Observation of real-time nursing quality control in the nursing management of critically ill patients
实时护理质控在危重症患者护理管理中的观察

摘要

目的 观察在危重症患者护理管理中采用实时护理质控的临床护理效果。方法 随机选取我院接收的危重症患者80例，以随机数字表法分成观察组和对照组，每组各有患者40例，给予对照组患者常规护理管理，给予观察组患者实时护理质控管理，对比分析两组最终取得的护理效果。结果 观察组护理管理质量以及患者的遵医行为与对照组相比显著提升，患者的误吸、非计划性拔管以及感染等不良事件发生率明显低于对照组，最终获得的护理满意度高于对照组,（P＜0.05）。结论 对危重症患者及时采取实时护理质控管理干预，可进一步提高临床护理质量，增强患者的配合度，减少护理不良事件发生，提高疾病控制效果以及患者对护理的满意度。

Abstract

Objective To observe the clinical nursing effect of real-time nursing quality control in the nursing management of critically ill patients.
Methods Eighty critically ill patients admitted to our hospital were randomly selected and divided into the observation group and the control group by random number table method, with 40 patients in each group. The patients in the control group were given routine nursing management, while those in the observation group were given real-time nursing quality control management. The final nursing effects achieved by the two groups were compared and analyzed.
Results The quality of nursing management and the compliance behavior of patients in the observation group were significantly improved compared with the control group. The incidence of adverse events such as aspiration, unplanned extubation and infection in the observation group was significantly lower than that in the control group, and the final nursing satisfaction obtained was higher than that in the control group (P < 0.05).
Conclusion   Timely implementation of real-time nursing quality control management intervention for critically ill patients can further improve the quality of clinical nursing, enhance patients' cooperation, reduce the occurrence of adverse nursing events, improve the effect of disease control and patients' satisfaction with nursing.