骨科专科护理质量评价体系的建立与实施

Establishment and implementation of nursing quality evaluation system in department of orthopedics

目的 探讨骨科专科护理质量评价体系的建立与实施效果. 方法 选择2011年12月～2012年12月在本院骨科住院患者557例（设为对照组）,采用传统护理评价指标评价其护理质量;选择2013年4月～2014年5月在本院骨科住院患者528例（设为观察组）,采用骨科专科护理质量评价体系评价其护理质量.比较实施骨科专科护理质量评价体系前后两组专科护理质量各项指标（住院评估准确率、病情观察准确率、专科并发症干预准确率、护理记录合格率、护理缺陷发生率）及患者满意度情况. 结果 两组患者住院评估准确率、病情观察准确率、专科并发症干预准确率、护理记录合格率及患者满意度比较,均P＜0.01,差异具有统计学意义,观察组各项指标均明显优于对照组;两组均未发生护理缺陷.结论 本研究初步制订了骨科专科护理质量评价体系,其能弥补传统评价体系的环节质量控制不足,提高骨科护理管理质量;实施过程提供保障措施可有效保障质量评价体系顺利实施.

Objective To explore the establishment and implementation of nursing quality evaluation system in department of orthopedics. Methods Randomly 527 patients hospitalized in the department of orthopedics from December 2011 to December 2012 were selected and assigned into the control group, where a traditional evaluation system was used. Another 528 patients hospitalized from April 2013 to June 2014 as the observation group, where orthopedics specialist evaluation system was used. The two groups were compared in terms of hospital evaluation accuracy, observation accuracy, accuracy rate of specialist intervention complications, the qualified rate of nursing records and patient satisfaction. Result The hospital evaluation accuracy, observation accuracy, the accuracy rate of specialist intervention complications, the qualified rate of nursing records and patients satisfaction of the observation group were significantly higher than those of the control group （P〈0.01） and there was no incidence in two groups. Conclusion The establishment of orthopaedic nurse quality evaluation system can make up the shortage of traditional evaluation system and improve the quality of the orthopaedic nursing management.