脑卒中吞咽障碍患者护理安全指标的建立及应用

Establishment and application of nursing safety index for stroke patients with dysphagia

目的探讨专科质量指标设置在神经内科吞咽障碍患者护理质量管理中的作用。方法建立吞咽障碍患者护理安全评价指标,主要包括吞咽障碍评估、安全进食要素、护理文书记录质量、护理交接班。运用专科指标对神经内科吞咽障碍患者进行护理质量控制,定期分析数据并进行持续改进。结果护理指标开始实施时(2017-06)和实施半年后(2017-12),吞咽障碍患者首次评估准确率分别为92.31%和95.45%;动态评估及时率分别为88.74%和96.73%;吞咽障碍患者进食正确率分别为62.68%和90.32%,护理文书记录合格率分别为90.00%和97.50%;护理交接班书写合格率分别为87.50%(35/40)和92.50%(37/40)。结论专科指标的建立能使吞咽障碍患者的管理的规范化、标准化,提高神经内科吞咽障碍患者的护理质量,为持续改进疼痛护理质量提供数据和事实依据。

Objective To explore the role of specialist quality indicators in the quality management of nursing patients with dysphagia in neurology.Methods The nursing quality evaluation index research method was used to establish nursing safety evaluation indicators for patients with dysphagia,including dysphagia assessment,safe eating factors,quality of nursing records,and nursing handover classes.The four aspects of the specialist indicators are used to manage the quality of care for neurological dysphagia,to implement inspection and supervision,to regularly analyze data and to carry out continuous quality improvement.Results When the nursing indicators were implemented(2017 06)and after half a year(2017 12),the first time assessment accuracy of patients with dysphagia was 92.31%and 95.45%,respectively;the dynamic assessment timely rate was 88.74%and 96.73%,respectively;dysphagia The correct rate of food intake was 62.68%and 90.32%,respectively,and the pass rate of nursing records was 90.00%and 97.50%,respectively;the pass rate of nursing handover was 87.50%(35/40)and 92.50%(37/40),respectively.Conclusion The implementation of nursing safety indicators for patients with dysphagia can standardize and standardize the nursing work of dysphagia,improve the quality of care for patients with dysphagia in neurology,provide data and factual basis for continuous improvement of pain care quality,and help improve dysphagia care management level.