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目的观察并评价持续护理质量改进在内分泌科管理中的实践应用分析。方法以2014年2月—2015年9月在本院接受治疗的内分泌科室患者作为研究对象,随机分为两组各40例,比较两组患者护理前后心境状态(profile of mood states,POMS)量表评分、满意度。计量资料比较采用重复测量资料方差分析,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果两组患者不同护理时间的疲劳[(69.2±5.7)、(46.8±2.9)、(40.7±3.5)分与(69.3±2.6)、(57.3±3.2)、(50.3±4.0)分]、慌乱[(77.7±5.1)、(51.7±6.2)、(41.4±3.8)分与(70.6±3.4)、(58.9±5.7)、(51.2±4.1)分]、愤怒[(71.6±5.1)、(50.3±6.3)、(43.1±2.9)分与(71.4±7.2)、(66.3±6.8)、(58.2±6.3)分]、抑郁[(78.2±8.1)、(58.4±6.1)、(51.2±3.6)分与(74.9±5.2)、(66.3±6.8)、(57.2±5.3)分]、紧张[(79.8±5.3)、(45.5±4.0)、(41.8±4.3)分与(78.6±6.5)、(60.3±4.7)、(50.8±4.8)分]、精力[(32.9±6.6)、(56.8±6.2)、(61.9±6.7)分与(32.7±3.8)、(44.6±6.4)、(52.6±6.0)分]、自我相关情绪[(31.3±3.7)、(58.1±6.4)、(64.7±5.8)分与(31.5±4.4)、(47.6±4.8)、(54.9±5.6)分]比较,差异均有统计学意义(均P<0.05)。两组患者护理的总满意度分别为92.5%、72.5%,比较差异有统计学意义(χ2=5.54,P<0.05)。结论对内分泌科患者采用护理质量改进方式的临床效果较佳,既可有效改善患者的不良情绪,又可避免重症并发症的发生等,值得临床推广使用。
Objective To observe and evaluate the application of continuous nursing quality improvement in endocrinology management. Methods A total of 40 patients with endocrine department admitted to our hospital from February 2014 to September 2015 were randomly divided into two groups of 40 patients. The levels of POMS before and after treatment were compared between the two groups Table score, satisfaction. Measurement data were compared using repeated measures analysis of variance, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The fatigue of two groups of patients at different nursing time (69.2 ± 5.7, 46.8 ± 2.9, 40.7 ± 3.5, 69.3 ± 2.6, 57.3 ± 3.2, 50.3 ± 4.0) [(77.7 ± 5.1), (51.7 ± 6.2), (41.4 ± 3.8) and (70.6 ± 3.4), (58.9 ± 5.7) and (51.2 ± 4.1) (43.1 ± 2.9) points and (71.4 ± 7.2), (66.3 ± 6.8) and (58.2 ± 6.3) points respectively, and depression (78.2 ± 8.1), (58.4 ± 6.1) and (51.2 ± 3.6) (74.9 ± 5.2), (66.3 ± 6.8) and (57.2 ± 5.3) points respectively, and the scores of tension (79.8 ± 5.3), (45.5 ± 4.0), (41.8 ± 4.3) and (78.6 ± 6.5) (32.9 ± 6.6), (56.8 ± 6.2), (61.9 ± 6.7) and (32.7 ± 3.8), (44.6 ± 6.4), (52.6 ± 6.0) ), And the scores of self-related emotion [(31.3 ± 3.7), (58.1 ± 6.4), (64.7 ± 5.8) vs (31.5 ± 4.4), (47.6 ± 4.8), (54.9 ± 5.6) There was statistical significance (all P <0.05). The total satisfaction of nursing between the two groups was 92.5% and 72.5% respectively, with significant difference (χ2 = 5.54, P <0.05). Conclusion The clinical effect of improving quality of care in endocrinology patients is better, which can not only effectively improve the patients’ bad mood but also avoid the occurrence of severe complications, which is worthy of clinical promotion.