持续质量改进式护理对急诊患者身心感受及自尊水平的影响分析

Analysis of the Effects of Continuous Quality Improvement Nursing on Physical and Mental Feelings and Self-esteem Level of Emergency Patients

目的:研究持续质量改进式护理对急诊患者身心感受及自尊水平的影响。方法:选取笔者所在医院2016年1月-2019年1月收治的急诊患者120例进行研究。按照就诊单双号将其等分为改进组和对照组,每组60例。对照组实施常规护理,改进组则实施持续质量改进式护理。比较两组护理服务质量、干预前后身心感受、自尊水平及皮质醇、IL-6水平。结果:改进组急救技术不规范、操作不规范、护理风险意识滞后、监护力度较差发生率低于对照组,差异有统计学意义(P<0.05)。干预后两组SPB评分均较干预前降低,且改进组低于对照组,差异有统计学意义(P<0.05)。干预后两组RSES评分均显著高于干预前,且改进组显著高于对照组,差异有统计学意义(P<0.05)。干预后改进组皮质醇、IL-6水平均低于对照组,差异有统计学意义(P<0.05)。结论:持续质量改进式护理可显著改善急诊患者身心感受及自尊水平,同时有利于减轻患者的应激反应程度,值得临床推广应用。

Objective:To study the effects of continuous quality improvement nursing on physical and mental feelings and self-esteem level of emergency patients.Method:A total of 120 emergency patients admitted in our hospital from January 2016 to January 2019 were selected for study.The patients were equally divided into the improved group and the control group according to odd and even number,with 60 patients in each group.The control group received routine nursing,while the improved group received continuous quality improvement nursing.The nursing service quality,physical and mental feelings,self-esteem level and cortisol and IL-6 levels before and after intervention were compared between the two groups.Result:The incidence of non-standard first aid technique,non-standard operation,delayed nursing risk awareness,and poor monitoring in the improved group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the SPB score of both groups was lower than that before intervention,and that of the improved group was lower than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the RSES score of both groups was significantly higher than that before intervention,and the improved group was significantly higher than the control group,and the difference was statistically significant(P<0.05).After intervention,cortisol and IL-6 levels in the improved group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Continuous quality improvement nursing can significantly improve the physical and mental feelings and self-esteem level of emergency patients,and help to reduce the degree of stress response of patients.It is worthy of clinical application.