普外科管道护理的持续质量改进对外科置管患者的影响研究(1)
【摘要】目的：探讨普外科管理护理的持续质量改进对外科置管患者的影响效果。方法：选择我院收治的普外科手术置管者作为研究对象，共计入组160例，纳入时间2016年1月-2018年1月，分组方式为随机数表法，均分为2组，每组患者80例。对照组患者接受常规普外科管理护理干预，而研究组则采取持续质量改进模式进行普外科管道护理干预。对两组患者一次置管成功率与置管意外事件进行记录，调查患者对管理护理满意率，实施组间统计学分析。结果：研究组患者一次置管成功率显著高于对照组(χ2=90090，P=00027<005)；两组患者均有置管意外事件，其中研究组发生率为500%，对照组则为2500%，研究组发生率显著低于对照组(χ2=125490，P=00003<005)；研究组患者对管道护理满意率高达9500%，对照组则为8000%，研究组显著高于对照组(χ2=82286，P=00041<005)。结论：普外科管理护理中实施持续质量改进可以明显提高外科置管患者一次置管成功率，减少置管意外事件发生，提高患者对管道护理满意率，值得借鉴。
【关键词】普外科；置管；管道护理；持续质量改进；置管意外事件
, http://www.100md.com
【中图分类号】R47372
【文献标志码】A
【文章编号】1005-0019(2018)07-187-01
Abstract Objective： to explore the effect of continuous quality improvement on nursing management in Department of general surgery. Methods： A total of 160 cases in the Department of general surgery were enrolled in our hospital. 160 cases were included in the group. The group was divided into 2 groups and 80 cases in each group were divided into 2 groups. The control group received routine Department of general surgery management and nursing intervention， while the study group adopted continuous quality improvement mode for nursing intervention. Two groups of patients once catheterization success rate and tube accidents were recorded， to investigate the patients' satisfaction rate of management care， the implementation of statistical analysis between groups. Results： The success rate of one time tube placement in the study group was significantly higher than that of the control group (x 2=90090， P=00027<005). The two groups had an accident of intubation， the incidence of the study group was 5%， the control group was 25%， the incidence of the study group was significantly lower than that of the control group (x 2=125490， P=00003< 005)； the patients in the study group were full of pipe nursing. The rate was 95% and 80% in the control group， which was significantly higher than that in the control group (2=82286， P=00041<005). Conclusion： The implementation of continuous quality improvement in the management and nursing of Department of general surgery can obviously improve the success rate of the first tube placement， reduce the accident of the intubation， and improve the satisfaction rate of the patients to the pipeline nursing， which is worth reference.
, http://www.100md.com
Key words：Department of general surgery； catheterization； pipeline nursing； continuous quality improvement； accident of catheterization
普外科手術患者在医院比较常见，大部分手术患者术后需要采取各类管道维持身体机能的正常生理需求[1]，但不同的操作管道涉及的功能也存在差异，临床医师在处理时需根据患者的实际需求选择管道，并持续观察，分析病情变化，才能对患者恢复情况实时把握[2]。此外，管道也是临床医师抢救危急重症患者比较有效的手段。基于此，重视普外科手术患者管道护理干预十分必要，如何提高管道护理质量成为普外科护理热点课题。持续质量改进模式对过程管理十分重视，强调对每个护理环节质量均要把握，尽量提高整体护理质量[3]。为了探讨这种护理模式应用在普外科置管患者管道护理中的效果，我院将2016年1月-2018年1月收治的普外科术后置管患者160例作为研究对象，展开了对比分析，报道如下。, http://www.100md.com(周爱萍)
【关键词】普外科；置管；管道护理；持续质量改进；置管意外事件
, http://www.100md.com
【中图分类号】R47372
【文献标志码】A
【文章编号】1005-0019(2018)07-187-01
Abstract Objective： to explore the effect of continuous quality improvement on nursing management in Department of general surgery. Methods： A total of 160 cases in the Department of general surgery were enrolled in our hospital. 160 cases were included in the group. The group was divided into 2 groups and 80 cases in each group were divided into 2 groups. The control group received routine Department of general surgery management and nursing intervention， while the study group adopted continuous quality improvement mode for nursing intervention. Two groups of patients once catheterization success rate and tube accidents were recorded， to investigate the patients' satisfaction rate of management care， the implementation of statistical analysis between groups. Results： The success rate of one time tube placement in the study group was significantly higher than that of the control group (x 2=90090， P=00027<005). The two groups had an accident of intubation， the incidence of the study group was 5%， the control group was 25%， the incidence of the study group was significantly lower than that of the control group (x 2=125490， P=00003< 005)； the patients in the study group were full of pipe nursing. The rate was 95% and 80% in the control group， which was significantly higher than that in the control group (2=82286， P=00041<005). Conclusion： The implementation of continuous quality improvement in the management and nursing of Department of general surgery can obviously improve the success rate of the first tube placement， reduce the accident of the intubation， and improve the satisfaction rate of the patients to the pipeline nursing， which is worth reference.
, http://www.100md.com
Key words：Department of general surgery； catheterization； pipeline nursing； continuous quality improvement； accident of catheterization
普外科手術患者在医院比较常见，大部分手术患者术后需要采取各类管道维持身体机能的正常生理需求[1]，但不同的操作管道涉及的功能也存在差异，临床医师在处理时需根据患者的实际需求选择管道，并持续观察，分析病情变化，才能对患者恢复情况实时把握[2]。此外，管道也是临床医师抢救危急重症患者比较有效的手段。基于此，重视普外科手术患者管道护理干预十分必要，如何提高管道护理质量成为普外科护理热点课题。持续质量改进模式对过程管理十分重视，强调对每个护理环节质量均要把握，尽量提高整体护理质量[3]。为了探讨这种护理模式应用在普外科置管患者管道护理中的效果，我院将2016年1月-2018年1月收治的普外科术后置管患者160例作为研究对象，展开了对比分析，报道如下。, http://www.100md.com(周爱萍)