护士主导管理在CCU过渡期患者护理安全质量中的应用研究

Application of nurse-led management in the quality of nursing safety of patients in Transition of CCU

目的探讨护士主导管理在CCU过渡期患者护理安全质量中的应用。方法选择2017年10-12月在武汉大学人民医院CCU治疗后转入心内科普通病房的60例患者为对照组,同法选取2018年1-3月的60例患者为试验组。对照组实施常规护理,试验组在此基础上采用护士主导管理模式进行护理干预。观察比较2组患者干预后的护理安全质量、生命质量及患者满意度达标情况。结果对照组患者发生护理安全不良事件、护理缺漏及CCU重返率分别为13.33%(8/60)、23.33%(14/60)、11.67%(7/60),试验组进行干预后分别为3.33%(3/60)、8.33%(8/60)、3.33%(2/60),差异有统计学意义(χ^2=4.415、4.582、4.312,P<0.05)。干预后患者的生命质量明显提高,对照组患者躯体功能、情绪功能、社会功能及总体生命质量评分分别为(56.07±4.42)、(66.62±1.89)、(56.34±4.31)、(61.26±4.15)分,试验组进行干预后分别为(71.88±4.67)、(73.52±4.28)、(63.94±4.12)、(74.62±4.02)分,2组比较差异有统计学意义(t=7.657~16.892,P<0.01)。干预后患者的满意度也明显提高,对照组患者心理支持维度、合作维度、安全维度评分分别为(7.96±0.86)、(7.39±0.61)、(7.63±0.16)分,试验组分别为(9.56±0.41)、(9.08±0.56)、(9.21±0.33)分,2组比较差异有统计学意义(t=7.632、9.116、7.562,P<0.01)。结论护士主导管理能有效的提高CCU过渡期患者护理安全质量、生命质量和满意度,降低了CCU重返率,为安全护理CCU过渡期患者提供临床参考。

Objective To study the application of nurse-led management in the nursing safety quality of CCU transition patients.MethodsThe control group of 60 patients who were transferred to the general ward after CCU treatment in Wuhan University Renmin hospital from October to December 2017 was selected,and 60 patients from January to March 2018 were set as the experimental groups.The control group carried out routine nursing,and the experimental group adopted nursing leading management model to carry out nursing intervention.To observe and compare the quality of nursing safety,quality of life and satisfaction of patients before and after intervention.ResultsThe nursing safety incidents,nursing gaps and CCU return rates of control group patients were 13.33%(8/60),23.33%(14/60)and 11.67%(7/60),respectively.For the experimental group patients,they were 3.33%(3/60),8.33%(8/60)and 3.33%(2/60),respectively.The difference was statistically significant(χ^2=4.415,4.582,4.312,P<0.05).After the intervention,the quality of life of the patients improved significantly.The conditions of physical function,emotional function,social function and overall quality of life of the control group were 56.07±4.42,66.62±1.89,56.34±4.31,and 61.26±4.15,respectively.For the experimental group,they were 71.88±4.67,73.52±4.28,63.94±4.12,and 74.62±4.02,respectively.The difference was statistically significant(t=7.657-16.892,P<0.01).After the intervention,the patient's satisfaction also increased significantly.The control group′s psychological support dimension,cooperation dimension,and safety dimension were 7.96±0.86,7.39±0.61,and 7.63±0.16,respectively.For the experimental group,they were 9.56±0.41,9.08±0.56,9.21±0.33,respectively.The difference between the two groups was statistically significant(t=7.632,9.116,7.562,P<0.01).ConclusionNurse-led management can effectively improve the quality of care safety,quality of life and satisfaction of CCU transition patients,reduce the return rate of CCU,and provide clinical reference for safe care of CCU transition patients.