首页|基于短暂性脑缺血发作单病种护理质量管理的实践探讨

基于短暂性脑缺血发作单病种护理质量管理的实践探讨

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目的:探讨基于短暂性脑缺血发作(TIA)单病种护理质量管理的实践效果.方法:选取南昌大学第二附属医院 2021 年 1 月—2023 年 3 月收治的TIA患者 100 例.按照随机分组原则将患者分为对照组和研究组,各 50 例.对照组开展基于TIA单病种临床路径护理的优质护理,此基础上,研究组实施基于TIA单病种护理质量管理.比较两组对TIA健康知识知晓评分,跌倒/坠床风险评分、压力性损伤风险评分、肌力情况及出院指导落实率.结果:干预前,两组对TIA健康知识知晓评分、跌倒/坠床风险评分、压力性损伤风险评分及肌力分级情况比较,差异均无统计学意义(P>0.05);出院时,两组对TIA健康知识知晓评分、压力性损伤风险评分均较干预前升高,跌倒/坠床风险评分均较干预前降低,差异均有统计学意义(P<0.05);研究组出院时对TIA健康知识知晓评分、压力性损伤风险评分均高于对照组,跌倒/坠床风险评分低于对照组,差异均有统计学意义(P<0.05).出院时,两组肌力分级均较干预前改善,且研究组优于对照组(P<0.05).研究组出院指导落实率为 100%,高于对照组的 88.00%,差异有统计学意义(P<0.05).结论:基于TIA单病种护理质量管理有助于提升TIA患者对疾病健康知识知晓情况,降低跌倒及压力性损伤风险,提高护理质量,促进患者康复.
Discussion on the Application of Nursing Quality Management Based on Single Disease of Transient Ischemic Attack in Practice
Objective:To explore the practical effect of nursing quality management based on single disease of transient ischemic attack(TIA).Method:A total of 100 TIA patients admitted to the Second Affiliated Hospital of Nanchang University from January 2021 to March 2023 were selected.According to the principle of randomization,the patients were divided into control group and study group,50 cases each.The control group carried out high-quality nursing based on TIA single disease clinical pathway nursing.On this basis,the study group implemented nursing quality management based on TIA single disease.The health knowledge score,fall/bed fall risk score,stress injury risk score,muscle strength and discharge guidance implementation rate were compared between the two groups.Result:Before intervention,there were no significant differences in TIA health knowledge score,fall/bed fall risk score,stress injury risk score and muscle strength grade between the two groups(P>0.05).At discharge,TIA health knowledge scores and stress injury risk scores were higher in both groups than those before intervention,and fall/bed fall risk scores were lower than those before intervention,the differences were statistically significant(P<0.05).The TIA health knowledge score and stress injury risk score of the study group were higher than those of the control group at discharge,and the fall/bed fall risk score was lower than that of the control group,the differences were statistically significant(P<0.05).At discharge,the muscle strength grading of both groups were improved compared with those before intervention,and the study group was better than that of the control group(P<0.05).The discharge guidance implementation rate in the study group was 100%,which was higher than 88.00%in the control group,the difference was statistically significant(P<0.05).Conclusion:Nursing quality management based on TIA single disease is helpful to improve the health knowledge of TIA patients,reduce the risk of falls and stress injuries,improve the quality of nursing,and promote the recovery of patients.

Transient ischemic attackSingle disease speciesQuality management

杨敏、张芳、张丽娟

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南昌大学第二附属医院神经内科 江西 南昌 330006

短暂性脑缺血发作 单病种 质量管理

江西省卫生健康委科技项目

202310576

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(8)
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