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目的:无抽搐电休克(MECT)过程中实施临床流程管理,了解改进后的临床流程对实施MECT的影响。方法:按随机分组的原则,对在精神病院的4个封闭病区进行分组,二、四病区为观察组,实施MECT治疗2320例次,一、三病区为对照组,实施MECT治疗2084例次;对照组按照传统流程进行MECT,观察组对以往流程进行改进,按照改进后的临床流程图进行MECT。结果:观察组护理缺陷、护理投诉率低于对照组(P<0.05),医护人员满意度水平高于对照组(P<0.05),记录书写合格率高于对照组(P<0.05)。结论:MECT过程中,实施临床流程管理,可以有效避免护理差错事故的发生,节省人力资源,提高医务人员及患者满意度水平,保证治疗安全。
OBJECTIVE: To implement clinical procedure management in the absence of convulsive electroshock (MECT) and to understand the impact of the improved clinical procedure on the implementation of MECT. Methods: According to the principle of random grouping, 4 closed ward in mental hospital were divided into groups, and the second and fourth wards were taken as the observation group. 2320 cases of MECT were treated and the first and third wards were taken as the control group. MECT was administered 2084 The patients in the control group underwent MECT according to the traditional procedure, and the observation group improved the previous procedure and conducted MECT according to the improved clinical flow chart. Results: The nursing defect rate, nursing complaint rate in the observation group were lower than those in the control group (P <0.05). The satisfaction level of the medical staff was higher than that in the control group (P <0.05). The passing rate of records was higher than that of the control group (P <0.05). Conclusion: During the course of MECT, the implementation of clinical process management can effectively avoid the occurrence of nursing error accidents, save human resources, improve the level of medical staff and patient satisfaction, and ensure the safety of treatment.