前瞻性护理质量管理模式在儿科急诊内科护理管理中的应用效果及对患儿SF-36评分的影响

The application effect of prospective care quality management model in pediatric emergency medical care management and its effect on SF-36 score of children

目的探讨前瞻性护理质量管理模式在急诊护理管理中的应用效果。方法 选取该院儿科急诊内科收治的各类急诊患儿100例，随机分为参照组和研究组，各50例。参照组患儿实施急诊常规护理，研究组患儿实施前瞻性护理，比较两组患儿的护理效果。结果研究组患儿满意度明显高于参照组患儿，差异有统计学意义（P〈0．03），此外研究组患方护理人员、医生及关系科室的满意度均优于参照组，差异均有统计学意义（均P〈0．03）；研究组患儿护理总有效率高于参照组患儿，而研究组患方纠纷发生率及投诉事件发生率均明显少于参照组，差异均有统计学意义（均P〈0．05）；研究组患儿急救耗时明显少于参照组患儿，差异有统计学意义（P〈0．02）；研究组患儿生理功能、精力、精神健康、一般健康状况及情感职能等评分均优于参照组患儿，而躯体疼痛评分低于参照组患儿，差异均有统计学意义（均P〈0．02）。结论前瞻性护理质量管理模式在儿科急诊内科护理管理中的应用效果理想，可有效缩短急救耗时，提高护理有效率及满意度，减少纠纷及投诉事件，促进患儿康复。

Objective rio explore the effect of prospective care quality management model in pediatric emer- gency medical care management and its effect on SF-36 score of children. Methods A total of 100 cases of all kinds of emergency children admitted to this hospital were selected. They were randomly divided into the control group and the study group, 50 eases of each group. The control group received routine emergency care. The study group received prospective eare. The nursing effect of the two groups was compared. Results The satisfaction of the children in the study group was significantly higher than that in the control group, and the difference was statistically significant （P〈 0. 03 ）. In addition, the satisfaction of nurses, doctors and related departments in the study group was higher than that of the reference group, and the difference was statistically significant （ P〈0. 03 ）. The total nursing efficiency of the study group was higher than that of the reference group, while the incidence of disputes and complaints in the study group was significantly lower than that of the reference group, and the differences were statistically significant （P 〈 0.05 ）. The time of first aid in the study group was significantly shorter than that in the control group, and the differ- ence was statistically significant （ P 〈 0. 02 ）. The scores of physiological function, energy, mental health, general health and emotional function of the study group were better than those of the reference group, while the scores of somat- ic pain were lower than those of the reference group, and the differences were statistically significant （P〈0. 02）. Con- dusions The application effect of prospective care quality management mode in the nursing management of pediatric e- mergency department is ideal, which can effectively shorten the time of first aid, improve nursing efficiency and satis- faction, reduce disputes and complaints, and promote the rehabilitation of children.