持续质量改进在儿科压疮护理管理中的应用

摘要

Objective To research the application effect of continuous quality improvement in the nursing management of pressure sore in the department of paediatrics. Methods The routine nursing management measures were implemented in our hospital from March 2014 to March 2015, and the continuous quality improvement management model was implemented from April 2015 to April 2016, and the each 33 cases of children in the department of paediatrics in our hospital were se-lected as the routine group and continuous group, and the satisfactory degree of children's parents, occurrence of pressure sores and evaluation of parents to nursing management contents were summarized. Results The satisfactory degree of pa-tients in the continuous group was higher than that in the routine group, P<0.05, the scores of the children's parents to pressure sore evaluation, prevention, healthy education and quality monitoring in the routine group were lower than those in the continuous group, P<0.05, and in the routine group, pressure sores occurred to 6 cases (18.18%), and all were mild pressure sores, and pressure sores occurred to 1 case in the continuous group (3.03%), and the incidence rate of pressure sores in the continuous group was lower, P<0.05. Conclusion The application of continuous nursing quality improvement model in the department of paediatrics can effectively improve the evaluation of children's parents to nursing management contents and the satisfactory degree is higher, and the pressure sore occurrence case of children is lower, which is worth clinical promotion and application.%目的：研究在儿科护理管理过程中实施持续质量改进模式的应用效果。方法该院于2014年3月-2015年3月间实施常规护理管理措施，自2015年4月-2016年4月实施持续质量改进管理模式，同时选取上述时间段内该院儿科收治的患儿各为33例，包括常规组与持续组，总结两年度间患儿家长满意度、压疮发生情况及家长对于护理管理内容评价。结果常规组患者满意度为69.70%，持续组为90.91%，差异有统计学意义P<0.05。常规组患儿家长对于临床提供的压疮评估、防范、健康宣教及质量监控等指标评分较低，持续组均较高，差异有统计学意义P<0.05。常规组患儿出现压疮例数为6例(18.18%)，均为轻度压疮；持续组患儿1例(3.03%)出现压疮。持续组发生率较低，差异有统计学意义P<0.05。结论将持续护理质量改进模式应用于儿科，可有效提高患儿家长对于护理管理内容评价且满意度较高，患儿出现压疮例数较低，值得临床推广使用。