Influence of Continuous Quality Improvement on the Quality Management of Urological Nursing Under the Situation Analysis Method
态势分析法下持续质量改进对泌尿外科护理质量管理的影响

摘要

目的 经尿道输尿管镜钬激光碎石术治疗的泌尿结石患者于围手术期中，通过快速康复理念进行干预，对其应用效果进行研究分析。方法 选择我院在2019年1月至2021年1月期间收治的60例泌尿结石患者作为本次研究的对象，然后按照随机数字表法对所选对象进行分组，分成对照组和观察组，各组均由30例患者组成，对照组患者通过常规护理，观察组采用态势分析法下持续质量改进干预，比较两组患者的护理满意度；术后并发症发生率（感染、尿路阻塞、出血、输尿管穿孔）；首次进食时间、住院时间；护理质量评分（病区管理、业务水平、沟通能力、自我认同）。结果 观察组患者的护理满意度为96.7%（29/30），对照组患者的护理满意度为70.0%（21/30），差异有统计学意义（P＜0.05）；观察组患者的术后并发症的发生概率为6.7%（2/30）低于对照组患者30.0%（9/30），差异具有统计学意义（P＜0.05）；观察组患者的首次进食时间以及住院时间分别为（2.29±1.01）h，（3.06±0.62）d少于对照组患者（6.38±1.64）h，（8.56±0.42）d，差异具有统计学意义（P＜0.05）；观察组患者的病区管理、业务水平、沟通能力、自我认评分分别为：（97.40±2.17）分、（94.18±2.08）分、（91.29±2.23）分、（91.85±2.69）分均高于对照组患者（91.99±3.22）分、（90.04±2.01）分、（87.52±2.17）分、（88.14±3.03）分，差异有统计学意义（P＜0.05）。结论 泌尿结石患者通过在围手术期通过态势分析法下持续质量改进进行干预，患者的治疗指标和并发症的发生得到了明显的改善，值得推广。

Abstract

Objective In the perioperative period, patients with urinary calculi treated by transurethral holmium laser lithotripsy were intervened through the concept of fast recovery, and the application effect was studied and analyzed.
Methods 60 patients with urinary calculi admitted in our hospital from January 2019 to January 2021 were selected as the subjects of this study, and then the selected subjects were divided into control group and observation group according to the random number table method. Each group consisted of 30 patients. The patients in the control group received routine nursing care, and the observation group received continuous quality improvement intervention under the situation analysis method. The nursing satisfaction of the two groups of patients was compared; the incidence of postoperative complications (infection, urinary tract obstruction, bleeding, ureteral perforation); first meal time, hospital stay; nursing quality score (ward management, professional level, communication ability, self-identity).
ResultsThe nursing satisfaction of the patients in the observation group was 96.7% (29/30), and the nursing satisfaction of the patients in the control group was 70.0% (21/30), and the difference was statistically significant (P<0.05). The incidence of postoperative complications was 6.7% (2/30), which was lower than 30.0% (9/30) of the control group, and the difference was statistically significant (P<0.05). (2.29 ± 1.01) h, (3.06 ± 0.62) d less than the control group (6.38 ± 1.64) h, (8.56 ± 0.42) d, the difference was statistically significant (P < 0.05); Ward management of patients in the observation group , business level, communication ability, self-recognition scores were: (97.40±2.17) points, (94.18±2.08) points, (91.29±2.23) points, (91.85±2.69) points were higher than those of the control group (91.99±3.22 points) ) points, (90.04±2.01) points, (87.52±2.17) points, (88.14±3.03) points, the differences were statistically significant (P<0.05).
Conclusion   The patients with urinary calculi were intervened through continuous quality improvement under the situation analysis method in the perioperative period, and the treatment indicators and the occurrence of complications of the patients were significantly improved, which is worthy of promotion.