PDCA循环管理模式在医养结合护理质量持续改进中的应用

Study on the Application of PDCA Circulation Management Mode in Continuous Improvement of Nursing Quality in Combination of Medicine and Nursing

目的:探讨PDCA循环管理模式在医养结合护理质量持续改进中的应用。方法:收集院内收治的处于"医"或"养"状态的老年患者172例,随机分为试验组和对照组,各86例。入院后,对照组患者予以医养结合养老模式,予以常规安全护理方法,试验组在对照组的基础上予以接受应用PDCA循环管理模式后的护理服务,对比两组患者对服务态度、业务水平、病区管理、健康教育、护理质量情况、满意度调查评价以及安全事件发生情况。结果:干预后,两组护理评价得分均较干预前显著提高(P<0.05);试验组PDCA循环管理模式后服务态度、业务水平、病区管理以及健康教育等护理评价显著优于对照组(P<0.05);与对照组相比,试验组"危重患者、分级护理、病区管理、护理安全"认可度较高;且院内服务满意度各指标显著较高(P<0.05)。同时,试验组安全事件发生率较低(P<0.05)。结论:应用PDCA循环管理模式开展优质护理,为医养结合护理患者提供优质、安全、满意的护理服务,能够持续改进患者满意度以及临床护理质量。

Objective： To investigate the application of PDCA circulation management mode in continuous improvement of nursing quality in combination of medicine and nursing. Methods： 172 cases of elderly patients who were admitted to the hospital in the ＂ medical＂ or ＂ foster＂ state were selected and randomly divided into the control group and the experiment group with 86 cases in each group. After admission,the patients in the control group were given the mode of combining medical care with old-age care,and routine safety nursing methods were adopted; the experimental group received the nursing service after the PDCA circulation management mode on the basis of the control group. The service attitude,professional level,ward management,health education,nursing quality,satisfaction degree,assessment and safety incident were compared between the two groups. Results： After the intervention,two groups of nursing evaluation scores were significantly higher（ P〈 0.05）; the experimental group of PDCA cycle management service attitude,service level,ward management and health education nursing evaluation was significantly better than the control group（ P〈 0.05）; compared with the control group,the experimental group ＂ critically ill patients,nursing ward management,nursing safety,＂ the high degree of recognition; and hospital service satisfaction index was significantly higher（ P 〈0.05）. At the same time,the test group security incident rate is low（ P 〈0.05）. Conclusion：Applying PDCA circulation management mode to carry out high quality nursing can provide the high quality,safety and satisfactory nursing service for patients with medical and nursing support. It can continuously improve satisfaction and clinical nursing quality for patients.