摘要
目的:探讨以问题为中心持续护理质量改进应用于胸腔闭式引流术临床实践中的价值。方法:本研究选取2016年8月-2018年7月于本院92例行胸腔闭式引流术患者作为研究对象,按照随机数字表法分为对照组与研究组,每组46例。两组均行胸腔闭式引流术,对照组采用传统常规引流管固定法,研究组在对照组基础上实施以问题为中心持续护理质量改进。分析比较两组不良事件发生率、导管牵拉痛程度、生活质量及护理满意度。结果:研究组不良事件发生率(4.35%)明显低于对照组(17.39%),差异有统计学意义(P<0.05)。研究组导管牵拉痛0级占比明显高于对照组(P<0.05),而研究组导管牵拉痛Ⅰ、Ⅱ、Ⅲ级占比均明显低于对照组(P<0.05)。研究组各项生活质量评分均明优于对照组(P<0.05)。研究组护理满意度(97.83%)高于对照组(84.78%),差异有统计学意义(P<0.05)。结论:对行胸腔闭式引流术患者而言,以问题为中心持续护理质量改进的应用具有重要临床价值,可有效降低胶布松脱、导管牵拉痛及脱管等不良事件发生率,减轻患者导管牵拉痛程度,进一步改善生活质量,同时提高患者护理满意度,值得临床应用推广。
Objective:To discuss the clinical value of problem-based continuous nursing quality improvements during the closed thoracic drainage.Method:92 patients underwent the closed thoracic drainage from August 2016 to July 2018 in our hospital were selected as research objects.According to random number table method,they were divided into control group and study group,46 cases in each group.Both two groups were treated with closed thoracic drainage.The control group was given the conventional fixation of drainage tube,on the basis of the control group,the study group was given the problem-based continuous nursing quality improvements.The incidence of adverse events,degree of catheter dragging pain,quality of life and nursing satisfaction were compared between the two groups.Result:The incidence of adverse events in the study group(4.35%)was significantly lower than that in the control group(17.39%),and the difference was statistically significant(P<0.05).The proportion of grade 0 catheter dragging pain in the study group was significantly higher than that of the control group(P<0.05).While the proportion of grade Ⅰ,Ⅱ,Ⅲ catheter dragging pain in the study group were lower than those of the control group(P<0.05).All life quality scores of the study group were significantly better than those of the control group(P<0.05).The nursing satisfaction in the study group(97.83%)was higher than control group(84.78%),the difference was statistically significant(P<0.05).Conclusion:For patients undergoing closed thoracic drainage,the application of problem-based continuous nursing quality improvements has important clinical value.It can effectively reduce the incidence of adverse events such as adhesive plaster removal,degree of catheter dragging pain and tube removal,relieve the dragging pain degree,improve the quality of life and nursing satisfaction.It is worthy of clinical application and promotion.
作者
蔡艳玲
CAI Yanling(Jiamusi Tuberculosis Prevention and Control Hospital,Jiamusi 154007,China)
出处
《中国医学创新》
CAS
2019年第22期110-113,共4页
Medical Innovation of China
关键词
以问题为中心
持续护理质量改进
胸腔闭式引流术
导管牵拉痛
生活质量
Problem-based
Continuous nursing quality improvements
Closed thoracic drainage
Degree of catheter dragging pain
Quality of life