精细化管理在儿童发热门诊输液流程中的应用  

Application of Refined Management in the Infusion Process of Pediatric Fever Outpatient Clinics

作　　者：梁美安 郭丽[1] 胡薇 LIANG Mei'an;GUO Li;HU Wei(Jiangxi Provincial Children's Hospital,Nanchang 330000,China;不详)

机构地区：[1]江西省儿童医院,江西南昌330000

出　　处：《中外医学研究》2024年第7期139-142,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：江西省卫生健康委科技计划项目(SKJP220218927)。

摘　　要：目的:探讨精细化管理在儿童发热门诊输液流程中的应用效果。方法:选取2022年3月1日—6月30日在江西省儿童医院发热门诊进行静脉输液治疗的300例患儿作为对照组(实施常规管理),选取2022年7月1日—10月31日在江西省儿童医院发热门诊进行静脉输液治疗的300例患儿作为观察组(实施精细化管理)。比较两组患儿发热门诊诊疗时间、输液等待时间,家长满意度,护士输液工作职业倦怠感[职业倦怠感调查普适量表(Maslach burnout inventory general survey,MBI-GS)]。结果:观察组患儿发热门诊诊疗时间、输液等待时间短于对照组,家长总满意度高于对照组,护士MBI-GS的情绪疲惫感、工作冷漠感、成就感低落得分均低于对照组,差异有统计学意义(P<0.05)。结论:儿童发热门诊输液流程中应用精细化管理,能缩短患儿发热门诊诊疗时间和输液等待时间,提高家长满意度,降低护士职业倦怠感。Objective:To explore the application effect of refined management in the infusion process of pediatric fever outpatient clinics.Method:From March 1 to June 30,2022,300 children who treated with intravenous infusion in the Fever Outpatient Clinics of Jiangxi Provincial Children's Hospital were selected as the control group(routine management),from July 1 to October 31,2022,300 children who treated with intravenous infusion in the Fever Outpatient Clinics of Jiangxi Provincial Children's Hospital were selected as the observation group(refined management mode).The diagnosis and treatment time of fever clinic and infusion waiting time of pediatric patients,parents'satisfaction,and nurses'job burnout in infusion work[Maslach burnout inventory general survey(MBI-GS)]were compared between two groups.Result:The diagnosis and treatment time of fever clinic and infusion waiting time of pediatric patients in the observation group were shorter than those in the control group,and the parents'total satisfaction was higher than that in the control group,the scores of emotional exhaustion,work apathy and low sense of achievement in MBI-GS of nurses were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of refined management in the infusion process of pediatric fever outpatient clinics can shorten the diagnosis and treatment time of fever clinic and infusion waiting time of pediatric patients,improve parents'satisfaction,and reduce nurses'job burnout.

关 键 词：精细化管理 发热门诊 输液流程 

分 类 号：R473.72[医药卫生—护理学]