肿瘤专科护理敏感质量指标的构建及在肿瘤科护理质量改善中的应用

目的:探讨构建肿瘤专科护理敏感质量指标对肿瘤科护理质量的作用。方法:采用便利抽样法，选取2019年8月—2020年2月陕西省人民医院收治的1 024例肿瘤患者作为观察组，另回顾性分析2018年1月—2019年7月陕西省人民医院收治的1 038例肿瘤患者作为对照组。其中对照组予以肿瘤专科常规护理干预，观察组则按照"结构—...

Construction of oncology special nursing sensitive quality index and its application in improvement of nursing quality in Oncology Department

Objective To explore the effect of establishing oncology special nursing sensitive quality index on nursing quality in Oncology Department.Methods A total of 1024 tumor patients who were admitted to Shaanxi Provincial People's Hospital from August 2019 to February 2020 were selected as the observation group by the convenient sampling method.In addition,1038 tumor patients admitted to Shaanxi Provincial People's Hospital from January 2018 to July 2019 were set as the control group.Patients in the control group were given routine nursing intervention in tumor specialty.According to the"structure-process-result"quality management model,the observation team used evidence-based analysis and Delphi expert correspondence method to clarify the sensitive quality indexes of oncology special nursing and used this as a basis for oncology special nursing.The construction of oncology special nursing sensitive quality indexes was analyzed.The clinical indexes of the observation group and the control group were compared.Results A total of 6 oncology special nursing sensitive quality indexes were formed,which included the incidence of chemotherapy extravasation,the incidence of chemotherapy-related nausea and vomiting,the incidence of deep vein thrombosis,the incidence of PICC catheter-related infection,the incidence of accidents in tumor patients and incidence of anxiety and depression.After the intervention,the incidence of chemotherapy-related nausea and vomiting,deep vein thrombosis,PICC catheter-related infection,accidents in tumor patients and anxiety and depression in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of chemotherapy extravasation between the two groups(P>0.05).Conclusions Construction of oncology special nursing sensitive quality indexes can improve the quality of oncology special nursing,which is worthy of promotion and application.