持续质量改进护理对颈椎骨折患者HAMA、HAMD评分及疼痛的影响

目的探讨持续质量改进护理对颈椎骨折患者HAMA、HAMD评分及疼痛的影响。方法随机选取本院骨科收治的颈椎骨折患者120例,随机分为实验组(n=60)和对照组(n=60)。其中对照组接受目前常规的护理方案,而实验组患者则给予持续质量改进护理方案,分析比较2组患者干预前后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分、视觉模拟评分以及护理质量评分结果。结果与干预前相比,2组患者在干预后HAMD、HAMA评分均有不同程度的下降,但实验组降低更明显,差异具有统计学意义(P0.05)。与干预前相比,2组患者干预后视觉模拟评分均有不同程度的下降,而实验组降低显著,差异具有统计学意义(P0.05)。实验组患者药品管理、重点环节管理、文书管理、病房管理、特级护理以及基础护理等护理方案质量评分均明显高于对照组,差异具有统计学意义(P0.05)。结论与常规性护理相比,持续质量改进护理在颈椎骨折患者中的应用不仅能有效改善患者的疼痛情况,还在一定程度上有助于改善患者在治疗过程中出现的负性情绪,从而起到提高护理质量的效果,值得临床推广应用。

Effect of continuous quality improvement nursing on HAMA,HAMD score and pain in patients with cervical spine fracture

Objective To explore the effect of continuous quality improvement nursing on HAMA, HAMD score and pain in patients with cervical spine fracture.Methods A total of 120 cervical spine fracture patients in our hospital were randomly divided into control group (n=60) and experimental group(n=60).The patients of control group received routine nursing care interventions while the patients of experimental group received continuous quality improvement nursing intervention.The Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) score, visual analogue scale and nursing quality score were compared between the two groups before and after the intervention.Results Compared with intervention before, the scores of HAMD and HAMA in the two groups were decreased after treatment (P<0.05).The scores of HAMD and HAMA in the experimental group were significantly lower (P<0.05).Compared with intervention before, the visual analogue scores of the two groups were decreased in different degrees after intervention, and was significantly lower in experimental group than that of the control group (P<0.05).The quality of nursing was significantly higher than that of the control group (P<0.05).Conclusion Compared with conventional care, continuous quality improvement in the treatment of patients with cervical fractures can not only effectively improve the patient''s pain, but also help to improve negative emotions, and improve the quality of care.So it''s worthy of clinical promotion.