可控事项评估管理在胃镜诊治上消化道出血患者中的临床价值研究

Study on the clinical value of controllable items assessment management in the diagnosis and treatment of patients with UGIH by gastroscopy

目的:探讨可控事项评估管理模式在胃镜治疗上消化道出血(UGIH)患者中的临床应用价值。方法:成立可控事项评估小组,从医护人员、患者和设备工程师3个维度开展要素评估和决策制定,制定胃镜诊治方案并开展质量监督。选取医院急诊科收治的100例UGIH患者,按照对患者管理模式的不同将其分为对照组(48例)和观察组(52例),对照组采用常规管理模式,观察组采用可控事项评估管理模式。对比分析两组患者临床诊治效果、医护人员业务水平和医疗设备质量控制的差异性。结果:观察组患者的诊治有效率、意外发生率、并发症发生率和诊疗满意度数据优于对照组,差异有统计学意义(x^2=4.537,x^2=4.289,x^2=6.754,x^2=13.123;P<0.05);观察组医护人员业务考核成绩和工作质量评分高于对照组,差异有统计学意义(t=4.720,t=4.033;P<0.05);观察组设备的开机率、灭菌合格率和质量控制合格率优于对照组,差异有统计学意义(x^2=11.242,x^2=8.524,x^2=12.426;P<0.05)。结论:可控事项评估管理模式能提高UGIH患者诊治效果,减少患者并发症及治疗意外事件的发生率,能确保医疗设备的服务质量和临床安全,改善医疗设备的临床服务能力,提升医护人员业务水平和服务意识。

Objective:To explore the clinical application value of controllable items assessment management model in the treatment for patients with upper gastrointestinal hemorrhage(UGIH)by gastroscopy.Methods:A controllable matters assessment team was set up to carry out element assessment and decision–making,and formulate diagnosis and treatment scheme of gastroscopy and implement quality supervision from three dimensions included medical staffs,patients and equipment engineers.100 patients with UGIH admitted to hospital for emergency treatment were selected and they were divided into control group(48 cases)and observation group(52 cases)according to the chronological order of admission.The control group adopted the conventional management mode,and the observation group adopted the controllable item assessment management mode.The differences of the effect of clinical diagnosis and treatment,professional level of medical staffs and the quality control of medical equipment between the two groups were compared and analyzed.Results:The effective rate of diagnosis and treatment,the occurrence rate of accident,the occurrence rate of complication and the satisfaction of diagnosis and treatment of observation group were significantly better than those of control group(x2=4.537,x2=4.289,x2=6.754,x2=13.123,P<0.05).The achievements of professional check and the scores of work quality of medical staff in observation group were significantly higher than those in control group(t=4.720,t=4.033,P<0.05).And the operation rate of equipment,the qualification rate of sterilization and the qualification rate of quality control of observation group were significantly better than those of control group(x2=11.242,x2=8.524,x2=12.426,P<0.05).Conclusion:The controllable items assessment management mode can improve the effects of diagnosis and treatment of UGIH patients,and reduce the incidence rates of complications and treatment accidents,and ensure the service quality and clinical safety of medical equipment,and improve the clinical service capabilities of medical equipment,and enhance the professional level and service awareness of medical staffs.