患者感受性指标在提升骨科优质护理服务质量中的应用研究

Application Research of Patients' Susceptibility Indexes Used in Improving the Quality of High Quality Nursing Service in Orthopedics

目的:探讨患者感受性指标在提升骨科优质护理服务质量中的应用。方法:根据优质护理服务要求和骨科疾病护理特点等,设置骨科患者住院感受性指标,选择2014年12月-2015年5月收治的骨1区患者设为实验组,骨2区患者设为对照组,对实验组的患者出院时进行骨科住院患者住院感受满意度的调查,根据调查结果对护理服务的流程和内容进行改进。满半年时比较两组的临床护理质量指标。结果:实验组高危药物外渗的例次,使用药物错误的例数,非计划性拔管例数,尿管相关泌尿系感染发生率,手术相关肺部感染发生率,跌倒发生率,患者足下垂、关节僵硬、跟腱挛缩及肌萎缩的发生例次,深静脉血栓的发生例次,无效牵引及下肢牵引针移位针眼感染发生率等10项临床护理质量指标均低于对照组,两组比较差异有统计学意义(P<0.05)。结论:患者感受性指标在临床上应用,能推进临床护理质量的建设,提升临床护理质量。

Objective：To explore the application of patients＇ susceptibility indexes used in improving the quality of high quality nursing service in orthopedics.Method：According to the requirements of high quality nursing service and nursing characteristics of diseases in department of orthopedics,susceptibility indexes of patients in the department of orthopedics were set.1245 patients in our school from January to December 2014 were selected and divided into the experimental groups（patients in the first district of orthopedics）and the control group（patients in the second district of orthopedics）.The experimental groups were given survey of satisfaction when they left hospital.The process and content of nursing service were improved according to the results of the surveys.The clinical nursing quality indexes of the two groups were compared at the end of the year.Result：The occurrence rates of high risk drug extravasation,wrong use of drugs,unplanned extubation,catheter related urinary tract infection,operation related lung infection,tumble,foot drop,joint stiffness,contracture of achilles tendon,muscle atrophy,deep vein thrombosis,invalid traction and infection of lower limb traction needle shifting of the experimental group were significantly lower than those of the control group.Conclusion：The clinical application of Patients＇ susceptibility indexes can promote and enhance the quality of clinical nursing.