基于目标管理理论的护理质量改进在消化内镜日间手术患者肠道准备中的应用研究  

Application of nursing quality improvement based on goal management theory in intestinal preparation of patients undergoing gastrointestinal endoscopic day surgery

作　　者：周鑫 李红 曾鑫 陈杰 何梅 罗怀利 ZHOU Xin;LI Hong;ZENG Xin;CHEN Jie;HE Mei;LUO Huaili(Department of Gastroenterology,School of Medicine UESTC,Mianyang 621000,Sichuan,China;Department of Nursing,School of Medicine UESTC,Mianyang 621000,Sichuan,China;Department of Cardiology,Mianyang Central Hospital,School of Medicine UESTC,Mianyang 621000,Sichuan,China)

机构地区：[1]电子科技大学医学院附属绵阳医院、绵阳市中心医院消化内科,四川绵阳621000 [2]电子科技大学医学院附属绵阳医院、绵阳市中心医院护理部,四川绵阳621000 [3]电子科技大学医学院附属绵阳医院、绵阳市中心医院心血管内科,四川绵阳621000

出　　处：《护士进修杂志》2024年第19期2108-2113,共6页Journal of Nurses Training

基　　金：四川省卫生信息学会科研课题(编号:2022054);绵阳市中心医院院级课题(编号:2022YJ010)。

摘　　要：目的探讨目标管理理论结合专科护理质量评价标准在消化内镜日间手术患者肠道准备中的应用效果。方法根据护理质量改进应用时间,选取我院2022年4-5月行内镜下日间手术的549例患者作为对照组,实施常规肠道准备;2022年6-7月行内镜下日间手术的562例患者作为观察组,运用目标管理理论结合专科护理质量评价标准进行管理。比较2组患者肠道准备合格率、手术当日取消率、30 d内再入院率、患者不良反应及术后并发症发生率及患者满意度。结果观察组肠道准备合格率、手术当日取消率及患者满意度均高于对照组,差异有统计学意义(P<0.05)。观察组患者30 d内再入院率低于对照组,但差异无统计学意义(P>0.05)。结论在患者肠道准备过程中运用目标管理理论及专科护理质量评价标准可以有效提升内镜日间手术患者肠道准备合格率,有助于患者及时进行内镜日间手术,同时降低患者肠道准备过程中不良反应以及内镜术后并发症的发生,保障内镜日间手术的安全性,提升专科护理质量,拓宽专科护理发展方向。Objective To explore the application effect of management by objectives theory combined with specialist nursing quality evaluation standards in bowel preparation for patients undergoing digestive endoscopy day surgery.Methods Improve application time based on nursing quality,a total of 549 patients who underwent endoscopic ambulatory surgery from April to May 2022 were selected as the control group,and routine bowel preparation was performed;A total of 562 patients who underwent endoscopic ambulatory surgery from June to July 2022 were selected as the observation group,and the goal management theory combined with the evaluation criteria of specialty care quality were managed.The pass rate of bowel preparation,the cancellation rate on the day of surgery,the readmission rate within 30 days,the incidence of adverse reactions and postoperative complications,and patient satisfaction were compared between 2 groups.Results The qualified rate of bowel preparation,cancellation rate on the day of surgery,and patient satisfaction in the observation group were all higher than those in the control group,and the differences were statistically significant(P<0.05).The readmission rate within 30 days in the observation group was lower than that in the control group,but the difference was not significant(P>0.05).Conclusion The use of management by objectives theory and specialized nursing quality evaluation standards in the process of patient bowel preparation can effectively improve the qualified rate of bowel preparation in patients undergoing endoscopic day surgery,help patients undergo endoscopic day surgery in a timely manner,and reduce the adverse reactions during the process of bowel preparation and the occurrence of complications after endoscopic surgery,ensure the safety of endoscopic day surgery,improve the quality of specialized nursing,and broaden the development direction of specialized nursing.

关 键 词：目标管理理论 护理质量指标 护理管理 肠镜 肠道准备 日间手术 

分 类 号：R472.3[医药卫生—护理学]