护理安全管理在耐多药结核病房的应用及效果

Application and Efficacy of Nursing Safety Management in Multi Drug-Resistant Tuberculosis Ward

目的探讨护理安全管理在耐多药结核病房的应用及效果。方法将我中心2013年6月至2014年5月收治的45例进行护理安全管理的耐药结核病(MDR-TB)患者作为观察组,选择2012年6月至2013年5月未进行护理安全管理的45例MDR-TB患者作为对照组。对照组仅进行抗结核治疗、生活护理及隔离,观察组在对照组基础上进行护理安全管理,包含人、料、法、环护理风险因素评估及护理安全管理,比较两组的临床效果。结果观察组患者的痰菌转阴率(64.4%vs 33.3%)、病灶吸收率(73.3%vs 42.2%)及空洞闭合率(68.9%vs 53.3%)均显著高于对照组(P<0.05);观察组护理投诉(2.2%vs.17.8%)、心理抑郁(4.4%vs 20.0%)的发生率均显著低于对照组(P<0.05)。观察组治疗1年后的护理服务满意度(95.6%vs 71.1%)显著高于对照组(P<0.05)。结论护理安全管理可提高MDR-TB患者疗效,减少护理投诉,改善心理状况,提升护理服务满意度。

Objective To explore the application and effect of nursing safety management in multi drug-resistant tuberculosis （MDR-TB） ward. Methods 45 patients with MDR-TB admitted to our center from June 2013 to May 2014 who received nursing safety management were selected as observation group, and 45 patients with MDR-TB admitted to our center from June 2012 to May 2013 who did not receive nursing safety management were selected as control group. The clinical effect was observed and compared between the two groups. Results The sputum negative rate, focus absorption rate and cavity closing rate of the observation group were 64.4%, 73.3% and 68.9%, significantly higher than 33.3%, 42.2% and 53.3% of the control group, respectively, with statistical difference （P 〈0.05）. The incidences of care complaint and mental depression of patients of observation group were 2.2% and 4.4%, significantly lower than 17.8% and 20.0% of control group, respectively, with statistical differences （P〈0.05）. The nursing service satisfaction rate 1 year after treatment of observation group was 95.6%, significantly higher than 71.1% of control group （P〈0.05）. Conclusions Nursing safety management can effectively improve the curative effect of patients with MDR-TB, reduce the care complaint, and improve patients＇ mental depression and nursing service satisfaction.