肝胆外科护理工作中影响护理质量的原因分析及对策

Analysis of the Causes of Nursing Quality in Department of Hepatobiliary Surgery Nursing and Countermeasures

目的探讨肝胆外科护理工作中影响护理质量的原因及对策。方法选取2016年8月—2017年7月在我院住院治疗的肝胆疾病患者163例作为研究对象,将其分为对照组(82例)和观察组(81例);对照组患者采用常规护理;观察组患者在常规护理的基础上,采取薄弱环节管理;对入院接待、心理干预、健康教育、基础护理、用药指导等各项指标进行评分,并记录健康教育知晓率、护理不良事件发生率及基础护理质量合格率等指标。结果与对照组比较,观察组各项护理评分和总体评分均显著增加,差异具有统计学意义(P<0.05);与对照组比较,观察组健康教育知晓率及基础护理质量合格率显著增加,差异具有统计学意义(P<0.05),而护理不良事件发生率则显著降低,差异具有统计学意义(P<0.05)。结论薄弱环节管理应用于肝胆外科护理工作中,有助于增加护理评分、健康教育知晓率、基础护理质量合格率及降低不良事件发生率。

Objective To analyze the factors influencing the quality of liver and bile surgical nursing and its forming reasons. Methods 163 patients with hepatobiliary diseases in our hospital from August 2016 to July 2017 were selected as the research objects, and they were divided into control group （82 cases） and observation group （81 cases）. Patients in the control group were treated by routine nursing and in the observation group were treated by routine nursing and nursing weakness; The score of hospital reception, physological intervention, health education, primary care, medication guidance were evaluated and health education awareness rate, incidence of nursing adverse events and quality of basic care quality were recorded. Resnlts Compared with the control group,various nursing score and total score in the observation group were significantly increased （P〈0.05）;Compared with the control, health education awareness rate and quality of basic care quality increased significantly, the difference was statistically significant （P〈0.05）; While the incidence of nursing adverse events were significantly reduced in the observation group, the difference was statistically significant （P〈0.05）. Conclusion Weak link management used in the liver and gallbladder surgery nursing will help to increase the nursing scoring awareness, basic nursing, health education quality qualified rate and reduce the incidence of adverse events and is worth promoting.