案例分析在呼吸内科临床护理实践中的应用研究

目的 探讨应用案例分析，提高护理人员综合素质，促其为患者实施优质护理。方法 对我科普通病房共61名护士进行每日半小时案例分析培训。培训后通过问卷调查护理人员对案例分析培训的评价，同时对培训前后病人满意度调查结果、护理部每月考核成绩、护理论文质量情况、护理不良事件数量进行比较。相关数据行t检验或r检验。结果 每日半小时案例分析实施后，大多数护理人员认为自身各项能力得到提高。培训后的病人满意度（t=-0．391）、护理部每月考核成绩（t=3．823）、护理论文质量（X^2=5．495）均有提升，而护理不良事件减少（X^2=6．441），与培训前比较差异有统计学意义（P〈0．05）。结论 每日半小时案例分析能提高护理人员的综合素质、科研能力，提升病人满意度，并减少护理不良事件发生，有利于临床实践。

Application of case analysis method in the clinical nursing practice in department of respiratory medicine

Objective Through discussing application of case analysis to improve the comprehensive quality of nursing staff, and promote their implementation of high quality nursing care for the patients. Methods all 61 nurses in general wards were trained by daily half-hour case analysis method. After the training, questionnaire was given to investigate the nursing staff＇s evaluation on case analysis training, and at the same time compared before and after the training, the patients＇ satisfaction survey result, the monthly examination result of the nursing department, nursing paper quality and the number of nursing adverse events. The relevant data was done by t test or x^2 test. Results After the implementation for half an hour case analysis training, most nurses think their own various ability was improved. After the training, the patient satisfaction was （t=-0.391）, the monthly assessment score of the nursing department（t=3.823）, the quality of care increased（x^2=5.495）, while the nursing adverse events reduced（x^2=6.441）, and the difference was statistically significant compared with before the training（P〈0.05）. Conclusion Daily half-hour case study method can improve the nursing staff comprehensive quality and scientific research ability, the patients＇ satisfaction, and reduce the nursing adverse events, which is helpful to clinical practice.