结构-过程-结果三维质量管理对高血压脑出血患者的影响  

Effect of Structure-Process-Result Three-Dimensional Quality Management in Patients With Hypertensive Intracerebral Hemorrhage

作　　者：马丹[1] 司爱冰 王水雨 Ma Dan;Si Aibing;Wang Shuiyu(The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《齐鲁护理杂志》2021年第21期32-35,共4页Journal of Qilu Nursing

摘　　要：目的:探讨结构-过程-结果三维质量管理对高血压脑出血患者的影响。方法:选取2019年1月1日~2020年12月31日接受治疗的80例高血压脑出血患者作为研究对象,按照随机数字表法将其分为观察组和对照组各40例。对照组给予常规护理,观察组实施结构-过程-结果三维质量管理。比较两组术后临床指标(体温、体温恢复正常时间)、住院时间、感染发生情况、干预前后血压水平、神经功能缺损程度[采用美国国立卫生研究院卒中量表(NIHSS)]及生活质量[采用脑梗死专用生活质量量表(SS-QOL)]。结果:观察组术后体温、体温恢复正常时间及住院时间均优于对照组(P<0.01);观察组院内感染总发生率低于对照组(P<0.05);干预后,两组收缩压、舒张压均低于干预前(P<0.05),且观察组低于对照组(P<0.05);干预后,两组NIHSS评分均低于干预前(P<0.01),且观察组低于对照组(P<0.01);干预后,两组SS-QOL中精力、工作劳动、家庭角色、社会角色、活动能力、自理能力、上肢功能评分及总分均高于干预前(P<0.05),且观察组高于对照组(P<0.05)。结论:结构-过程-结果三维质量管理对高血压脑出血患者医院感染的预防效果确切,可有效降低医院感染发生率,减轻神经功能缺损程度,提高生活质量,缩短疗程。Objective:To explore the effect of structure-process-result three-dimensional quality management in patients with hypertensive intracerebral hemorrhage.Methods:A total of 80 cases of patients with hypertensive intracerebral hemorrhage admitted during January 1,2019 to December 31,2020 were selected as the research subjects,and they were divided into the observation group and the control group according to the random number table method,with 40 cases in each group.The control group was given routine nursing,and the observation group was given structure-process-result three-dimensional quality management nursing.The postoperative clinical indicators(body temperature,normal body temperature recovery time),hospital stay,infection occurrence,the blood pressure level,cerebral hemorrhage recovery by National Institutes of Health Stroke Scale(NIHSS)and quality of life by Stroke Specific Quality of Life Scale(SS-QOL)were compared between the two groups before and after intervention.Results:The postoperative body temperature,normal body temperature recovery time in the observation group were better than those in the control group(P<0.01).The total incidence rate of nosocomial infection in the observation group was lower than that in the control group(P<0.01).After intervention,the systolic blood pressure and diastolic blood pressure in the two groups were lower than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).The NIHSS scores in the two groups were lower than those before intervention(P<0.01),and those in the observation group were lower than those in the control group(P<0.01).The scores of energy,work and labor,family role,social role,activity ability,self-care ability,upper limb function and total scores of SS-QOL in the two groups were higher than those before intervention(P<0.05),and those in the observation group were higher than those in the control group(P<0.05).Conclusion:Structure-process-result three-dimensional quality management has a d

关 键 词：高血压 脑出血 结构-过程-结果三维质量管理 医院感染 

分 类 号：R473.54[医药卫生—护理学]