护理质量指标控制在急诊血液净化护理质量提升中的应用效果  

Application of Nursing Quality Indicator Control in Improving Emergency Hemodialysis Nursing Quality

作　　者：宗志华[1] 钱艳丽 ZONG Zhihua;QIAN Yanli(Blood Purification Center,Yixing People's Hospital of Jiangsu Province,Yixing 214200,China)

机构地区：[1]江苏省宜兴市人民医院血液净化中心,江苏宜兴214200

出　　处：《中华灾害救援医学》2025年第2期229-232,共4页Chinese Journal of Disaster Medicine

基　　金：江苏大学临床医学科技发展基金项目(JLY20180075)。

摘　　要：目的探讨在急诊血液净化护理质量提升中,应用护理质量指标控制系统的效果。方法回顾性分析2022年10月至2024年10月在江苏省宜兴市人民医院急诊科拟进行血液净化的94例患者的临床资料。根据护理质量管理方案实施的前后分为观察组(护理质量指标控制,n=47)和对照组(常规护理质量管理,n=47)。比较护理质量管理方案实施前后的护理人员核心能力、过程指标以及结果指标。结果护理质量管理方案实施后,护理人员核心能力(包括:护理技能、专业发展、领导能力、法律伦理、人际交往、科研思维能力、咨询教育)各维度评分较实施前更高(P<0.05);护理人员分诊准确率、复检指标评估及时率、护理记录合格率以及护理满意度评分(包括护理技术、主动服务、健康指导、巡视观察、生活照顾、总体)显著高于护理质量管理方案实施前(P<0.05);观察组患者的护理缺陷事件发生率、并发症发生率显著低于对照组(P<0.05)。结论在急诊血液净化护理管理中,应用护理质量指标控制体系可显著提升护理人员的核心能力,提高分诊准确率、复检指标评估及时率、护理记录合格率、护理满意度,降低并发症及护理缺陷事件的发生风险。Objective To investigate the effectiveness of implementing a nursing quality indicator control system in enhancing the quality of care for patients undergoing blood purification in the emergency department.Methods A retrospective analysis was conducted on the clinical data of 94 patients scheduled for blood purification in the emergency department of Yixing People's Hospital,Jiangsu Province,from October 2022 to October 2024.Based on the implementation of the nursing quality management program,patients were divided into an observation group(n=47)that received nursing quality indicator control and a control group(n=47)that received conventional nursing quality management.We compared the core competencies of nursing staff,process indicators,and outcome indicators before and after the implementation of the nursing quality management program.Results After the implementation of the nursing quality management program,the scores for nursing staff core competencies(including nursing skills,professional development,leadership abilities,legal ethics,interpersonal communication,research thinking,and educational consultation)were significantly higher than those before the intervention(P<0.05).Additionally,the triage accuracy,timeliness of re-assessment indicators,compliance rate of nursing records,and nursing satisfaction scores(including nursing techniques,proactive service,health guidance,monitoring,daily care,and overall satisfaction)were significantly improved compared to pre-implementation levels(P<0.05).The occurrence rates of nursing defect events and complications in the control group were significantly lower than those in the observation group(P<0.05).Conclusion The application of a nursing quality indicator control system in emergency blood purification management significantly enhances the core competencies of nursing staff,improves triage accuracy,the timeliness of re-assessment indicators,compliance rates of nursing records,and nursing satisfaction,while reducing the risk of complications and nursing defect even

关 键 词：急诊 血液净化 护理质量指标控制 

分 类 号：R472.2[医药卫生—急诊医学]