循环质控及循证护理对提升骨科住院患者护理风险管理的效果

目的 探讨循环质控及循证护理在提升骨科住院患者护理风险管理效果中的应用效果。 方法 采用对照研究,选取2016年1月-2017年6月182例在骨科住院的患者,根据患者单入院双日分为对照组和观察组,每组91例。对照组实施骨科常规护理,观察组基于循环质控及循证护理理念实施护理干预措施。比较2组患者护理风险事件发生率、生活质量及对护理工作的满意度。 结果 观察组护理风险事件发生率为5.49%(5/91),明显低于对照组的28.57%(26/91),差异具有统计学意义(χ²=17.146,P＜0.001)。观察组患者的生活质量评分高于对照组,对护理工作的满意度高于对照组(Z=-5.031,P＜0.001)。 结论 将循环质控及循证护理模式应用于骨科住院患者护理有助于控制护理风险事件,提高患者生活质量及对护理工作的满意度,值得推广。

Applying the concept of circulating quality control and evidence- based nursing in improving the risk management of hospitalized orthopedic patients

Objective To analyze the application value of the concept of circulating quality control and evidence-based nursing in improving the risk management of hospitalized orthopedic patients. Methods Totally 182 patients admitted between January 2016 and June 2017 were selected and randomly divided into an observation group and a control group, each of 91, according to their admission date. The patients in the control group were only given routine care, while those in the observation group were given nursing intervention measures based on the concept of circulating quality control and evidence-based nursing. The incidence of nursing risk events, life quality of patients and their nursing satisfaction were compared between the two groups. Results The incidence of nursing risk events was 5.49% (5/91) in the observation group, significantly lower than that of the control group (28.57%, 26/91) (χ²=17.146, P＜0.001). The life quality of patients and their nursing satisfaction of the former group were significantly higher than the latter. Conclusion The application of the concept of circulating quality control and evidence-based nursing in the nursing care of hospitalized orthopedic patients can help to reduce nursing risk events, improve the life quality of the patients and their nursing satisfaction, which is worth popularizing.