护理质量管理对烧伤整形手术患者医院感染率及心理状态的影响
Effect of Nursing Quality Management on the Nosocomial Infection Rate and Psychology State of Patients with Burn and Plastic Surgery.
作者信息
Wang Xue, Xu Qi, Liu Xu, Lv Aiqin
机构信息
Operating Theater, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, P.R. China.
School of Nursing, Shandong University, Jinan 250012, P.R. China.
出版信息
Iran J Public Health. 2020 Sep;49(9):1659-1665. doi: 10.18502/ijph.v49i9.4082.
BACKGROUND
To explore the effect of nursing quality management on the nosocomial infection rate and Psychology State of patients with burn and plastic surgery.
METHODS
Overall, 92 patients with burn and plastic surgery admitted to Qilu Hospital, Jinan, China from Apr 2017 to Jul 2018 were selected, in which 46 cases were randomly selected as a control group for routine nursing management, and another 46 cases as a research group to strengthen nursing quality management. The incidence of nosocomial infection, nursing satisfaction and nurse-patient disputes were compared. MMAS-8 scale was used to compare the compliance of the two groups. SAS and SDS score were used to compare the psychological status. The recovery and discharge were compared.
RESULTS
The incidence of nosocomial infection in the study group was significantly lower than that in the control group (<0.05). The total satisfaction rate of the study group was significantly higher than that of the control group (<0.05). The incidence of nurses-patients disputes was significantly lower than that of the control group. The SAS and SDS score of the study group were significantly better than the control group (<0.05). The healing time, blood circulation recovery time of skin wounds and discharge time in the study group were significantly better than those in the control group.
CONCLUSION
Strengthening nursing quality management can effectively reduce the nosocomial infection rate of burn and plastic surgery. It helps to further accelerate the recovery of patients and make patients 'psychological state better.
背景
探讨护理质量管理对烧伤整形患者医院感染率及心理状态的影响。
方法
选取2017年4月至2018年7月在济南齐鲁医院收治的92例烧伤整形患者，随机抽取46例作为对照组进行常规护理管理，另外46例作为研究组加强护理质量管理。比较两组医院感染发生率、护理满意度及护患纠纷情况。采用MMAS-8量表比较两组的依从性。采用SAS和SDS评分比较心理状态。比较康复及出院情况。
结果
研究组医院感染发生率显著低于对照组（<0.05）。研究组总满意率显著高于对照组（<0.05）。护患纠纷发生率显著低于对照组。研究组的SAS和SDS评分显著优于对照组（<0.05）。研究组的愈合时间、皮肤伤口血液循环恢复时间及出院时间均显著优于对照组。
结论
加强护理质量管理可有效降低烧伤整形患者的医院感染率。有助于进一步加快患者康复，使患者心理状态更好。
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