电子巡视单对急诊脑血管病患者输液流程优化中护理质量改善效果的研究

目的 探讨电子巡视单在急诊脑血管病患者输液流程优化中对护理服务质量改善的效果。 方法 前瞻性连续入组2020年1-12月在首都医科大学附属北京天坛医院急诊科进行静脉输液治 疗的脑血管病患者。2020年6月在急诊护理个人数字助理（personal digital assistant，PDA）掌上电脑中 增加巡视模块优化急诊输液流程，以此为节点，分为优化前流程组（2020年1-6月）和优化后流程组 （2020年7-12月）。采用自制问卷对两组患者的总体满意度、护理工作、业务水平、服务态度等进行调 查和比较。 结果 研究共纳入3000例患者，优化前流程组1400例，优化后流程组1600例。优化后流程组总体 满意率高于优化前流程组（98.75% vs 90.29%，P＜0.0001）；患者对护理工作（86.21±3.64分 vs 85.84±5.47分，P＜0.0001）和业务水平（87.24±3.70分 vs 86.73±5.49分，P =0.0069）的评价均高于 优化前流程组,但两组对护理服务态度的评价差异无统计学意义（85.27±3.42分 vs 84.81±4.96分， P =0.4832）。 结论 基于电子巡视单的急诊脑血管病患者输液流程的优化，有利于急诊护理质量的提升，显著 提高患者对护理的满意度，但仍需关注护理服务态度的提升，为患者提供更优质的护理。

Effects of Electronic Inspection Sheet on Nursing Quality Improvement in the Optimization of Infusion Process in Emergency Cerebrovascular Disease

Objective To evaluate the effect of electronic inspection sheet on nursing quality improvement in the optimization of infusion process in emergency cerebrovascular disease patients. Methods The consecutive cerebrovascular disease patients who received intravenous infusion in Department of Emergency of Beijing Tiantan Hospital, Capital Medical University from January 2020 to December 2020 were included in this study. In June 2020, the patrol module was added to the personal digital assistant (PDA) of emergency nursing to optimize the emergency infusion process. Based on this, all the patients were divided into the pre-optimization process group (January to June 2020) and post-optimization process group (July to December 2020). The overall satisfaction, nursing service, professional level and service attitude were investigated and compared using self-made questionnaires in the two groups. Results A total of 3000 patients were included, with 1400 cases in pre-optimization process group and 1600 cases in post-optimization process group. The overall satisfaction rate of the postoptimization process group was higher than that of the pre-optimization process group (98.75% vs 90.29%, P <0.0001); the evaluation scores of nursing service (86.21±3.64 points vs 85.84±5.47 points, P <0.0001) and professional level (87.24±3.70 points vs 86.73±5.49 points, P =0.0069) of post-optimization process group were also higher than those of pre-optimization process group, but there was no statistical difference in the evaluation for nursing service attitude between the two groups (85.27±3.42 points vs 84.81±4.96 points, P =0.4832). Conclusions The optimization of infusion process based on electronic inspection sheet for emergency cerebrovascular disease patients can improve emergency nursing quality, and significantly improve the patient's satisfaction for nursing. However, it still needs to pay attention to the improvement of nursing service attitude, to provide better nursing for the patients.