老干部病房患者护理中实施持续护理质量改进的有效性探究

目的 观察并探讨在老干部病房实施持续护理质量改进(continuous quality improvement,CQI)的有效性。 方法 将杭州市第一人民医院2013年8月—2015年8月期间老干部病房120例患者随机分为干预组和对照组各60例。干预组60例老干部实施CQI的护理模式；对照组60例老干部实施常规护理干预。护理前后利用匹兹堡睡眠质量指数量表(PSQI)、日常生活能力评分(BI评分)和生活质量量表(SQLS)评分对患者的睡眠质量、生活质量进行评价，并从护士操作技能、责任制模式、服务态度、心理护理实践等方面调查患者满意度。 结果 2组护理前PSQI、BI评分和SQLS评分相比，差异不具有统计学意义(P＞0.05)；护理后，干预组PSQI、BI评分和SQLS评分分别为(36.8±7.2)分、(76.2±8.5)分和(72.8±5.2)分，对照组为(49.7±11.4)分、(59.4±7.7)分和(56.5±6.8)分，干预组PSQI明显低于对照组，BI评分和SQLS评分明显高于对照组(P＜0.05)；干预组对护士操作技能、责任制模式、服务态度、心理护理实践的满意率均明显高于对照组(P＜0.05)。 结论 老干部病房实施CQI护理模式能有效改善患者睡眠质量，提升患者的日常生活能力，患者对护理服务的满意度明显提高，值得在临床上进一步推广。 

Effectiveness of continuous quality improvement in health care for patients in veteran cadres ward

Objective To observe the effectiveness of implementation of continuous quality improvement(CQI) in health care for patients in veteran cadres ward. Methods A total of 120 patients in the veteran cadres ward of our hospital between August 2013 August and 2015 were randomly divided into intervention group and control group with 60 cases in each group. The intervention group received CQI,while the control group received the routine nursing intervention. Pittsburgh Sleep Quality Index Scale(PSQI),activities of daily living scores(BI rate) and the Quality of Life Scale(SQLS)score were used for assessment of sleep quality and lift quality of patients in both groups. The patient satisfaction with skills,accountability model and attitude of nurses,psychological and other aspects of nursing practice was also investigated. Results The difference of PSQI score,BI rate and SQLS score before nursing intervention between the two groups was not statistically significant(P > 0. 05); After nursing intervention,PSQI score,BI rate and SQLS score in the intervention group were(36. 8 ±7. 2) points,(76. 2 ±8. 5) points and(72. 8 ±5. 2) points,respectively,and in the control group was(49. 7 ±11. 4) points,(59. 4 ±7. 7) points and(56. 5 ±6. 8) points,respectively,the difference was statistically significant(P < 0. 05); The satisfaction with nurses skills,accountability model,attitude and mental nursing practice in the intervention group was significantly higher than that in the control group(P < 0. 05). Conclusion The implementation of CQI in veteran cadres ward can effectively improve the quality of sleep of patients,improve their activities of daily living,satisfaction with nursing care was significantly higher,worth for further promotion on clinical practice.