追踪检查法在护理质量管理评价中的应用效果

目的：探讨追踪检查法在护理质量管理评价中的应用效果，为制定护理质量整体评估标准提供依据。方法采用传统的质控方法结构式评价模式（对照组）和引进的追踪检查法（观察组），分时间段对医院护理质量进行评价，评估两组各月份护理质量综合分和患者护理满意度。结果应用追踪检查法评价的观察组护理质量综合得分在2012年7-12月分别为（92．5±177;0．7），（93．5±177;0．6），（94．0±177;0．4），（92．5±177;0．6），（93．5±177;0．5），（92．0±177;0．3）分，明显高于应用传统质控方法评价的对照组2011年7-12月的（89．0±177;0．6），（90．0±177;0．6），（91．0±177;0．6），（89．0±177;0．9），（90．5±177;0．8），（88．5±177;0．4）分，差异均有统计学意义（t值分别为2．570，2．862，2．842，2．670，3．014，2．942；P＜0．05）。观察组护理满意度调查满意238例、基本满意16例、不满意10例，对照组分别为225，15，24例，差异有统计学意义（ Z＝2．5431，P＜0．05）。结论追踪检查法用于护理质量管理评价，可提高护理质量，提高患者的护理满意度，促进护理质量持续改进。

Application effect of tracking control method in the evaluation of nursing quality management

Objective To investigate the application effect of tracking control method in the evaluation of nursing quality management , in order to provide the basis for the establishment of overall assessment standards for nursing quality .Methods The structured evaluation method of traditional quality control was used in the control group and the tracking control method was used in the observation group .The nursing quality in the hospital was evaluated at different time intervals .The comprehensive score of nursing quality and patients ’ satisfaction with nursing in each month were evaluated in the two groups .Results The comprehensive score of nursing quality in each month from July to December 2012 in the observation group was significantly higher than that in the control group from July to December 2011 （92.5 ±177;0.7） vs （89.0 ±177;0.6）, （93.5 ±177;0.6） vs （90.0 ±177;0.6）, （94.0 ±177;0.4） vs （91.0 ±177;0.6）, （92.5 ±177;0.6） vs （89.0 ±177;0.9）, （93.5 ±177;0.5） vs （90.5 ±177; 0.8）, （92.0 ±177;0.3） vs （88.5 ±177;0.4）], and the differences were statistically significant （t=2.570, 2.862, 2.842,2.670, 3.014, 2.942, respectively; P ＆lt;0.05）.The result of patients ’ satisfaction survey in the observation group was considered satisfactory in 238 cases, basic satisfactory in 16 cases and dissatisfactory in 10 cases, and 225,15 and 24 cases in the control group , respectively, with statistically significant difference （Z=2.543 1, P＆lt;0.05）.Conclusions Application of tracking control method in the evaluation of nursing quality management can improve the nursing quality , increase the patients ’ satisfaction with nursing , and promote the continuous improvement of nursing quality .