作　　者： (丁留敏）; (阿孜古丽）; (张秀敏）;

机构地区： 新疆维吾尔自治区人民医院,新疆乌鲁木齐830001

出　　处： 《护理学报》 2017年第15期20-24,共5页

摘　　要： 目的探讨重症医学专业医疗质量控制护理相关指标在持续质量改进中的应用效果。方法 2016年3-10月选取我院重症医学科作为研究对象,将2016年3—6月监测数据作为指标应用前的资料(指标应用前),2016年7—10月监测数据作为指标应用后的资料(指标应用后)。指标应用前仅收集监测数据作为基线资料;应用重症医学专业医疗质量控制护理相关指标后进行护理质量评价,收集监测数据,每月进行动态分析,针对分析结果进行护理质量的持续化改进。观察比较重症医学专业医疗质量控制护理相关指标应用前后的差异。结果指标应用后ICU深静脉血栓预防率较应用有明显的提高(P<0.05);ICU非计划气管插管拔管率、ICU呼吸机相关性肺炎发病率、ICU血管内导管相关血流感染发病率及ICU导尿管相关泌尿系感染发病率低于对照组(P<0.05)。结论基于重症医学专业医疗质量控制护理相关指标为基础的护理持续质量改进能有效提高重症医学专业的护理质量水平,提高了深静脉血栓预防率,降低非计划气管插管拔管率、呼吸机相关性肺炎发病率、血管内导管相关血流感染发病率、导尿管相关泌尿系感染发病率,提高护理水平。 Objective To investigate the role of nursing related indicators in medical quality control on continuous nursing quality improvement in critical care medicine. Methods Data from March to June 2016 when medical quality control index was not applied in Department of Critical Care Medicine were collected as baseline data and data from July to October in 2016 were collected as index data. Nursing quality assessment was conducted based on the index data using nursing related indicators in medical quality control then continuous nursing quality improvement was promoted based on the assessment data. The difference of nursing quality before and after the application of medical quality control index was compared. Results Prevention rate of deep venous thrombosis was significantly increased（P〈0.05） but the rate of unplanned extubation and the incidence of ventilator-associated pneumonia,intravascular catheter-related bloodstream infections and urinary catheter related urinary tract infection were lower（ P〈0.05）.Conclusion Continuous nursing quality improvement based on nursing related indicators in medical quality control can effectively improve the quality of nursing.

关 键 词： 重症医学专业 质量控制指标 持续质量改进