实时护理质控在危重症患者中的应用效果

Application effect of real-time nursing quality control in patients with critically ill

目的分析实时护理质控在危重症患者护理管理中的应用效果,为制订临床护理方案提供参考。方法选取2021年11月—2022年12月博兴县人民医院收治的危重症患者70例,以随机抽签法分为对照组和观察组各35例。对照组采取常规护理管理,观察组在对照组基础上采取实时护理质控管理。比较两组护理质量评分及护理满意率。结果观察组病情观察、专科护理、基础护理、护理并发症、健康教育、护理记录、急救用品评分分别为(95.7±1.6)、(98.0±0.8)、(97.0±1.0)、(97.1±1.1)、(94.2±1.5)、(96.5±1.6)、(96.9±1.4)分,高于对照组的(86.9±2.1)、(87.9±1.4)、(87.5±1.8)、(89.0±0.9)、(88.2±0.6)、(88.2±2.3)、(87.9±2.0)分,差异均有统计学意义(P<0.05)。观察组患者护理总满意率为97.1%,高于对照组的82.9%,差异有统计学意义(χ^(2)=3.968,P<0.05)。结论实时护理质控应用在危重症患者中,能够通过护理质量的提升,加强对患者的病情观察、专科护理、基础护理、并发症护理、健康教育等方面的干预,提高了患者的护理满意率,获得了较为明显的护理效果,值得临床应用。

Objective To analyze the application effect of real-time nursing quality control in the nursing management of critically ill patients,and provide reference for formulating clinical nursing plans.Methods A total of 70 critically ill patients admitted to Boxing County People's Hospital from November 2021 to December 2022 were selected and divided into a control group and an observation group by using random drawing method,with 35 cases in each group.The control group received routine nursing management,while the observation group received real-time nursing quality control management based on the control group.The nursing quality scores and satisfaction rate between two groups were compared.Results The scores of condition observation,specialized nursing,basic nursing,nursing complications,health education,nursing record and emergency supplies in the observation group were(95.7±1.6),(98.0±0.8),(97.0±1.0),(97.1±1.1),(94.2±1.5),(96.5±1.6)and(96.9±1.4)points,respectively,which were higher than those in the control group with(86.9±2.1),(87.9±1.4),(87.5±1.8),(89.0±0.9),(88.2±0.6),(88.2±2.3)and(87.9±2.0)points,and the differences were statistically significant(P<0.05).The overall satisfaction rate of nursing in the observation group was 97.1%,which was higher than 82.9%in the control group,and the difference was statistically significant(χ^(2)=3.968,P<0.05).Conclusion The application of real-time nursing quality control in critically ill patients could enhance the observation conditions,specialized nursing,basic nursing,complication nursing,health education and other interventions of patients through the improvement of nursing quality,improve patients'satisfaction rate of nursing,and achieve significant nursing effects,which was worthy of clinical application.