持续质量改进在结核性胸外科健康教育中的应用效果

Application of Continuous quality improvement in the health education of tuberculous thoracic surgery

目的 探讨持续质量改进在结核性胸外科健康教育中应用效果.方法 选择结核性胸外科手术患者为研究对象,2010年1-12月278例患者为对照组,采用常规健康教育方法；2011年1-12月297例患者为观察组,通过改变排班模式、提供个性化健康教育内容、加强专科知识及沟通技巧培训进行持续质量改进.比较两组患者健康状况达标率、并发症发生率及护理质量满意度.结果 观察组患者健康状况达标率及护理质量满意度分别为93.9％,94.6％,均高于对照组的87.1％,86.3％,差异均有统计学意义（x^2分别为8.01,11.59;P＜0.01）；观察组患者并发症发生率为12.1％,低于对照组的20.1％,差异有统计学意义（x^2 =6.88,P＜0.01）.结论 持续质量改进不仅对结核性胸外科手术患者术后健康状况有良好的促进作用,减少术后并发症的发生,还能提高患者预后生活质量及护理质量满意度.

Objective To study the effect of continuous quality improvement on the health education of treatment of tuberculosis in thoracic surgical.Methods Totals of 278 cases between January and December in 2010 received the conventional health education as the control group,and 297 cases between January and December in 2011 as observation group received for continued quality improved,through change shifts mode,provides personalized health education content,strengthening specialist knowledge and the communication skills training,take rectification measures and evaluation effect.After one year,patients＇ health status,complication incidence,satisfaction of nursing quality were evaluated and compared between two groups.Results The achieved rate of health status （93.9% vs 87.1%） and satisfaction of nursing quality （94.6% vs 86.3%） in observation group were significantly better than that in control group （x^2 =8.01,P 〈 0.01）,as well as the complication incidence （12.1% vs 20.1%,x^2 =6.88,P 〈 0.01）.Conclusions Continuous quality improvement not only has a good role in promoting postoperative health status,and reduce the incidence of postoperative complications,thus can improve the prognosis of patients with quality of care and quality of life satisfaction.