持续质量改进在儿科护理质量管理中的应用

Application of continuous quality improvement in pediatric nursing quality manage-ment

目的：探讨在儿科护理质量管理中实施持续质量改进的临床效果。方法对2012年3月至2015年4月在职的24名儿科护理人员实施护理质量持续改进措施,并选取2012年3月至2014年3月改进措施实施前住院患儿82例为对照组,2014年4月至2015年4月改进措施实施后住院患儿82例为实验组,观察实施前后护理质量改善情况、两组患儿不良事件发生情况及患儿家属满意度。结果护理人员实施持续质量改进后护理评分明显高于实施前,差异有统计学意义（ P〈0.05）；实验组患儿不良事件发生率仅为1.22%,与对照组的8.54%比较,明显较低,差异有统计学意义（ P〈0.05）；实验组患儿家属满意率达到96.34%,与对照组的87.80%比较,显著较高,差异有统计学意义（ P〈0.05）。结论在儿科护理管理中,实施持续质量改进能显著改善护理质量,减少不良事件发生,提高患儿家属满意度,值得推广。

Objective To investigate the clinical effect of continuous quality improvement in pediatric nursing quality management. Methods The implementation of continuous nursing quality improvement measures were carried out in 24 in-service nursing staffs from March 2012 to April 2015 , and 82 hospitalized children in our hospital from March 2012 to March 2014 were selected as the control group before the nursing quality improvement was carried out. And another 82 hospitalized children in our hospital from April 2014 to April 2015 were selected as the experimental group after the nursing quality improvement was carried out. The improvement of nursing quality, children＇s adverse e-vents and their families＇ satisfaction in the two groups before and after the implementation of nursing quality improvement were observed. Results The nursing score of the nursing staffs after the implementation of continuous quality improve-ment was significantly higher than that before the implementation, and the difference was statistically significant （ P〈0. 05 ）;the incidence of adverse events of the experimental group was just 1. 22%, which was significantly lower than that of the 8. 54% of the control group, and the difference was statistically significant （P〈0. 05）;patients＇ families＇ sat-isfaction rate in the experimental group reached 96. 34%, which was significantly higher than that of 87. 80% of the control group, and the difference was statistically significant （P〈0. 05） . Conclusions The implementation of continu-ous quality improvement in pediatric nursing management can significantly improve the quality of care, reduce the inci-dence of adverse events, and improve the family satisfaction, it is worth promoting.