本文選題：無縫隙護理 + 并發(fā)癥��； 參考：《鄭州大學》2015年碩士論文

【摘要】：目的探討無縫隙護理質(zhì)量管理在消化內(nèi)鏡診療患者的應用及效果。方法采用類實驗性研究方法,選擇2013年10月至2014年6月間在鄭州大學第一附屬醫(yī)院消化內(nèi)科行內(nèi)鏡診療住院的患者1215人作為對照組,采用常規(guī)護理模式。選擇2014年8月到2015年4月,無縫隙護理模式建立后在鄭州大學第一附屬醫(yī)院消化內(nèi)科行內(nèi)鏡診療的住院患者1000例作為實驗組,采用無縫隙護理管理模式。比較兩組住院患者的①護理質(zhì)量達標率,患者對護理工作的滿意度,護理安全不良事件發(fā)生率;②腸道準備質(zhì)量,各項內(nèi)鏡下治療并發(fā)癥發(fā)生率;③患者術(shù)后恢復時間,住院天數(shù),住院開銷等;④采用病歷資料搜集聯(lián)合電話回訪等方法統(tǒng)計患者的資料及滿意度、護理安全不良事件發(fā)生率等。結(jié)果兩組住院患者在性別、年齡、學歷、原發(fā)病及病變位置方面差異無統(tǒng)計學意義(P0.05),具有可比性。1.實驗組護理文書書寫(評分≥90分)達標率98.60%(986/1000)明顯高于對照組護理文書書寫達標率76.38%(928/1215),X2=230.6664,差異具有統(tǒng)計學意義(P0.01)。2.實驗組總滿意率95.60%(956/1000)明顯高于對照組總滿意率88.81%(1079/1215),X2=33.9070,差異具有統(tǒng)計學意義(P0.01)。3.實驗組護理安全不良事件發(fā)生率0.90%(9/1000)明顯低于對照組2.39%(29/1215),X2=7.1917,差異具有統(tǒng)計學意義(P0.01)。4.實驗組腸道準備評分為3分患者人數(shù)明顯高于對照組,X2=160.3100,差異具有統(tǒng)計學意義(P0.01)。5.實驗組內(nèi)鏡治療下并發(fā)癥發(fā)生率25例(2.50%)明顯低于對照組74例(6.09%),X2=16.5622,差異具有統(tǒng)計學意義(P0.01)。6.實驗組單純消化內(nèi)鏡檢查患者和經(jīng)消化內(nèi)鏡治療患者的胃腸功能恢復時間明顯短于對照組,差異具有統(tǒng)計學意義(P0.01)。7.實驗組單純檢查、消化內(nèi)鏡治療患者在住院時間和住院費用方面均小于(短于)對照組,差異具有統(tǒng)計學意義(P0.01)。結(jié)論通過無縫隙護理質(zhì)量管理,能夠提高護理文書書寫水平和達標率,規(guī)范護理文書的書寫;提高患者及其家屬的滿意度;降低消化內(nèi)鏡診療過程中的護理安全不良事件發(fā)生率,減少或避免護理安全隱患;提高腸道準備質(zhì)量,從而提高消化內(nèi)鏡陽性率和降低復診內(nèi)鏡陽性率,減少患者重復醫(yī)療;降低內(nèi)鏡治療下并發(fā)癥發(fā)生率,促進患者胃腸功能早期恢復,縮短住院時間和降低住院費用;提高出院后患者的生活質(zhì)量。
[Abstract]:Objective to explore the application and effect of seamless nursing quality management in the diagnosis and treatment of digestive endoscopy. Methods from October 2013 to June 2014, 1215 patients in the Department of Digestive Medicine of Zhengzhou University were selected as the control group with routine nursing model. From August 2014 to April 2015, 1000 inpatients who underwent endoscopic diagnosis and treatment in the Department of Digestive Medicine, first affiliated Hospital of Zhengzhou University, were selected as the experimental group after the establishment of the seamless nursing model. The rate of nursing quality reached the standard, the satisfaction of patients with nursing work, the incidence of adverse events of nursing safety and the quality of intestinal preparation were compared between the two groups. The postoperative recovery time of the patients with complications after endoscopic treatment was compared. The data and satisfaction of patients and the incidence rate of adverse events of nursing safety were analyzed by the methods of medical record data collection and telephone return visit. Results there was no significant difference in sex, age, educational background, primary disease and pathological location between the two groups (P 0.05). The rate of nursing document writing (score 鈮，

本文編號：1811879