护理质量持续改进在子宫肌瘤护理中的应用简

目的 评价护理质量持续改进在子宫肌瘤护理中的效果.方法 选择2008年11月～2012年3月首都医科大学附属北京妇产医院收治的子宫肌瘤患者86例作为研究对象,将其随机分为观察组和对照组,每组各43例.对照组采用一般常规护理,观察组在常规护理基础上护理质量持续改进,比较两组临床疗效和生活质量,并对两组护理质量进行考核比较.结果 观察组痊愈16例,有效23例,总有效率为90.69％,对照组痊愈12例,有效22例,总有效率为79.07％,两组总有效率比较,差异有高度统计学意义（Ridit Z=36.954,P=0.000）;护理干预后,两组在生理、心理、社会、疾病、满意度及生活质量评分总分方面均有明显好转,差异有统计学意义（P＜0.05）,观察组好转程度优于对照组（P＜ 0.05或P＜ 0.01）;实施护理质量持续改进后,观察组在基础护理、护理安全、病房管理、消毒隔离、护理文书和急救物品方面改善均优于对照组,差异有统计学意义（P＜0.05）.结论 护理质量持续改进可以不断提高护理人员服务质量,提高患者生活质量,在子宫肌瘤护理中效果显著.

Application of nursing quality continuous improvement in uterine leiomyoma care

Objective To investigate the effect of nursing quality continuous improvement in uterine leiomyoma care.Methods 86 patients from November 2008 to March 2012 in Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University were selected as study objects,and they were randomly divided into observation group and control group,with 43 patients in each group.The control group was given the routine nursing and the observation group was given the routine nursing and the nursing quality was continuously improved.The clinical efficacy and quality of life of two groups were compared,and the nursing quality assessment were analyzed.Results After nursing intervention,in the observation group,recovery was 16 cases,effective was 23 cases,the total effective rate was 90.69%; in control group,recovery was 12 cases,effective was 22 cases,the total effective rate was 79.07%,total effective rates in the two groups was high statistically significant difference （Ridit Z =36.954,P =0.000）; the physiological,psychological,social,disease,satisfaction,and total score of two groups were improved significantly,the differences were statistically significant （P 〈 0.05）,but degree of improvement of the observation group were improved better than that of the control group （P 〈 0.05 or P 〈 0.01）; after continuous nursing quality improvement,basic nursing,nursing safety,ward management,disinfection and isolation,nursing documents and first aid supplies were better in the observation group than those in the control group,the differences were statistically significant （P 〈 0.05）.Conclusion Continuous nursing quality improvement can improve service quality of nursing staff,improve the life quality of patients,significant effect in uterine leiomyoma care.