摘要
目的：探讨品管圈活动在提高肿瘤患者疼痛护理满意度中的应用。方法将494例肿瘤患者按随机数字表法分为对照组和实验组，各247例。对照组患者进行常规疼痛护理，实验组采用品管圈活动，具体为：成立品管圈，确立“提高肿瘤患者疼痛护理满意度”为活动课题，选择247例住院患者进行现状调查，分析肿瘤患者护理服务满意度低的原因，制定相应的对策并组织实施，再进行效果检查。比较两组患者疼痛护理知识知晓率、对护理服务的满意度及疼痛程度情况。结果实验组247例肿瘤患者对疼痛护理知识知晓率和对护理服务满意度分别为97．21％，98．40％，均高于对照组（87．53％，91.42％），差异有统计学意义（χ^2值分别为4．356，7．983；P＜0．05）；干预后实验组较对照组无痛患者增加到13例，而重度疼痛患者减少至14例，两组患者疼痛程度比较差异有统计学意义（ Z＝-2．425， P＜0．01）。结论品管圈活动在提高肿瘤患者护理服务满意度中效果明显，并改善肿瘤患者的疼痛效果。
Objective To explore the quality management activities on improving nursing satisfaction of pain in patients with tumors .Methods Totals of 494 patients with cancers were randomly divided into control group （ n=247 ） that received routine pain nursing ,and study group （ n=247 ） that received the intervention of quality management activities .That set up the quality control circle （ QCC ） , established “improving patients pain nursing satisfaction” as the topic , conducted investigation , analyzed the causes , formulated corresponding measures and organized the implementation , and then examined the effect .Then, pain nursing knowledge awareness rate, patients’ satisfaction and pain degree of patients in two groups were observed and compared . Results Awareness rate of pain nursing knowledge （97.21% vs 87.53%）, and patients’ satisfaction with pain nursing （98.40%vs 91.42%） in study group were significantly higher than that in control group , and the differences were statistically significant （χ^2 =4.356,7.983,respectively;P〈0.05）.After the intervention,the number of no pain patients increased to 13 in study group with heavy pain patients decreased to 14, and the difference of pain degree of two groups was statistically significant （Z=-2.425,P〈0.01）.Conclusions The QCC can significantly improve the cancer patients ’ satisfaction with nursing care , and improve the effect of cancer pain treatment .
出处
《中华现代护理杂志》
2014年第30期3866-3869,共4页
Chinese Journal of Modern Nursing
基金
湖南省科技厅课题
