李玲玉 高婧 王云

[摘要] 目的 探討持續(xù)質(zhì)量改進(jìn)在神經(jīng)外科護(hù)理中的應(yīng)用效果。方法 取100例該院神經(jīng)外科收治的患者作為研究對(duì)象，病例選取時(shí)間為2016年12月—2017年12月，隨機(jī)分組為觀察組與對(duì)照組，各50例。對(duì)照組采用常規(guī)管理模式；觀察組采用持續(xù)質(zhì)量改進(jìn)模式。通過(guò)兩組神經(jīng)外科住院患者管理前后安全事件發(fā)生率的差異進(jìn)行效果評(píng)價(jià)，同時(shí)采用問(wèn)卷調(diào)查的方式詢(xún)問(wèn)兩組患者的護(hù)理滿意度。結(jié)果 觀察組管理前后安全事件發(fā)生率比較，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；對(duì)照組管理前后安全事件發(fā)生率比較，差異有統(tǒng)計(jì)學(xué)意義（P>0.05）；觀察組患者的護(hù)理滿意度顯著高于對(duì)照組（P<0.05）。結(jié)論 神經(jīng)外科持續(xù)質(zhì)量改進(jìn)，對(duì)于降低安全事件的發(fā)生率等有著非常積極的意義，對(duì)保障患者的安全也有非常好的效果。

[關(guān)鍵詞] 神經(jīng)外科；護(hù)理安全；對(duì)策；持續(xù)質(zhì)量改進(jìn)；質(zhì)量管理

[中圖分類(lèi)號(hào)] R47 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2018）12（a）-0001-03

[Abstract] Objective To explore the application effect of continuous quality improvement in neurosurgical nursing. Methods One hundred patients admitted to the hospital for neurosurgery were enrolled. The cases were selected from December 2016 to December 2017， and were randomly divided into observation group and control group， with 50 cases in each group. The control group used the conventional management mode； the observation group used the continuous quality improvement model. The difference in the incidence of safety events between the two groups of neurosurgical inpatients was evaluated， and the satisfaction of the two groups was asked by questionnaire. Results The incidence of safety events before and after management in the observation group was compared，the difference was statistically significant（P<0.05）. The incidence of safety events before and after management in the control group was compared，the difference was statistically significant（P>0.05）. The nursing satisfaction of the observation group was significantly higher than that of the control group（P<0.05）. Conclusion Continuous quality improvement in neurosurgery has a very positive effect on reducing the incidence of safety events， and it also has a very good effect on the safety of patients.

[Key words] Neurosurgical； Nursing safety； Countermeasures； Continuous quality improvement； Quality management

醫(yī)院作為我國(guó)醫(yī)療行為的執(zhí)行者以及醫(yī)療服務(wù)的直接提供者，科學(xué)有效地保障醫(yī)療質(zhì)量以及護(hù)理質(zhì)量對(duì)整個(gè)行業(yè)的發(fā)展有著十分特殊的意義[1]。應(yīng)該指出的是，在臨床實(shí)際工作中，基礎(chǔ)護(hù)理一直是廣大醫(yī)院護(hù)理工作的重點(diǎn)與難點(diǎn)，尤其是針對(duì)神經(jīng)外科患者的護(hù)理，其護(hù)理質(zhì)量的高低在一定程度上能夠影響患者的最終治療效果[2]。神經(jīng)外科護(hù)理工作量大，科學(xué)有效的布置同時(shí)做好其護(hù)理工作，對(duì)整個(gè)醫(yī)院的醫(yī)療水平等均有著重要的現(xiàn)實(shí)意義。不過(guò)現(xiàn)階段的情況是，我國(guó)很多醫(yī)院神經(jīng)外科的護(hù)理工作還存在或多或少的問(wèn)題，因?yàn)楦鞣N安全隱患等直接存在，導(dǎo)致各種安全事件頻發(fā)[3]。因此，選取2016年12月—2017年12月該院神經(jīng)外科收治的患者作為研究對(duì)象，針對(duì)該院神經(jīng)外科護(hù)理中的應(yīng)用持續(xù)質(zhì)量改進(jìn)模式對(duì)其護(hù)理干預(yù)的影響展開(kāi)分析，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料

選取該院神經(jīng)外科收治的100例患者作為研究對(duì)象，將其隨機(jī)分為觀察組與對(duì)照組，各50例。觀察組中有23例男性患者、27例女性患者；平均年齡為（36.99±2.75）歲，平均體重為（66.36±11.45）kg；手術(shù)類(lèi)型：10例接受腸胃手術(shù)、10例接受乳腺手術(shù)、22例接受甲狀腺手術(shù)、4例肝膽手術(shù)、4例其他手術(shù)；對(duì)照組中有24例男性患者、26例女性患者；平均年齡為（37.01±2.68）歲，平均體重為（66.33±11.48）kg；手術(shù)類(lèi)型：11例接受腸胃手術(shù)、9例接受乳腺手術(shù)、21例接受甲狀腺手術(shù)、4例肝膽手術(shù)、5例其他手術(shù)。兩組患者在性別、年齡等方面比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），具可比性。