标准化护理在消化内镜护理质量管理中的效果及可行性分析  

Effect and Feasibility Analysis of Standardized Nursing in Nursing Quality Management of Digestive Endoscopy

作　　者：高英[1] 徐秀芬[1] GAO Ying;XU Xiufen(Department of Outpatient,Digestive Hospital,Heilongjiang Provincial Hospital,Harbin Heilongjiang 150001,China)

机构地区：[1]黑龙江省医院消化病院门诊,黑龙江哈尔滨150001

出　　处：《中国卫生标准管理》2023年第10期177-180,共4页China Health Standard Management

基　　金：黑龙江省卫生健康委科研课题(2019-164)。

摘　　要：目的探讨标准化护理在消化内镜护理质量管理中的效果及可行性分析。方法选择2021年11月—2022年11月在黑龙江省医院消化病院门诊进行消化内镜检查的110例患者为本次研究对象,随机数字表法分为观察组与对照组,各55例。对照组予以常规护理,观察组给予标准化护理。比较两组知识知晓情况和诊断用时、安全性、心理波动[焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)]与疼痛情况[视觉模拟疼痛量表(visual analogue scale,VAS)]、不适症状、护理质量。结果观察组的疾病知识等3项相关知识知晓评分高于对照组(P<0.05),观察组诊断用时低于对照组(P<0.05)。观察组操作不当等4项风险事件发生占比为3.64%,对照组为14.55%,观察组占比更低,即安全性更高(P<0.05)。两组SAS、SDS、VAS评分均较护理前降低,且观察组更低(P<0.05)。观察组呛咳等5项不适症状发生占比为3.64%,对照组为16.36%,观察组发生率低于对照组(P<0.05)。观察组专业操作等5项护理质量评价更高(P<0.05)。结论标准化护理更适用于消化内镜护理工作,患者的检查体验较高,缩短了诊断时间,护理评价明显提高。Objective To explore the effect and feasibility analysis of standardized nursing in the quality management of digestive endoscopy nursing.Methods A total of 110 patients who underwent digestive endoscopy Heilongjiang Provincial Hospital from November 2021 to November 2022 were selected as the subjects of this study.They were randomly divided into observation group and control group with 55 cases.The control group was given routine nursing,while the observation group was given standardized nursing.The knowledge awareness,diagnosis time,safety,psychological fluctuation(SAS,SDS),pain(VAS),discomfort symptoms and nursing quality of the two groups were compared.Results The awareness score of three related knowledge,such as disease knowledge,in the observation group was higher than that in the control group(P<0.05),and the diagnosis time in the observation group was lower than that in the control group(P<0.05).The proportion of 4 risk events such as improper operation in the observation group was 3.64%,and that in the control group was 14.55%.The proportion in the observation group was lower,had higher safety(P<0.05).The SAS,SDS and VAS scores of the two groups were lower than those before nursing,and the observation group was lower(P<0.05).The incidence of five uncomfortable symptoms,such as choking and coughing,was 3.64%in the observation group and 16.36%in the control group.The incidence of the observation group was lower than that of the control group(P<0.05).The observation group had a higher evaluation of five nursing quality items such as professional operation(P<0.05).Conclusion Standardized nursing is more suitable for the nursing work of digestive endoscopy.The patients have higher examination experience,shorter diagnosis time,and significantly improved nursing evaluation.

关 键 词：标准化护理 消化内镜 常规护理 诊断用时 安全性 心理波动 疼痛 护理质量 

分 类 号：R473[医药卫生—护理学]