Effect of implementing sensitive indexes of nursing quality in continuous quality improvement of orthopaedic specialty nursing
骨科专科护理持续质量改进中实施护理质量敏感指标的效果

摘要

目的 探讨将护理质量敏感指标应用在骨科专科护理持续质量改进中的效用价值。方法 研究中共选取260例患者与32名护理人员进行对比实验，以时间为分隔线，将其分为实施前的对照组与实施后的观察组两个组别，每组随机抽取130例患者，32名护理人员均为同一批次，前者采取常规骨科专科护理质量评价指标展开质量管理，后者构建并应用护理质量敏感指标进行护理质量持续改进，对两组实际应用效果进行评价比较。结果 经实验中各项数据表明，在过程指标中，观察组血循环评估、神经功能评估、疼痛评估、体位护理、康复行为训练正确率等指标均优于对照组（P＜0.05）；结果指标中显示，相比对照组，观察组外固定并发症、深静脉血栓、高风险患者呼吸道梗阻发生率显著下降，并且观察组整体满意度大幅度提升（P＜0.05）。结论 在骨科专科护理持续质量改进期间全面应用护理质量敏感指标可为其提供精确的数据信息，最大程度地提升护理过程中的准确性，减少各并发症的发生，促进患者满意度的提升。

Abstract

Objective To explore the utility value of applying nursing quality sensitive index in continuous quality improvement of orthopaedic specialty nursing.
Methods A total of 260 patients and 32 nursing staff were selected for comparative experiment. They were divided into two groups, the control group before implementation and the observation group after implementation, with time as the dividing line. 130 patients were randomly selected from each group, and 32 nursing staff were all from the same batch. The latter constructed and applied nursing quality sensitive indicators to improve nursing quality continuously, and evaluated and compared the practical application effects of the two groups.
Results: The experimental data showed that the accuracy of blood circulation assessment, nerve function assessment, pain assessment, posture nursing and rehabilitation behavior training in the observation group were better than those in the control group (P < 0.05).
Results Among the indicators, compared with the control group, the incidence of external fixation complications, deep vein thrombosis and respiratory obstruction in high-risk patients in the observation group was significantly reduced, and the overall satisfaction of the observation group was significantly increased (P < 0.05).
Conclusion   The comprehensive application of nursing quality sensitive indicators during the continuous quality improvement of orthopaedic specialty nursing can provide accurate data information, maximize the accuracy of nursing process, reduce the occurrence of complications, and promote the improvement of patient satisfaction.