消化内科引入疾病评分量表对专科护理质量影响的探讨(1)
[摘要] 目的 对消化科病房常见的3类疾病探讨专科护理质量的影响。 方法 方便选取2018年1—6月入院的患者为对照组，2018年7—12月入院的患者为观察组，对观察组的3类疾病患者应用相应的评分表进行动态评分，并通过对比医生的满意度，患者的满意度，专科护理质量，护士工作的满意度以及患者的平均住院日，来进行效果评估。结果 观察组的肝硬化、上消化出血、胰腺炎的平均住院日(12.81±3.59)d、(10.26±4.15)d、(12.08±4.11)d。均低于对照组平均住院日(16.37±4.12)d、(12.63±6.21)d、(15.38±5.64)d，差异有统计学意义(t=2.101、2.041、2.129，P<0.05)。观察组医生的满意度，患者的满意度，专科护理质量，护士工作的满意度为98.63%(72/73)、97.26%(71/73)、95.89%(70/73)、98.63%(72/73)，均高于对照组的88.57%(62/70)、87.14%(61/70)、85.71%(60/70)、85.71%(60/70)，两组比较差異有统计学意义(χ2=4.544、5.151、4.477、8.395，P<0.05)。结论 利用评分量表的得分，进行疾病危险度分级能提高消化内科的护理质量。
[关键词] 消化内科;专科护理;护理质量;疾病评分量表;消化系统疾病;移动护理信息系统;护理满意度
[Abstract] Objective Convenient select The effects of specialist nursing quality on the three types of diseases common in the gastroenterology wards. Methods Patients admitted to hospital from January to June 2018 were included in the control group. Patients admitted to the hospital from July to December 2018 were observed. The patients in the observation group were assessed by dynamic scores using the corresponding scores. The effect was evaluated by comparing the satisfaction of doctors， patients， the quality of specialized nursing， the satisfaction of nurses and the average hospitalization days of patients. Results The average hospitalization days of cirrhosis， upper digestive hemorrhage， and pancreatitis in the observation group (12.81±3.59)d、(10.26±4.15)d、(12.08±4.11)d. The average hospital stay was lower than the control group (16.37±4.12)d、(12.63±6.21)d、(15.38±5.64)d， the difference was statistically significant(t=2.101， 2.041， 2.129， P<0.05). The satisfaction of doctors in the observation group， the satisfaction of patients， the quality of specialist nursing， and the satisfaction of nurses' work were 98.63% (72/73)， 97.26% (71/73)， 95.89% (70/73)， and 98.63% (72/73). They were higher than the control group of 88.57% (62/70)， 87.14% (61/70)， 85.71% (60/70)， 85.71% (60/70)， the difference between the two groups was statistically significant(χ2=4.544， 5.151， 4.477， 8.395， P<0.05). Conclusion Using the score of the rating scale， the classification of disease risk can improve the quality of care in the department of gastroenterology.
[Key words] Gastroenterology; Specialist nursing; Quality of care; Disease score scale; Diseases of digestive system; Mobile nursing information system; Nursing satisfaction
消化内科病房收治的消化系统疾病中以上消化道出血、胰腺炎、肝硬化3类疾病最为常见，这些疾病的病情变化快，病情重，对护理的要求高[1]。随着近年来患有消化系统疾病的患者越来越多，人们对该类疾病的防治和预后的意识也越来越强。由于引发消化系统疾病的机制较为复杂，且病情变化得较快，所以动态的观察及护理尤其重要。在临床上，疾病评分量表尽管对死亡的预测价值不大，但是对患者病情的评估方面却能起到不小的作用。通过将其引用到消化系统疾病患者的护理中，初步效果明显。为促使护理质量的提高，研究消化内科在引入疾病评分量表对专科护理质量的影响效果，特方便选取该院消化科2018年1—6月收治的上消化道出血、胰腺炎、肝硬化的患者入院的70例患者，以及2018年7—12月的收治的73例入院患者作为研究对象，进行了进一步的研究和分析，现报道如下。, 百拇医药(曹美 瞿邱炜 周钰 曹亮)
[关键词] 消化内科;专科护理;护理质量;疾病评分量表;消化系统疾病;移动护理信息系统;护理满意度
[Abstract] Objective Convenient select The effects of specialist nursing quality on the three types of diseases common in the gastroenterology wards. Methods Patients admitted to hospital from January to June 2018 were included in the control group. Patients admitted to the hospital from July to December 2018 were observed. The patients in the observation group were assessed by dynamic scores using the corresponding scores. The effect was evaluated by comparing the satisfaction of doctors， patients， the quality of specialized nursing， the satisfaction of nurses and the average hospitalization days of patients. Results The average hospitalization days of cirrhosis， upper digestive hemorrhage， and pancreatitis in the observation group (12.81±3.59)d、(10.26±4.15)d、(12.08±4.11)d. The average hospital stay was lower than the control group (16.37±4.12)d、(12.63±6.21)d、(15.38±5.64)d， the difference was statistically significant(t=2.101， 2.041， 2.129， P<0.05). The satisfaction of doctors in the observation group， the satisfaction of patients， the quality of specialist nursing， and the satisfaction of nurses' work were 98.63% (72/73)， 97.26% (71/73)， 95.89% (70/73)， and 98.63% (72/73). They were higher than the control group of 88.57% (62/70)， 87.14% (61/70)， 85.71% (60/70)， 85.71% (60/70)， the difference between the two groups was statistically significant(χ2=4.544， 5.151， 4.477， 8.395， P<0.05). Conclusion Using the score of the rating scale， the classification of disease risk can improve the quality of care in the department of gastroenterology.
[Key words] Gastroenterology; Specialist nursing; Quality of care; Disease score scale; Diseases of digestive system; Mobile nursing information system; Nursing satisfaction
消化内科病房收治的消化系统疾病中以上消化道出血、胰腺炎、肝硬化3类疾病最为常见，这些疾病的病情变化快，病情重，对护理的要求高[1]。随着近年来患有消化系统疾病的患者越来越多，人们对该类疾病的防治和预后的意识也越来越强。由于引发消化系统疾病的机制较为复杂，且病情变化得较快，所以动态的观察及护理尤其重要。在临床上，疾病评分量表尽管对死亡的预测价值不大，但是对患者病情的评估方面却能起到不小的作用。通过将其引用到消化系统疾病患者的护理中，初步效果明显。为促使护理质量的提高，研究消化内科在引入疾病评分量表对专科护理质量的影响效果，特方便选取该院消化科2018年1—6月收治的上消化道出血、胰腺炎、肝硬化的患者入院的70例患者，以及2018年7—12月的收治的73例入院患者作为研究对象，进行了进一步的研究和分析，现报道如下。, 百拇医药(曹美 瞿邱炜 周钰 曹亮)
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