呼吸监护室开展6S管理模式的应用价值

Application value of 6S management model in respiratory care unit

目的探讨呼吸监护室开展6S管理模式的应用价值。方法采用便利抽样法,以郑州大学第一附属医院呼吸监护室21名护士,以及2017年7月开展6S管理模式前后本科分别收治的204、233例患者为研究对象。开展6S管理模式前采用常规护理管理模式;开展6S管理模式后,针对整理、整顿、清扫、清洁、素养和安全6项内容,制定并落实现场管理措施。比较干预前后护士安全意识、护理服务满意度、护士对工作满意度、护理不良事件发生情况。结果干预后,21名护士安全意识量表得分(46.38±2.99)分,工作满意度量表得分(69.43±7.10)分,均高于干预前的(40.76±2.21)、(62.19±6.06)分,干预前后比较差异有统计学意义(P<0.05)。干预后,患者护理服务满意度量表得分(85.57±11.27)分,高于干预前的(79.31±11.82)分,干预前后比较差异有统计学意义(P<0.05)。干预后管道脱出、约束不良的发生例数均低于干预前,干预前后比较差异有统计学意义(P<0.05)。结论6S管理模式有助于提升呼吸监护室护理管理效果,值得推广。

Objective To explore the application effects of 6S management model in respiratory intensive care unit.Methods 21 nurses in the respiratory care unit of the First Affiliated Hospital of Zhengzhou University and 204 and 233 patients before and after the 6S management model in July 2017 were selected as the subject by convenient sampling.The general care management model was adopted before the 6S management model was carried out;after the 6S management model was carried out,on-site management measures were formulated and implemented for the six contents of seiri,seiton,seiso,seiketsu,shitsuke and security.Comparing the safety awareness of nurses,the patients'satisfaction with nursing,the job satisfaction of nurses and the occurrence of adverse events before and after intervention.Results After intervention,21 nurses'Safety Awareness Scale score was(46.38±2.99)and Job Satisfaction Scale score was(69.43±7.10),which were higher than the scores(40.76±2.21)and(62.19±6.06)before intervention,the differences between the two groups were statistically significant(P<0.05).After the intervention,the patients'Newcastle Satisfaction with Nursing Scales score was(85.57±11.27),higher than the score(79.31±11.82)before intervention,the difference was statistically significant(P<0.05).After intervention,the number of cases of tube dislodgement and poorly constrained cases were lower than that before intervention,and the differences were statistically significant(P<0.05).Conclusions The 6S management model can improve the nursing management effect of respiratory intensive care unit and it is worth promoting.