摘要
目的研究持续质量改进方法应用在ICU血管导管护理管理中的效果。方法选择2019年1月至2020年4月到我院ICU进行治疗的200例患者按照入院时间先后分为观察组和对照组,每组平均100例。观察组患者在进行ICU血管导管护理管理时落实持续质量改进,对照组配合常规的导管管理。比较两组研究对象的满意度、导管不良事件发生率、导管管理评分、负面情绪、生活质量等。结果(1)观察组[98例(98.00%)]的护理满意度明显高于对照组[88例(88.00%)](P<0.05)。(2)观察组[5例(5.00%)]的导管不良事件发生率低于对照组[16例(16.00%)](P<0.05)。(3)护理前,两组患者的导管管理评分差异不显著(P>0.05),护理后,观察组的导管管理评分改善更好(P<0.05)。(4)护理前,两组患者的焦虑和抑郁心理无差异(P>0.05),护理后,观察组的焦虑和抑郁心理改善效果比对照组更好(P<0.05)。(5)护理前,两组患者的生活质量评分差异不显著(P>0.05),护理后,观察组的生活质量评分改善效果比对照组更好(P<0.05)。结论将持续质量改进应用在ICU的血管导管护理管理当中可以有效的提升患者的满意度,减少导管不良事件发生的概率,提高医护工作者维护导管的综合能力,改善患者的负面心理并提高生活质量。
Objective To study the effect of continuous quality improvement in nursing management of vascular catheters in ICU.Methods A total of 200 patients who were treated in the ICU of our hospital from January 2019 to April 2020 were selected and divided into an observation group and a control group according to the time of admission,with an average of 100 cases in each group.Patients in the observation group implemented continuous quality improvement in the management of ICU vascular catheter care,and the control group cooperated with routine catheter management.The satisfaction,catheter adverse event rate,catheter management score,negative mood,and quality of life of the two groups were compared.Results(1)The nursing satisfaction of the observation group[98 cases(98.00%)]was significantly higher than that of the control group[88 cases(88.00%)](P<0.05).(2)The incidence of adverse events related to catheterization observation group[5 cases(5.00%)]was lower than the control group[16 cases(16.00%)](P<0.05).(3)Before nursing,there was no significant difference in catheter management scores between the two groups of patients(P>0.05),after nursing,the catheter management score of the observation group improved better than that in the conerol group(P<0.05).(4)Before nursing,there was no difference in anxiety and depression between the two groups(P>0.05),after nursing,the psychological improvement effect of anxiety and depression in the observation group was better than that in the control group(P<0.05).(5)Before nursing,there was no significant difference in the scores of quality of life between the two groups(P>0.05).After nursing,the improvement effect of the quality of life score in the observation group was better than that in the control group(P<0.05).Conclusion The application of continuous quality improvement in the nursing management of vascular catheters in ICU can effectively improve the satisfaction of patients,reduce the probability of adverse catheter events,improve the comprehensive ability of medical workers to maintain catheters,improve the negative psychology of patients and improve the quality of life.
作者
胡世英
HU Shiying(Liaoyang Central Hospital,Liaoyang 111000,China)
出处
《中国医药指南》
2023年第12期9-12,共4页
Guide of China Medicine
关键词
持续质量改进
ICU血管导管护理
护理管理
服务能力
综合素质
Continuous quality improvement
ICU vascular catheter care
Nursing management
Service ability
Comprehensive quality
