ABC分析法管理模式在手术室患者中的应用

Application of ABC analysis management model in operating room nursing management

目的探讨ABC分析法管理模式在手术室患者中的应用价值,为推广应用ABC分析法管理模式提供方法。方法选择2012年9月—2013年9月住院患者884例,根据随机数字表法分为观察组440例与对照组444例,对照组给予传统护理管理,观察组给予ABC分析法护理管理模式,观察2组的护理质量、患者满意度与生活质量。结果观察组的基础护理合格率(99.8%)和护理文书合格率(99.5%)高于对照组(92.6%、92.1%),患者院内感染发生率(0.7%)低于对照组(7.2%),组间对比差异均有统计学意义(P<0.05)。出院时进行调查,观察组患者对专业技术(98.45±4.08)、护理环节(98.87±3.13)、护理认知(95.34±3.98)的评分均高于对照组(90.34±3.78、88.93±4.10、85.03±3.34),组间对比差异均有统计学意义(P<0.05);观察组患者对病区环境的评分(95.34±3.12)与对照组(94.09±4.00)对比差异无统计学意义(P>0.05)。出院随访3个月进行调查,观察组患者在生理(18.18±4.00)、心理(22.57±3.18)、社会(19.30±3.10)、环境(12.88±2.45)四个领域的得分均高于对照组(16.88±4.04、17.88±3.20、16.00±2.99、10.85±2.36),组间对比差异均有统计学意义(P<0.05)。结论手术室护理管理中ABC分析法管理模式的应用能有效提高护理质量,提升患者的满意度,从而改善患者预后生活质量。

Objective To investigate the application values of ABC analysis management model in the operating room nursing management. Methods From September,2012 to September,2013,884 patients in our hospital were divided into treatment group（ 444 cases） and control group（ 440 cases） accorded to a random number table. The control group received the traditional nursing management,while the observation group was given the ABC analysis management model.Results The qualified rate of basic nursing and nursing documents in the observation group were 99. 8% and 99. 5%,which were higher than 92. 6% and 92. 1% in the control group. The nosocomial infection incidence in the observation group was 0. 7% which was lower than that（ 7. 2%） in the control group,the differences between the two groups were statistically significant（ P〈 0. 05）. The discharge survey showed that the patients satisfaction（ score） with professional and technical（ 98. 45 ± 4. 08）,nursing process（ 98. 87 ± 3. 13） nursing cognition（ 95. 34 ± 3. 98） scores were higher than those（ 90. 34 ± 3. 78,88. 93 ± 4. 10,85. 03 ± 3. 34） in the control group,the differences between the two groups were statistically significant（ P〈 0. 05）; The score for ward environment was 95. 34 ± 3. 12 in the observation group and 94. 09 ±4. 00 in the control group,the difference was not statistically significant（ P〉 0. 05）. Three month follow-up showed that the score for physiological（ 18. 18 ± 4. 00）,psychology（ 22. 57 ± 3. 18）,social（ 19. 30 ± 3. 10） and environment（ 12. 88 ± 2. 45） in the observation group were higher than those（ 16. 88 ± 4. 04,17. 88 ± 3. 20,16. 00 ± 2. 99,10. 85 ±2. 36） in the control group,and the differences between the two groups were statistically significant（ P〈 0. 05）. Conclusion ABC analysis in the operating room nursing management can effectively improve the quality of care and patients＇ satisfaction,thus improve the quality of life of patients.