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目的:分析护理质量持续改进在角膜塑形镜验配管理中的应用效果。方法:选择中山市中医院2015年1月至2016年1月需要接受角膜塑形镜片的青少年近视患者100例,随机分为对照组和观察组各50例。对照组采用常规护理方法,观察组在此基础上,进行护理质量持续改进管理,比较两组基础护理质量评分、护理满意度、护理人员护理理论知识评分和操作技能评分。结果:(1)观察组基础护理质量评分(99.5±1.5)分,护理满意度96%高于对照组基础护理质量评分(85.5±0.9)分,护理满意度62%,差异具有统计学意义(P<0.05)。(2)护理质量改进后护理人员护理理论知识评分和操作技能评分分别为(95.5±3.5)分、(96.0±2.9)分,高于护理质量改进前的(75.5±6.9)分、(78.6±6.5)分,差异具有统计学意义(P<0.05)。结论:护理质量持续改进在角膜塑形镜片验配管理过程中具有良好的效果,有效地提高护理满意度和护理的质量,提升护理人员的护理专业知识和技能水平。
OBJECTIVE: To analyze the application effect of continuous improvement of nursing quality in the fitting management of orthokeratology. Methods: 100 cases of juvenile myopia who needed orthokeratology lenses from January 2015 to January 2016 in Zhongshan Hospital of Traditional Chinese Medicine were randomly divided into control group and observation group of 50 cases. In the control group, the routine nursing method was used. On the basis of the above, the observation group continued to improve the quality of nursing care. The scores of basic quality of care, nursing satisfaction, nursing theoretical knowledge and operating skills were compared between the two groups. Results: (1) The basic nursing quality score (99.5 ± 1.5), nursing satisfaction 96% in the observation group were higher than those in the control group (85.5 ± 0.9), nursing satisfaction 62%, the difference was statistically significant ( P <0.05). (2) The score of nursing theoretical knowledge and operation skill after nursing quality improvement were (95.5 ± 3.5) and (96.0 ± 2.9) points, respectively, which was higher than that before nursing quality improvement (75.5 ± 6.9) and (78.6 ± 6.5) points, the difference was statistically significant (P <0.05). Conclusion: The continuous improvement of nursing quality has good effect in orthokeratology lens fitting management process, effectively improving nursing satisfaction and nursing quality, and improving nurses’ nursing professional knowledge and skills.