高澤宇 武彥霄
[摘要] 目的 探索品管圈在改善老年腎病綜合征患者綜合護理措施中的應用效果。方法 成立品質(zhì)改善小組,對該院2018年1—12月收治的73例腎病綜合征患者進行干預,提高其老年腎病綜合征患者的護理知識。觀察比較對護士采取培訓干預前與干預后患者的住院時間、住院費用、滿意度、并發(fā)癥的發(fā)生率的差異。結果 干預后老年腎病綜合征患者的住院時間和住院費用均顯著少于干預前(P<0.05),干預后護理滿意度均顯著高于干預前(P<0.05),干預后并發(fā)癥發(fā)生率顯著低于干預前(P<0.05)。結論 在老年腎病綜合征患者護理活動中實施品管圈,有利于促進患者盡快的恢復健康,提高患者臨床治療效果和護理滿意度、降低腎病綜合征的復發(fā)率,提升病區(qū)護理質(zhì)量和改善患者生活質(zhì)量。
[關鍵詞] 品管圈;老年患者;腎病綜合征;護理效果
[中圖分類號] R19 [文獻標識碼] A [文章編號] 1672-5654(2020)02(b)-0065-03
[Abstract] Objective To explore the application of quality control circle in improving comprehensive nursing measures for elderly patients with nephrotic syndrome. Methods A quality improvement team was set up to intervene in 73 patients with nephrotic syndrome admitted to the hospital from January to December 2018, and improve nursing knowledge of elderly patients with nephrotic syndrome. Observe and compare the differences in hospitalization time, hospitalization costs, satisfaction, and incidence of complications before and after training interventions for nurses. Results The length of hospitalization and hospitalization costs of elderly patients with nephrotic syndrome after the intervention were significantly less than before the intervention(P<0.05), and the nursing satisfaction after the intervention was significantly higher than before the intervention(P<0.05), and the incidence of complications after the intervention was significant, lower than before intervention(P<0.05). Conclusion The implementation of quality control circle in the nursing activities of elderly patients with nephrotic syndrome is helpful to promote the patient's recovery as soon as possible, improve the clinical treatment effect and nursing satisfaction of patients, reduce the recurrence rate of nephrotic syndrome, improve the quality of care in ward and improve patients' quality of life.
[Key words] Quality control circle; Elderly; Nephrotic syndrome; Nursing effect
腎病綜合征是腎內(nèi)科的常見病、多發(fā)病,以大量蛋白尿、低蛋白血癥、高脂血癥及水腫為主要特征,具有病情重、病程長、易反復、難治愈的特點[1]。隨著醫(yī)學的發(fā)展,眾學者對老年腎病綜合征進行研究,探討各種方法來護理老年腎病綜合癥患者,為了改善該院2018年1—12月收治的73例老年腎病綜合征患者的生活質(zhì)量,該科室建立品質(zhì)改善小組,采用培訓護士的干預措施,規(guī)范對患者的指導從而來提高其生活質(zhì)量,減少并發(fā)癥的發(fā)生,取得了顯著效果,現(xiàn)報道如下。
1? 對象與方法
1.1? 研究對象
選取該院2017年1—12月收治的86例患者(干預前)及2018年1—12月收治的73例腎病綜合征患者(干預后)為研究對象。
1.2? 研究方法
2017年12月科室成立品質(zhì)改善小組,對科室30名護士進行培訓,提高其老年腎病綜合征患者的護理知識。觀察比較對護士采取培訓干預前與后患者的住院時間、住院費用、滿意度、并發(fā)癥的發(fā)生率的差異。
干預措施:通過訪談法獲知各位護士對老年腎病綜合征患者的培訓需求,通過品質(zhì)改善小組討論選定培訓內(nèi)容包含以下6個方面:藥物指導、飲食護理、控制感染、心理護理、出院指導。培訓結束后將以上知識對臨床護士進行考核包括理論及實踐(健康宣教),了解護士對培訓內(nèi)容的掌握情況。