专科护理质量指标在消化内科常见病中的应用

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摘要目的探讨专科护理质量指标在消化内科常见病中的应用效果。方法选取2018年2月～2019年2月我院收治的100例食管胃底静脉曲张出血、消化性溃疡出血和大肠腺瘤息肉患者作为研究对象，按照入院顺序将其分为对照组（50例）和观察组（50例）。对照组接受常规护理，观察组在此基础上接受专科护理质量指标导向的护理措施。对两组药物服用正确率、肠道评估正确率、肠镜护理记录正确率、患者满意度、患者肠镜知识知晓率和肠道清洁达标率6项专科护理质量指标进行比较分析。结果观察组在药物服用正确率、肠道评估正确率、肠镜护理记录正确率、患者满意度、患者肠镜知识知晓率和镜下肠道清洁达标率6个维度指标水平均高于对照组，差异有统计学意义（P＜0.05）。结论对食管胃底静脉曲张出血、消化性溃疡出血和大肠腺瘤息肉这3类消化内科常见疾病，针对性制定专科护理质量指标并进行实施，以提升护理质量管理水平为导向进行持续质量改进，能显著提高消化内科护理质量，改善患者预后，有重要意义。

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	黄团爱
	何晓云
	欧建爱
	李坚玲
	谢晓霞

关键词 ：消化内科, 护理质量指标, 护理管理, 消化内镜

Abstract：Objective To explore the application of specialist nursing quality index in common digestive diseases.Methods A total of 100 patients with esophageal and gastric varices bleeding,peptic ulcer bleeding and colorectal adenoma polyps in our hospital from February 2018 to February 2019 were enrolled in the study.All patients were divided into control group(50 cases)and observation group(50 cases)according to admission time.Patients in control group received routine nursing,while patients in observation group received specialist nursing quality index-oriented nursing measures on this basis.The data of specialist nursing quality indicators in two groups were compared and analyzed.Results After different strategies and nursing measures,the six dimensions of drug use accuracy,intestinal evaluation accuracy,enteroscopy nursing record accuracy,doctor-patient satisfaction,patients′knowledge of enteroscopy and the rate of achieving the standard of intestinal cleanliness under endoscopy in the observation group were higher than those in the control group,with statistical differences(P＜0.05).Conclusion For patients with esophageal and gastric varices bleeding,peptic ulcer bleeding and colorectal adenoma polyps,the quality indicators of specialized nursing formulated and implemented is significant to improve the quality of nursing in digestive medicine and the prognosis of patients.

Key words： Digestive medicine Nursing quality indicators Nursing management Digestive endoscopy

基金资助:广东省肇庆市科技创新计划项目（201904031357）

引用本文:

黄团爱; 何晓云; 欧建爱; 李坚玲; 谢晓霞. 专科护理质量指标在消化内科常见病中的应用[J]. 中国当代医药, 2020, 27(9): 241-243.
HUANG Tuan-ai; HE Xiao-yun; OU Jian-ai; LI Jian-ling; XIE Xiao-xia. Application of specialist nursing quality index in common digestive diseases. 中国当代医药, 2020, 27(9): 241-243.

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