摘要
目的 分析PDCA(plan计划-do实施-check检查-act处理)循环管理在发热门诊护理管理中的应用价值。方法 选取2020年1月-2020年7月本院未开展PDCA循环管理时就诊的34例发热患者及10名护理人员作为对照组,选取2020年8月-2021年1月本院开展PDCA循环管理时就诊的36例发热患者及11名护理人员作为研究组。对比两组护理效果、护理人员专业素质优良率、发热知识知晓率、交叉感染率、疾病漏诊、漏报情况。结果 研究组护理文件质量、基础护理质量、专业护理质量评分较对照组高(P <0.05);研究组护理人员专业素质优良率90.91%(10/11)与对照组70%(7/10)对比无显著差异(P> 0.05);研究组发热知识知晓率97.22%(35/36)较对照组76.47%(26/34)高,交叉感染率2.78%(1/36)较对照组23.53%(8/34)低(P <0.05);研究组疾病漏诊率2.78%(1/36)、漏报率2.78%(1/36)较对照组20.59%(7/34)、23.53%(8/34)低(P <0.05)。结论 PDCA循环管理应用于发热门诊护理管理中,可提高护理效果,优化护理人员专业素质,提高发热知识普及度,降低患者交叉感染率,并减少漏诊或漏报情况发生。
Objective To analyze the application value of PDCA cycle management in nursing management of fever clinic.Methods From January 2020 to July 2020, 34 febrile patients and 10 nurses who visited our hospital without PDCA cycle management were selected as the control group, and 36 patients with fever and 11 nursing staff from August 2020 to January 2021 were selected as the study group. The nursing effect, excellent and good rate of professional quality of nursing staff, awareness rate of fever knowledge, cross infection rate, missed diagnosis and missing report of diseases were compared between the two groups. Results The scores of nursing document quality, basic nursing quality and professional nursing quality in the study group were higher than those in the control group(P <0.05);There was no significant difference in the excellent and good rate of professional quality between the study group and the control group 90.91%(10/11)and 70%(7/10)(P > 0.05);The awareness rate of fever knowledge in the study group was 97.22%(35/36)higher than 76.47%(26/34)in the control group, and the cross infection rate was 2.78%(1/36)lower than 23.53%(8/34)in the control group(P < 0.05);The missed diagnosis rate of 2.78%(1/36)and missed report rate of 2.78%(1/36)in the study group were lower than 20.59%(7/34)and 23.53%(8/34)in the control group(P < 0.05). Conclusion The application of PDCA cycle management in the nursing management of fever clinic can improve the nursing effect, optimize the professional quality of nursing staff, improve the popularity of fever knowledge, reduce the cross-infection rate of patients, and reduce the occurrence of missed diagnosis or missing report.
作者
陆璐
LU Lu(Outpatient and emergency department,The 990th Hospital of PLA Joint Logistic Support Force,Xinyang,Henan,464000,China)
出处
《新疆医学》
2023年第1期98-100,109,共4页
Xinjiang Medical Journal
