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Received:December 14, 2021 Published Online:July 20, 2022
Received:December 14, 2021 Published Online:July 20, 2022
中文摘要: 目的 探讨持续质量改进(CQI)模式在单通道经皮肾镜取石术(S-PCNL)后护理中的应用效果。方法 选取2019年12月至2021年5月在安庆市第一人民医院就诊的56例行S-PCNL患者,进行CQI模式护理(CQI后组),通过分析护理过程中的不足和原因,制定CQI措施;并与2018年6月至2019年11月收治的43例行S-PCNL且未进行CQI模式护理的患者(CQI前组)对比,比较CQI模式护理实施前后,患者的并发症发生率、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、疾病认知度、生活质量评分和护理满意度。结果 CQI实施前后,患者的并发症发生率分别为20.93%、5.35%,SAS评分分别为(58.48±4.65)分、(49.29±3.61)分,SDS评分分别为(64.83±4.97)分、(51.62±4.13)分,疾病认知优良率分别为72.09%、96.43%,护理满意度总分分别为(68.28±8.37)分、(96.11±8.61)分;CQI实施后,患者的并发症发生率、SAS和SDS评分低于CQI前,疾病认知优良率、生活质量水平4项指标评分、护理满意度总分均高于CQI实施前(P<0.05,P<0.01)。结论 对行S-PCNL的患者进行CQI模式护理,可以减少并发症发生率,缓解患者的负面情绪,提高其生活质量、对疾病的认知度和护理满意度。
Abstract:Objective To explore the effect of continuous quality improvement (CQI) model in nursing after single channel percutaneous nephrolithotomy (S-PCNL).
Methods A total of 56 patients with S-PCNL treated in Anqing First Peoples Hospital from December 2019 to May 2021 were selected for CQI mode nursing(group after CQI implementation). By analyzing the deficiencies and causes in the nursing process, CQI measures were formulated. And compared with 43 patients who received S-PCNL without CQI mode care from June 2018 to November 2019(group before CQI implementation). The incidence of complications, Self-rating Anxiety Scale (SAS) score, Self-rating Depression Scale (SDS) score, disease awareness, quality of life score and nursing satisfaction were compared before and after the implementation of CQI model nursing.
Results Before and after the implementation of CQI, the incidence of complications was 20.93% and 5.35% respectively, the SAS score was 58.48±4.65 and 49.29±3.61 respectively, the SDS score was 64.83±4.97 and 51.62±4.13 respectively, the excellent and good rate of disease cognition was 72.09% and 96.43% respectively, and the total score of nursing satisfaction was 68.28±8.37 and 96.11±8.61 respectively. After the implementation of CQI, the incidence of complications, SAS and SDS scores of patients were lower than those before CQI, and the excellent rate of disease cognition, the score of four indicators of quality of life and the total score of nursing satisfaction were higher than those before CQI (P<0.05,P<0.01).
Conclusion CQI nursing for patients undergoing S-PCNL can reduce the incidence of complications, alleviate patients negative emotions, and improve quality of life, disease awareness and nursing satisfaction.
keywords: Continuous quality improvement Single channel percutaneous nephrolithotomy Nursing Anxiety Depression Complication Disease cognition Quality of life
文章编号: 中图分类号:R473.6 文献标志码:B
基金项目:
Author Name | Affiliation |
LI Li-qin, CHEN Cheng, CHENG Xiao-xia | Department of Urology, Anqing First Peoples Hospital Affiliated to Anhui Medical University, Anqing, Anhui 246003, China |
Author Name | Affiliation |
LI Li-qin, CHEN Cheng, CHENG Xiao-xia | Department of Urology, Anqing First Peoples Hospital Affiliated to Anhui Medical University, Anqing, Anhui 246003, China |
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