摘要
目的观察手术室护理应用结构-过程-结果三维质控管理模式对手术预后及并发症的影响。方法选取2020年1月-2022年1月在佳木斯市中心医院进行手术治疗的82例患者为研究对象,采用随机数字表法分为观察组和对照组,各41例。对照组采用常规护理管理,观察组应用结构-过程-结果三维质控管理模式,比较两组患者自我管理能力、并发症发生率、患者护理满意度、不良事件发生率、生活质量水平。结果观察组自护技能、自护责任感、自我概念、疾病健康知识评分均高于对照组(P<0.05);观察组并发症发生率为7.32%,低于对照组的17.07%(P<0.05);观察组对手术室环境、护理人员态度、手术服务质量、护理操作方面的满意度评分均高于对照组(P<0.05);观察组不良事件发生率为9.76%,低于对照组的21.95%(P<0.05);两组干预后生活质量评分均高于干预前,且观察组高于对照组(P<0.05)。结论手术室护理中应用结构-过程-结果三维质控管理模式,可提高患者自我管理能力,降低并发症、不良事件发生率,提高患者护理满意度,改善患者生活质量水平,促进患者良好预后,具有理想的应用效果。
Objective To observe the effect of structure-process-result three-dimensional quality control management mode on surgical prognosis and complications in operating room nursing.Methods A total of 82 patients who underwent surgical treatment in Jiamusi Central Hospital from January 2020 to January 2022 were selected as the research objects.They were divided into observation group and control group by random number table method,with 41 cases in each group.The control group was treated with routine nursing management,and the observation group was treated with structure-process-result three-dimensional quality control management mode.The self-management ability,complication rate,patient care satisfaction,adverse event rate and quality of life were compared between the two groups.Results The scores of self-care skills,self-care responsibility,self-concept and disease health knowledge in the observation group were higher than those in the control group(P<0.05).The incidence of complications in the observation group was 7.32%,which was lower than 17.07%in the control group(P<0.05).The satisfaction scores of operating room environment,nursing staff attitude,surgical service quality and nursing operation in the observation group were higher than those in the control group(P<0.05).The incidence of adverse events in the observation group was 9.76%,which was lower than 21.95%in the control group(P<0.05).The quality of life scores of the two groups after intervention were higher than those before intervention,and the observation group was higher than the control group(P<0.05).Conclusion The application of structure-process-result three-dimensional quality control management mode in operating room nursing can improve patients'self-management ability,reduce the incidence of complications and adverse events,improve patients'nursing satisfaction and quality of life,and promote patients'good prognosis.It has ideal application effect.
作者
徐爽
XU Shuang(The First Department of Operating Room,Jiamusi Central Hospital,Jiamusi 154004,Heilongjiang,China)
出处
《医学信息》
2023年第6期168-171,共4页
Journal of Medical Information
关键词
三维质控管理模式
手术室护理
不良事件
Three-dimensional quality control management mode
Operating room nursing
Adverse events