＂一病一品＂项目的构建与实施

Construction and application of ＂disease-characteristics nursing quality improvement＂ program

目的 构建并实施＂一病一品＂项目,评价其效果,探讨提升护理质量的方法.方法 通过文献法和焦点团体访谈法明确＂一病一品＂的理论依据并形成＂最优的证据—最优的路径—最优的关怀＂这一基本框架,制定＂一病一品＂计划进行应用和推广,通过＂一病一品＂项目覆盖的疾病范围、医院专项督导评价、平均住院日、患者满意度等指标评价其实施效果.结果 随着＂一病一品＂在183种疾病中应用,医院专项督导评价全院的平均得分从2013年的（92.34±4.22）分提升至（98.67±2.43）分,差异有统计学意义（t=-10.235,P〈0.05）;平均住院日从2013年的8.3 d降到2015年的7.2 d;患者满意度从2010年的98.0%提升至2015年的99.8%.结论 ＂一病一品＂项目的开展有利于促进疾病护理品质的提升、提高护理工作效率以及提升患者满意度,具有可行性.

Objective To construct and implement the ＂disease-characteristics nursing quality improvement＂ program（DNQIP）and evaluate its application effect,and explore how to improve nursing quality.Methods Through literature review and focus group interview,the theoretical basis and fundamental framework of DNQIP was established. With the plan,DNQIP was implemented and popularized. The covering range of DNQIP in diseases,the special supervision evaluation of hospitals,the average hospitalization time and patient satisfaction were used to evaluate the effect of DNQIP.Results DNQIP covered 183 kinds of diseases, and the average score of special supervision evaluation increased from（92.34±4.22）of 2013 to（98.67±2.43） of 2015（t=-10.235,P〈0.05）. The average hospitalization time decreased from 8.3 d of 2013 to 7.2 d of 2015 and patient satisfaction increased from 98.0% of 2010 to 99.8% of 2015.Conclusions DNQIP is feasible and beneficial to the improvement of nursing quality,nursing work efficiency and patient satisfaction.