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目的:探讨细节管理在血透室护理管理中的应用效果,提高护理质量。方法:选取血液透析患者100例,随机分为两组各50例。对照组实施常规护理,观察组患者在对照组基础上给予细节管理。结果:观察组患者留置导管感染率、透析并发症发生率、内瘘闭塞率、住院率分别为3.89%、8.33%、7.22%和10.56%,明显低于对照组,穿刺成功率和护理满意率分别为99.44%和98.89%,明显高于对照组;观察组仪器准备、物品准备、专业技能、安全质量以及护理质量总分分别为(3.67±0.21)分、(3.34±0.23)分、(3.84±0.29)分、(3.48±0.25)分和(14.33±0.39)分,均明显高于对照组(P<0.05)。结论:血透室实施细节管理,可以有效提高护理质量,减少患者发生并发症,是一种科学的护理方法。
Objective: To explore the application of detail management in hemodialysis room nursing management and to improve the nursing quality. Methods: 100 cases of hemodialysis patients were randomly divided into two groups of 50 cases. Control group to implement routine care, observation group patients in the control group based on the details of management. Results: Infection rate, dialysis complication rate, fistula occlusion rate and hospitalization rate in observation group were 3.89%, 8.33%, 7.22% and 10.56% respectively, which were significantly lower than those in control group. The success rates of puncture and nursing satisfaction (3.67 ± 0.21), (3.34 ± 0.23) points, (3.84 ± 0.23) points respectively, and the total score of instrument preparation, item preparation, professional skills, safety and quality and nursing quality in the observation group were significantly higher than those in the control group (99.44% and 98.89% ± 0.29) points, (3.48 ± 0.25) points and (14.33 ± 0.39) points, respectively, which were significantly higher than those in the control group (P <0.05). Conclusion: The implementation of hemodialysis in detail management can effectively improve the quality of care and reduce the occurrence of complications in patients. It is a scientific nursing method.