基于ASK模型的质量改进在尿石症患者尿液生化标本采集管理中的应用  

Quality improvement based on ASK model in the management of urine biochemical specimens’collection in patients with urolithiasis

作　　者：权力[1] 王燕[2] 周萍[2] QUAN Li;WANG Yan;ZHOU Ping(Department of Clinical Laboratory,Jiangsu Province Hospital of Chinese Medicine,Nanjing,Jiangsu 210004,China;不详)

机构地区：[1]江苏省中医院检验科,江苏南京210029 [2]江苏省中医院泌尿外科,江苏南京210029

出　　处：《中国临床研究》2022年第12期1767-1770,共4页Chinese Journal of Clinical Research

摘　　要：目的评价基于ASK模型的尿液生化标本采集管理在尿石症患者中的应用效果。方法采用目的抽样法,选取2020年6月至7月南京某三级甲等医院留取尿液生化标本的32例患者为对照组,2020年10月至2021年3月留取尿液生化标本的同医院30例患者为试验组,实施以ASK模型为指导的态度、技能、知识三个维度的干预,比较两组患者相关自我效能、标本采集合格率、知识得分情况。结果试验组患者在标本采集过程合格率上明显高于对照组(83.33%vs 0,P<0.01),患者关于24 h生化相关知识得分明显高于对照组[(9.03±0.56)分vs(4.94±1.32)分,P<0.01],关于规范采集和坚持随访的自我效能得分均显著高于对照组[(4.67±0.48)分vs(3.69±0.90)分,P<0.01;(3.63±0.62)分vs(2.75±0.88)分,P<0.01]。结论基于ASK模型的质量改进能提高尿石症患者尿液生化采集相关的认知能力,提高采集过程的正确性,增强患者预防结石复发的意识。Objective To evaluate the application effect of collection and management of urine biochemical specimen based on ASK(attitude,skills and knowledge)model in patients with urolithiasis.Methods With an objective method for sampling,the patients whose urine samples were collected from June 2020 to July 2020 at a Nangjing tertiary A-level hospital were served as control group,and the patients whose urine samples collected from October 2020 to March 2021 at same hospital were selected as test group(treated with ASK model).The related self-efficacy,the qualified rate of specimens and knowledge scores were compared between two groups.Results In test group,the qualified rate of specimens(83.33%vs 0)and the score of 24-hour urine biochemical knowledge(9.03±0.56 vs 4.94±1.32)were significantly higher than those in control group(P<0.01).The self-efficacy scores of standard collections(4.67±0.48 vs 3.69±0.90)and adherence to follow-up(3.63±0.62 vs 2.75±0.88)were significantly higher than those in control group(P<0.01).Conclusion For the patients with urolithiasis,the quality improvement based on ASK model can improve the cognitive ability of urine biochemical specimen and the accuracy of sample collection process and enhance the awareness of preventing stone recurrence.

关 键 词：尿液生化检查 ASK模型 尿石症 质量改进 

分 类 号：R446.12[医药卫生—诊断学]