基于QFD构建泌尿造口医护患协同管理模式

Construction of Collaborative Management Mode of Urostomy Doctors,Nurses and Patients Based on Quality Function Deployment

目的分析泌尿造口患者健康管理需求,提出医护患协同管理方案,降低患者造口相关并发症发生率,提高患者满意度。方法对泌尿造口患者进行半结构式访谈,以质量功能展开为基础,挖掘患者健康管理需求,确定重点改进质量特性,并通过失效模式与效应分析进行质量优化与最佳方案选择,提出构建医护患协同管理方案、多元化培训、搭建数据网、应用“互联网+”开展随访等方案。结果泌尿造口患者造口自护能力得分提升至47.45分,随访满意度提升至98.86%,患者造口相关并发症发生率下降至18.45%,泌尿造口接受度提高至98.32%。结论运用质量功能展开创新型品管圈能够确定影响泌尿造口患者医疗护理服务质量的关键因素,为临床管理改进提供依据,从而提升泌尿造口患者的服务质量。

Objective In order to effectively ascertain the primary requirements of patients with urostomy,it is suggested to implement a collaborative approach involving urostomy physicians,nurses,and patients.This approach aims to mitigate the occurrence of complications associated with stomas and enhance patient contentment.Methods Semi-structured interviews were conducted with individuals who have undergone urostomy procedures.Through the utilization of quality function deployment(QFD),the healthcare management necessities of patients with urostomy were investigated.In this study,various analytical tools such as scenario analysis,the KANO model,and a two-dimensional relationship matrix were employed to identify key quality characteristics for improvement.Additionally,quality optimization and optimal program selection were conducted through failure mode and effect analysis.Proposed plans included the establishment of collaborative management between doctors and nurses,the implementation of patient plans,diversified training initiatives,the development of a data network,and the utilization of"Internet+"resources,ect.Results Urostomy self-care was scored at 47.45 points,the satisfaction rate with follow-up was 98.86%,the incidence of ostomy-related complications decreased to 18.45%,and the acceptance rate of urostomy increased to 98.32%.Conclusion By using QFD's innovative quality control circle,we can identify the key factors affecting the quality of medical care for those with urostomies.As a result,the clinical management of urostomy patients will be improved,and the quality of their medical care service will therefore improve.