持续质量改进在外科患者管道护理中的实践探讨

目的探讨在外科患者管道护理中使用持续质量改进护理的方法和效果,以给予外科携带多管道患者更好的护理。方法以2009年1月～2012年12月为本次实验的实验时间,其中2009～2010年为对照阶段,采用常规外科患者的管道护理措施;2011～2012年为实验阶段,对外科患者管道护理采用持续质量改进措施。随机抽取两阶段各200例患者为研究对象,观察不良事件发生率和患者焦虑感受。结果实验阶段患者发生管道脱落、管道折叠等比例更低,与对照组患者比较,差异有统计学意义(P<0.05)。实验组患者焦虑感受更低,为(46.52±7.88)分,低于对照组患者,差异有统计学意义(P<0.05)。结论使用持续质量改进对外科患者管道护理具有较好效果,可避免各种不良事件,并减少患者不良情绪的发生,值得临床推广应用。

Objective To investigate the research method and the effect of continuous quality improvement in the care of surgical patients pipeline care,to give better care for surgical patients carry multi-channel.Methods From January 2009 to December 2012,as the experiment experimental time.From 2009 to 2010,as the control phase,using conventional surgical patients pipeline nursing interventions;experimental phase from 2011 to 2012,the care of surgical patients pipeline using continuous quality improvement measures,two stages of 200 patients were randomLy selected as the research object to observe the incidence of adverse events and patient anxiety feelings.Results Experimental stage patients pipeline off, lower piping folding proportion compared with the control group of patients （P0.05）,the difference was statistically significant.The experimental group patients feel less anxiety,lower than the control group patients was 46.52±7.88（P0.05）,the difference was statistically significant. Conclusion The use of continuous quality improvement to better effect on the care of surgical patients pipeline,a variety of adverse events can be avoided, and lower in patients with negative emotions,worthy of application.