质控前移应用于RCCM管理中的效果

Effect of Quality Control Forward Application in RCCM Management

目的探讨质控前移应用于呼吸与危重症医学科(Respiratory and Critical Care Medicine,RCCM)管理中的效果分析。方法选取2021年12月—2023年12月永州市中心医院呼吸与危重症医学科的30名护理人员为研究对象,根据不同的质控方法分为两组,两组为同一批护理人员。2021年12月—2022年12月进行常规质控,为对照组;2023年1—12月进行质控前移,为研究组。比较两组护理文书质量评分、护理考核指标(基础护理评分、急救物品管理评分、消毒隔离管理评分)、职业倦怠量表(成就感降低、去个体化、情绪消化)评分。结果研究组护理文书质量评分高于对照组,差异有统计学意义(P<0.05)。研究组基础护理评分、急救物品管理评分、消毒隔离管理评分均高于对照组,差异有统计学意义(P均<0.05)。研究组成就感降低评分、去个体化评分、情绪消化评分均低于对照组,差异有统计学意义(P均<0.05)。结论质控前移能够提高RCCM护理人员的护理文书的书写质量,改善对基础护理、急救物品和消毒隔离的管理,且降低护理人员的职业倦怠感。

Objective To explore the effect analysis of quality control forward application in the management of respi⁃ratory and critical Care medicine(RCCM).Methods From December 2021 to December 2023,30 nursing staff in the Department of Respiratory and Critical Care Medicine of the Central Hospital of Yongzhou were selected as the re⁃search objects.They were divided into two groups according to different quality control methods,and the two groups were the same group of nursing staff.The routine quality control from December 2021 to December 2022 was the con⁃trol group,and the quality control from January to December 2023 was the study group.The quality scores of nursing documents,nursing assessment indexes(basic nursing score,emergency item management score,disinfection and iso⁃lation management score)and Maslach Burnout Inventory-general Survey(reduced sense of achievement,deindividua⁃tion,emotional digestion)scores were compared between the two groups.Results The quality score of nursing docu⁃ments in the study group was higher than that in the control group,the difference was statistically significant(P<0.05).The basic nursing score,emergency item management score and disinfection and isolation management score of the study group were higher than those of the control group,and the differences were statistically significant(all P<0.05).The scores of reduced personal accomplishment,deindividuation and emotional digestion in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion The quality control forward can improve the writing quality of nursing documents of RCCM nursing staff,improve the man⁃agement of basic nursing,first aid items and disinfection and isolation,and reduce the job burnout of nursing staff.