胃肠外科专科护理质量评价指标的应用研究

Application of nursing quality evaluating indicators in gastrointestinal surgery department

目的 研究胃肠外科专科护理质量评价指标的临床应用效果.方法 运用Delphi法建立胃肠外科专科护理质量评价指标,并运用专科指标对胃肠外科临床护理工作进行质量控制,收集数据建立数据库,以数据为基础进行分析和持续质量改进.结果 对胃肠外科专科护理质量评价指标开始实施时（2016年6月）和指标运用6个月后（2016年11月）的各项指标数据进行对比,结果指标＂患者知晓术后并发症的观察和预防＂分别为75.00%和92.00%,差异有统计学意义（x2=4.200,P〈0.05）,过程指标也有改善.结论 胃肠外科专科护理质量评价指标,为胃肠外科护理质量管理提供依据,为胃肠外科的临床护理工作提供了标准和指导,有利于提升专科护理水平,保障患者安全.

Objective To evaluate the application of nursing quality indicators in gastrointestinal surgery department. Methods The indicator system was established by use of the Delphi method, applied in nursing quality control in gastrointestinal surgery department, and was used to analyze and improve nursing quality continuously according to the routine data collection. Results After the application of quality indicators for 6 months, the complications′ observation and prevention awareness rate of the patients increased from 75.00% to 92.00%（x2=4.200, P〈0.05）, and most of the process indicators had improved. Conclusions The nursing quality indicators provide basis for nursing quality management,and provide standards and guidance for clinical works.