摘要
目的:探讨六西格玛管理对预防患者出现肺部感染的作用及患者和科室工作人员对护理服务质量的评价。方法:选取本院神经外科2014年1月-2015年1月40例老年住院患者为传统组,对其实施传统管理模式;2015年2月-2016年2月40例老年住院患者为改进组,实施六西格玛管理方法;另选取本院神经外科医护人员28名,对比患者对临床护理质量评价及科室工作人员对管理模式的满意度,观察患者肺部感染发生情况。结果:在护理服务质量方面,改进组患者对临床提供的操作实施、护理人员无菌意识、护患沟通及护理服务态度等各指标评分,均明显高于传统组,差异均有统计学意义(P<0.01);科室工作人员对传统护理管理模式满意度为71.43%(20/28),明显低于实施六西格玛护理管理模式,差异有统计学意义(字2=14.765,P<0.01);传统组9例患者出现肺部感染,感染率为22.5%,而改进组仅出现1例,肺部感染率为2.5%,两组比较差异有统计学意义(字2=29.418,P<0.01)。结论:针对神经外科收治的老年患者而言,总结导致其出现肺部感染相关因素并制定相关改进管理措施,可提高患者对临床护理服务质量评分及科室工作人员对六西格玛管理模式的满意度,同时还能降低患者出现肺部感染率。
Objective： To discusses the role of Six Sigma management to prevent pulmonary infection in patients and the patients and personnel department of nursing service quality evaluation.Method： From January 2014 to January 2015, 40 cases of senile inpatients in our hospital neurosurgery department were selected as the traditional group, implemented traditional management mode.From February 2015 to February 2016, 40 cases of senile inpatients were selected as the improve group, implemented Six Sigma management methods, 28 cases of neurosurgery medical personnel in our hospital were selected, the patients＇ clinical nursing quality evaluation and the department of management model for staff satisfaction, lung infection were comparod.Result： In terms of quality of nursing service, the improvement group of patients operation implementation, provided by the clinical nursing staff sterile consciousness, communication and nursing service attitude of nurses and patients and so on various index score, were significantly higher than those of the traditional group, the differences between two groups were statistically significant （ P〈0.01 ） .The satisfaction degree of traditional management mode of nursing department staff was 71.43% （ 20/28 ）, significantly lower than the implementation of Six Sigma nursing management mode, the differences were statistically significant （ χ2=14.765, P〈0.01 ） .9 cases of patients with pulmonary infection in the traditional group, infection rate was 22.5%, and the improve group appeared only 1 case, pulmonary infection rate was 2.5%, the difference between two groups was statistically significant （ χ2=29.418, P〈0.01 ） . Conclusion： Elderly patients treated for neurosurgery, summarized lead to pulmonary infection related factors and formulate the relevant improvement measures, can improve the score of clinical nursing service quality and performance of staff satisfaction, the Six Sigma management model can also reduce the patients with lung infection.
出处
《中国医学创新》
CAS
2016年第27期90-93,共4页
Medical Innovation of China
关键词
六西格玛
神经外科
肺部感染
防护作用
满意度
Six Sigma
Neurosurgery
Lung infection
Protective effect
Satisfaction
