方法采用便利抽样法,选取2019年8月—2020年2月陕西省人民医院收治的1024例肿瘤患者作为观察组,另回顾性分析2018年1月—2019年7月陕西省人民医院收治的1038例肿瘤患者作为对照组。其中对照组予以肿瘤专科常规护理干预,观察组则按照“结构—过程—结果”质量管理模式,通过循证分析以及Delphi专家函询法明确肿瘤专科护理敏感质量指标,并以此作为依据进行肿瘤专科护理。分析肿瘤专科护理敏感质量指标构建情况。比较观察组与对照组的临床指标变化。结果共形成6个肿瘤专科护理敏感质量指标,分别为化疗外渗发生率、化疗相关性恶心呕吐发生率、深静脉血栓发生率、PICC导管相关性感染发生率、肿瘤患者意外事件发生率、焦虑抑郁发生率。干预后,观察组化疗相关性恶心呕吐、深静脉血栓、PICC导管相关性感染、肿瘤患者意外事件、焦虑抑郁发生率均低于对照组,差异均有统计学意义(P<0.05)。两组化疗药物外渗发生率比较,差异无统计学意义(P>0.05)。结论通过构建肿瘤专科护理敏感质量指标可提升肿瘤专科护理质量,值得推广应用。Objective To explore the effect of establishing oncology special nursing sensitive quality index on nursing quality in Oncology Department.Methods A total of 1024 tumor patients who were admitted to Shaanxi Provincial People's Hospital from August 2019 to February 2020 were selected as the observation group by the convenient sampling method.In addition,1038 tumor patients admitted to Shaanxi Provincial People's Hospital from January 2018 to July 2019 were set as the control group.Patients in the control group were given routine nursing intervention in tumor specialty.According to the"structure-process-result"quality management model,the observation team used evidence-based analysis and Delphi expert correspondence method to clarify the sensitive quality indexes of oncology special nursing and used this as a basis for oncology special nursing.The construction of oncology special nursing sensitive quality indexes was analyzed.The clinical indexes of the observation group and the control group were compared.Results A total of 6 oncology special nursing sensitive quality indexes were formed,which included the incidence of chemotherapy extravasation,the incidence of chemotherapy-related nausea and vomiting,the incidence of deep vein thrombosis,the incidence of PICC catheter-related infection,the incidence of accidents in tumor patients and incidence of anxiety and depression.After the intervention,the incidence of chemotherapy-related nausea and vomiting,deep vein thrombosis,PICC catheter-related infection,accidents in tumor patients and anxiety and depression in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of chemotherapy extravasation between the two groups(P>0.05).Conclusions Construction of oncology special nursing sensitive quality indexes can improve the quality of oncology special nursing,which is worthy of promotion and application.

关 键 词：肿瘤 专科护理 敏感质量指标 护理质量 

分 类 号：R473.73[医药卫生—护理学]