摘要
目的构建呼吸内科重症护理质量敏感指标,并观察其实施效果。方法以三维质量结构模式为理论基础,采用德尔菲法确定呼吸内科重症护理质量敏感指标。采用便利抽样法,选取2019年1月—2020年12月入住联勤保障部队第904医院呼吸内科ICU的120例重症患者为研究对象,其中2019年的60例患者为护理质量敏感指标实施前组,2020年的60例患者为实施后组。比较实施呼吸内科重症护理质量敏感指标前后两组患者ICU住院时间、机械通气时间、护理不良事件发生率、仪器设备规范操作合格率。结果最终形成的呼吸内科重症护理质量敏感指标包括一级指标3项,二级指标10项,3级指标33项。实施后患者ICU住院时间、机械通气时间均短于实施前,护理不良事件发生率低于实施前,差异有统计学意义(P<0.05)。结论本研究构建的呼吸内科重症护理质量敏感指标具有一定科学性和实用性。
Objective To construct sensitive quality indicators of critical care in Respiratory Department,and to observe its implementation effect.Methods Based on the three-dimensional quality structure model,the Delphi method was used to determine the sensitive quality indicators of critical care in Respiratory Department.From January 2019 to December 2020,convenience sampling was used to select 120 critically ill patients admitted to the Respiratory ICU of the 904th Hospital of the Joint Logistics Support Force as the research object.The 60 patients in 2019 were the pre-implementation group of sensitive indicators of nursing quality,and the 60 patients in 2020 were the post-implementation group.The ICU length of stay,mechanical ventilation time,incidence of nursing adverse events,and qualified rate of standardized operation of instruments and equipment were compared between the two groups before and after the implementation of the sensitive quality indicators of critical care in Respiratory Department.Results The final sensitive quality indicators of critical care in Respiratory Department included 3 first-level indicators,10 second-level indicators,and 33 third-level indicators.After the implementation,the ICU length of stay and mechanical ventilation time of the patients were shorter than those before the implementation,and the incidence of nursing adverse events was lower than that before the implementation,and the differences were statistically significant(P<0.05).Conclusions The sensitive quality indicators of critical care in Respiratory Department is scientific and practical.
作者
汤天娟
焦薇
万蓉
孙静
Tang Tianjuan;Jiao Wei;Wan Rong;Sun Jing(Respiratory Department,the 904th Hospital,Joint Logistic Support Force,Wuxi 214044,China)
出处
《中华现代护理杂志》
2022年第24期3308-3312,共5页
Chinese Journal of Modern Nursing
基金
无锡市适宜技术项目(T202018)。
关键词
重症监护病房
呼吸内科
护理质量
敏感指标
Intensive Care Unit
Respiratory
Nursing quality
Sensitive indicators
