基于专科质量评价体系的干预模式在老年膝关节置换术后患者中应用研究

Application of intervention model based on specialty quality evaluation system in elderly patients after knee replacement

中文关键词: 老年, 膝关节置换术, 专科质量评价体系, 三维质量模型, 护理满意度, 达标率, 德尔菲法

英文关键词: elderly  knee replacement  specialty quality evaluation system  three-dimensional quality model  nursing satisfaction  compliance rate  Delphi method

中文摘要:

      目的 本研究以"结构-过程-结果"的三维质量模型作为理论基础,探讨基于专科质量评价体系的干预模式在老年膝关节置换术后患者中应用的研究.方法 选择2020年6月-2023年6月在首都医科大学附属北京朝阳医院接受膝关节置换术的108例老年患者,依据患者采取的不同干预措施分为观察组(n=54例)与对照组(n=54例).对照组给予常规护理,观察组在此基础上实施基于专科质量评价体系的干预.比较2组护理质量评价指标和护理满意度.结果 2组入院评估达标率、基础护理达标率、健康教育达标率比较无统计学差异(P＞0.05).观察组专科护理达标率、心理护理达标率和院外延续管理达标率高于对照组(P＜0.05).观察组物理环境、护理技术、沟通、护理、安全、指导和满意度总评分均高于对照组(P＜0.05).结论 基于专科质量评价体系的干预模式可显著提高老年膝关节置换术后患者护理质量和护理满意度,具有一定临床应用价值.

英文摘要:

      Objective To explore the application of intervention model based on specialty quality evaluation system in elderly patients after knee replacement according to the theory of the three-dimensional quality model of"structure-process-out-come".Methods 108 elderly patients receiving knee replacement in Beijing Chaoyang Hospital,Capital Medical University from June 2020 to June 2023 were selected and divided into observation group(n=54 cases)and control group(n=54 cases)according to different intervention measures.The control group received routine nursing,and the observation group received in-tervention based on specialty quality evaluation system on the basis of the control group.The nursing quality evaluation indexes and nursing satisfaction were compared between the two groups.Results There was no significant difference in the compliance rates of admission assessment,basic nursing and health education between the two groups(P＞0.05).The compliance rates of specialty nursing,psychological nursing and out-of-hospital extended management in the observation group were higher than those in the control group(P＜0.05).The scores of physical environment,nursing technology,communication,nursing,safety,guidance and the total scores of satisfaction in the observation group were higher than those in the control group(P＜0.05).Conclusion The intervention model based on specialty quality evaluation system can significantly improve the nursing quality and nursing satisfaction of elderly patients after knee replacement,and has certain clinical application value.