流程管理在心血管内科病房护理管理中的应用

Application of Process Management in the Nursing Management of Cardiovascular Medicine Ward

目的探究流程管理应用于心血管内科病房护理管理中的效果。方法选取2017年5月—2018年4月期间该院的33名心血管内科病房护士作为常规组(采取常规护理管理),选择2018年7月—2019年8月期间该院的33名心血管内科病房护士作为管理组(采取流程护理管理)。对比两组不良事件发生情况、护理质量。结果管理组发生跌伤、坠床、失误操作、无菌物品不合格等不良事件的总发生率9.09%明显低于常规组30.30%(χ^(2)=4.694,P=0.030)。管理组护理质量评估指标(护理安全、消毒隔离、健康教育、饮食指导、病区管理、服务态度)评分均明显高于常规组(t=6.085、10.966、13.303、14.570、14.469,P<0.001)。结论与常规护理管理模式相比,流程护理管理应用于心血管内科病房护理管理中的效果显著,能减少病房内不良事件的发生,同时提高护理质量。

Objective To explore the effect of process management in the nursing management of cardiovascular medical wards.Methods From May 2017 to April 2018,33 nurses in the cardiovascular medical ward of the hospital were selected as the routine group(using routine care management),and 33 cardiovascular nurses in the hospital from July 2018 to August 2019 were selected.The nurse in the internal medicine ward serves as the management team(adopting process nursing management).The occurrence of adverse events and the quality of care were compared between the two groups.Results The total incidence of adverse events such as falls,bed falling,mishandling,and unqualified sterile materials in the management group was 9.09%,significantly lower than 30.30%in the conventional group(χ^(2)=4.694,P=0.030).The management group's nursing quality evaluation indicators(nursing safety,disinfection and isolation,health education,diet guidance,ward management,service attitude)scores were significantly higher than those of the routine group(t=6.085,10.966,13.303,14.570,14.469,P<0.001).Conclusion Compared with the conventional nursing management model,the process nursing management applied to the cardiovascular medical ward nursing management has a significant effect,can reduce the occurrence of adverse events in the ward,and improve the quality of nursing at the same time.