护理质量指标管理在重组人血管内皮抑制素注射液联合静脉化疗及腹腔热灌注治疗妇科肿瘤中的应用

Application of Nursing Quality Management in Recombinant Human Endostatin Injection Combined with Intravenous Chemotherapy and Intraperitoneal Hyperthermic Perfusion for Gynecological Tumors

目的:探讨护理质量指标管理在重组人血管内皮抑制素注射液联合静脉化疗及腹腔热灌注治疗恶性妇科肿瘤中的应用效果。方法:2012年1月-2013年1月对妇科肿瘤行重组人血管内皮抑制素注射液联合静脉化疗及腹腔热灌注治疗的患者行护理质量指标管理,并与2011年1月-2011年12月同一病区实施护理质量管理前的护理效果进行对比。结果:与实施前相比,实施后护理人员服务意识、工作责任心、解决问题能力、专科知识学习能力、专科操作能力、文书管理能力显著提高,差异有统计学意义(P<0.05)。实施后护理风险事件发生1例(3.33%)显著低于实施前的6例(20.00%),差异有统计学意义(P<0.05)。与实施前相比,实施后患者化疗基础知识知晓率、并发症预防知晓率、生活方式管理知晓率、化疗不良反应知晓率、心理疏导知晓率、满意率显著提高,差异有统计学意义(P<0.05)。结论:对行重组人血管内皮抑制素注射液联合静脉化疗及腹腔热灌注治疗恶性妇科肿瘤的患者应用护理质量指标管理,可提高护理质量,减少护理风险事件的发生,提高患者满意度。

OBJECTIVE： To investigate the effect of nursing quality management in recombinant human endostatin injection combined with intravenous chemotherapy and intraperitoneal hyperthermic perfusion for malignant gynecological tumors. METHODS： Nursing quality management was performed in patients receiving recombinant human endostatin injection combined with intravenous chemotherapy and intraperitoneal hyperthermic perfusion for malignant gynecological tumors from Jan. 2012 to Jan. 2013. It compared with those patients who didn＇t received nursing quality management from same ward during Jan.- Dec. 2011. RESULTS： After the implementation of quality management, service awareness, sense of responsibility, skills of solving problem, specialist knowledge and learning ability, specialist operational capabilities, document management capacity of nurses increased significantly than before; there was statistical significance （P〈0.05）. After the implementation of quality management, nursing risk event occurred in one case （3.33%）which was lower than before （6 cases, 20.00% ） ; there was statistical significance（P〈0.05）. After the implementation of quality management, the rate of chemotherapy awareness, complications prevention awareness, lifestyle management awareness, awareness of chemotherapy-induced ADR, psychological counseling awareness, patient satisfaction degree were improved significantly than before; there was statistical significance （P〈0.05）. CONCLUSIONS： The nursing quality management can improve the quality of nursing, reduce the occurrence of risk events care and improve patient satisfaction in patients with gynecological tumors receiving recombinant human endostatin injection combined with intravenous chemotherapy and intraperitoneal hyperthermic perfusion.