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目的:探讨流程管理和患者分层应用在急诊冠脉介入手术中对护理质量的改进效果及应用价值。方法:选取2015年3月至2016年10月在台州医院急诊冠脉介入治疗的患者150例,采用SPSS16.0生成随机数字分为常规护理组和流程护理管理组,记录两组护理效果及应用价值。结果:流程管理组患者接诊时间(8.98±1.46)min,患者等候时间(13.16±1.87)min,手术时间(30.35±4.21)min;常规护理组患者接诊时间(13.65±2.45)min,患者等候时间(23.09±2.88)min,手术时间(36.97±6.79)min,组间对比差异有统计学意义(P<0.05)。流程管理组基础护理评分(30.39±2.17)分,急诊秩序护理评分(19.88±1.87)分,文书管理评分(19.67±1.94)分,重点环节管理评分(16.97±2.69)分,急救药品管理评分(11.67±1.86)分;常规护理组基础护理评分(21.16±1.32)分,急诊秩序护理评分(12.13±1.02)分,文书管理评分(11.64±1.15)分,重点环节管理评分(10.03±1.23)分,急救药品管理评分(7.44±1.06)分,组间对比差异有统计学意义(P<0.05)。流程管理组护理风险发生率2.67%,抢救成功率100%,护理满意度评分(95.67±4.06)分;常规护理组护理风险发生率17.33%,抢救成功率92.00%,护理满意度评分(88.73±1.56)分,组间对比差异有统计学意义(P<0.05)。结论:流程管理和患者分层应用在急诊冠脉介入手术中可以提升护理质量,缩短患者等待时间,提升临床护理满意,降低护理风险。
Objective: To discuss the effect and application value of process management and patient stratification in improving the quality of nursing during emergency PCI. Methods: From March 2015 to October 2016, 150 patients with emergency PCI in Taizhou Hospital were selected and randomly divided into routine nursing group and flow nursing management group using SPSS16.0 to record the nursing effect and application value. Results: The duration of patient consultation (8.98 ± 1.46) min, patient waiting time (13.16 ± 1.87) min and operation time (30.35 ± 4.21) min in routine management group and 13.65 ± 2.45 (min) patients in routine nursing group The waiting time (23.09 ± 2.88) min, operation time (36.97 ± 6.79) min, the difference between the two groups was statistically significant (P <0.05). (30.39 ± 2.17), emergency department nursing score (19.88 ± 1.87), paperwork management score (19.67 ± 1.94), key management score (16.97 ± 2.69), emergency medicine management score 11.67 ± 1.86). The scores of basic nursing score (21.16 ± 1.32), emergency nursing order score (12.13 ± 1.02), paperwork management score (11.64 ± 1.15) and key link management score (10.03 ± 1.23) in routine nursing group , Emergency medicine management score (7.44 ± 1.06) points, the difference between the two groups was statistically significant (P <0.05). The rate of nursing risk in the process management group was 2.67%, the success rate of rescue was 100%, and the score of nursing satisfaction was 95.67 ± 4.06. The incidence of nursing risk in regular nursing group was 17.33%, the success rate of rescue was 92.00%, and the nursing satisfaction score was 88.73 ± 1.56) points, the difference between the groups was statistically significant (P <0.05). Conclusion: The application of process management and patient stratification in emergency percutaneous coronary intervention can improve the quality of care, shorten the waiting time of patients, improve the satisfaction of clinical nursing and reduce the risk of nursing.