以质量求发展，以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (19): 16-21.doi: 10.16460/j.issn1008-9969.2019.19.016

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Development, Application of Sensitive Indicators of Nursing Quality in Management of Patients with Esophageal Varices Ligation under Endoscopy

YANG Hui, KANG Jun-xiu, SI Jiao-jiao, QIAO Zhao-jun, LIU Yan-li, JIA Yuan, LI Jing   

  1. The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China
  • Received:2019-06-17 Online:2019-10-10 Published:2020-07-20

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Abstract: Objective To explore the application effect of nursing quality sensitive indicators in management of endoscopic esophageal varices ligation (hereinafter referred to as ligation) patients. Methods After literature review, 8 sensitive indicators of nursing quality for patients with ligation, including 5 process indicators and 3 result indicators which involved corresponding assessment method were developed through evidence-based method, routine nursing and guidelines for ligation. Changes of nursing quality indicators before (in the 2016)and after(in the 2017) the application of these 8 sensitive indicators were compared. Results There was improvement regarding to 5 process indicators after the application.The mastery rate of health education knowledge and the satisfaction rate of patients were significantly higher than those before but the incidence of complications after the implementation of the indicators was significantly lower and the difference was statistically significant (P<0.05). Conclusion After the implementation of the sensitive indicators of specialist nursing quality, the quality of specialist nursing of patients with ligation is improved. With lower incidence of complications but higher satisfaction rate of patients and the mastery rate of health education knowledge, sensitive indicators of nursing quality embody the connotation of specialist nursing and scientific management.

Key words: endoscopic esophageal varices ligation, nursing quality, sensitivity index

CLC Number: 

  • R473.5
[1] 张华芳,冯志仙,邵乐文,等.护理质量敏感性指标的构建[J].中华护理杂志,2015,50(1):287-291.DOI:10.3761/j.issn.0254-1769.2015.03.008.
[2] Burston S, Chaboyer W, Gillespie B.Nurse-sensitive Indicators suitable to reflect Nursing Care Quality:A Review and Discussion of Issues[J].J Clin Nurs,2014,23(13-14):1785-1795.DOI:10.1111/jocn.12337.
[3] 刘致,李雪.肝硬化食管静脉曲张胃镜下套扎术围手术期综合护理干预的效果观察[J]. 现代消化及介入诊疗,2017,22(2):281-283. DOI:10.3969/j.issn.1672-2159.2017.02.042.
[4] 陈玉英,明瑜珊,邹显玲,等.医护一体化模式在肝硬化食管静脉曲张套扎术后患者中的应用[J].现代临床护理,2014(10):9-11,12. DOI:10.3969/j.issn.1671-8283.2014.10.003.
[5] 邢双双,顾则娟,尹祥广,等.专科护理质量评价指标体系的构建现状及对其局限性的思考[J].护理管理杂志,2017,17(6):827-831.DOI:10.3969/j.issn.1672-1756.2017.06.024.
[6] 孙晋洁,孙永强.基于德尔菲法和分层研究法的胃肠外科专科护理敏感监测指标的构建[J].护理学报,2018,25(18):30-33. DOI:10.16460/j.issn1008-9969.2018.18.030.
[7] 张雨,王思甜.肝硬化并上消化道出血病人行食管静脉套扎术的精细护理效果分析[J].现代消化及介入诊疗,2015(2):164-166. DOI:10.3969/j.issn.1672-2159.2015.02.034.
[8] 国家卫生计生委医院管理研究所护理中心.护理质量指标研发小组. 护理敏感质量指标实用手册(2016 版)[M].北京:人民卫生出版社,2016.
[9] 中华医学会肝病学分会,中华医学会消化病学分会,中华医学会内镜学分会.肝硬化门静脉高压食管胃静脉曲张出血的防治指南[J].临床肝胆病杂志,2016,32(2):203-219. DOI:10.3969/j.issn.1001-5256.2016.02.002.
[10] 崔金锐,陈英,徐蓉,等. 呼吸内科护理敏感性质量指标体系的构建[J].中华护理杂志,2016,51(11):1286-1291.DOI:10.3761/j.issn.0254-1769.2016.11.001.
[11] 杨会,范清,谢丹红,等.消化内科护理质量敏感性指标体系的构建[J].护理学报,2018,25(15):13-17. DOI:10.16460/j.issn1008-9969.2018.15.013.
[12] Gallagher R M, Rowell P A.Claiming the Future of Nursing Through Nursing-sensitive Quality Indicators[J].Nurs Adm Q, 2003,27(4):273-284.DOI:10.1097/00006216-200310000-00004.
[13] 吴永泽,王文娟.不同应答等级对Likter式量表特性的影响[J].中国慢性病预防与控制,2010,18(2):2150.
[14] 杨会,宋亚华,赵红莉,等.临床护理路径在胃肠息肉患者中的应用效果[J].中华现代护理杂志,2011,17(12):1403-1406. DOI:10.3760/cma.j.issn.1674-2907.2011.12.015.
[15] 沈志香,倪嫣,沈金菊. 内镜下食道静脉曲张套扎术的护理[J]. 系统医学,2018,3(9):177-189.
[16] 罗丹华,王彩芳,谭琼英,等.质量管理系统在ICU护理敏感质量过程指标中的应用[J].护理学报,2019,26(12):15-19. DOI:10.16460/j.issn1008-9969.2019.12.015.
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