摘要
目的探讨血液净化中心优化护理流程对护理质量及满意度的影响，以减少安全隐患，提高患者满意度。方法选取我院维持性血液透析患者，对原有的血液净化护理流程进行分析、评估，重建、优化，并组织实施，比较优化护理流程前患者106例和优化护理流程后患者115例护理质量及满意度。结果流程优化前患者总体满意度为83．9％，实施后总体满意度为95．7％，优化护理流程前后比较差异有统计学意义（Z=-2．585，P〈0．05）；优化血液透析治疗流程后护理质量提高，患者穿刺处渗血或出血发生率为13．92％，管道脱落发生率为0．87％，均低于流程优化前，差异有统计学意义（X^2值分别为8．594，5．198；P〈0．05）。结论优化护理流程能提高血液净化中心的护理质量及满意度。
Objective To discuss the impact on nursing quality and patients＇ satisfaction of nursing process optimization in blood purification center, in order to reduce the potential safety hazard and improve patients＇ satisfaction. Methods The patients with maintenance hemodialysis in our hospital were selected. The original blood purification process was analyzed, evaluated, reconstructed, optimized, and organized and implemented. Comparison of nursing quality and satisfaction was conducted between 106 cases before nursing process optimization and 115 cases after nursing process optimization. Results The overall patients＇ satisfaction before optimized nursing process was 83.9%. After optimized nursing process, the overall patients＇ satisfaction was 95.7%. The comparison difference was statistically significant （Z = -2. 585, P 〈 0.05 ）. After optimization of hemodialysis treatment processes, nursing quality improved. The rate of patients oozing or bleeding at the puncture was 13.92% and the rate of tube shed was 0. 87%, both lower than the rates before nursing process optimization. The differences were statistically significant （X^2 = 8. 594, 5. 198, respectively; P〈0.05）. Conclusions Nursing process optimization can improve the nursing quality and satisfaction in blood purification center.
出处
《中华现代护理杂志》
2013年第36期4508-4511,共4页
Chinese Journal of Modern Nursing
基金
2011年江阴市科技计划项目（[2011]85号）
关键词
血液净化中心
优化护理流程
护理质量
满意度
Blood purification center
Nursing process optimization
Nursing quality
Satisfaction
