PDCA循环模式用于中医护理管理对院感及护理质量的影响

The Effect of PDCA Cycle Model on Hospital Sense and Nursing Quality in Traditional Chinese Medicine Nursing Management

目的分析在中医护理管理中干预PDCA循环模式的效果以及对院感、护理质量影响。方法选取2021年6月—2023年5月山东颐养健康集团淄博医院的20名护理人员为研究对象。按管理方法实施时间不同分为对照组(2021年6月—2022年5月)、观察组(2022年6月—2023年5月),每组对应136分归档病历。其中对照组行常规管理,观察组行PDCA循环管理。对比护理人员工作积极性、学习能力、护理管理质量及归档病历内容记录情况。结果管理后,观察组工作积极性、学习能力、护理管理质量评分均高于对照组,差异有统计学意义(P均<0.05);管理后,观察组归档病历内容记录差错事件中未使用中医术语、无专科特色、无中医效果评价、无中医护理措施落实、未三因施护发生率分别为2.21%(3/136)、3.68%(5/136)、5.88%(8/136)、2.21%(3/136)、1.47%(2/136)、2.94%(4/136)均低于对照组的22.79%(31/136)、16.91%(23/136),23.53%(32/136)、24.26%(33/136)、18.38%(25/136)、13.97%(19/136),组间比较差异有统计学意义(χ2=26.353、35.212、56.093、41.862、47.558、33.838,P均<0.05)。结论将PDCA循环管理用于中医护理管理,可明显改善护士综合能力,提高护理质量。

Objective To analyze the effect of intervention PDCA cycle mode in TCM nursing management and its in⁃fluence on hospital sense and nursing quality.Methods From June 2021 to May 2023,twenty nurses from Zibo Hospi⁃tal of Shandong Yiyang Health Group were selected as the research objects.According to different implementation times of management methods,they were divided into control group(from June 2021 to May 2022)and observation group(from June 2022 to May 2023),with one hundred thirty six archived medical records in each group.The control group received routine management,and the observation group received PDCA cycle management.The work enthusi⁃asm,learning ability,nursing management quality and archived medical records of nursing staff were compared.Re⁃sults After being managed,the scores of work enthusiasm,learning ability and nursing management quality in the ob⁃servation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).After being managed,the incidence of no use of TCM terminology,no specialty characteristics,no evaluation of TCM effect,no implementation of TCM nursing measures and no three-cause nursing in the observation group were 2.21% (3/136), 3.68% (5/136), 5.88% (8/136), 2.21% (3/136), 1.47% (2/136) and 2.94% (4/136), respectively, which were lower than 22.79% (31/136), 16.91% (23/136), 23.53% (32/136), 24.26% (33/136), 18.38% (25/136) and 13.97% (19/136) in the control group. The difference between the groups was statistically significant (χ2=26.353, 35.212, 56.093, 41.862, 47.558, 33.838, all P<0.05). Conclusion Applying PDCA cycle management to traditional Chinese medicine nursing management can significantly improve the comprehensive ability of nurses, improve the quality of nursing.