Application of continuous quality improvement in nursing safety management in thoracic surgery
持续质量改进在胸外科护理安全管理中的应用探究

摘要

目的 研究分析持续质量改进在胸外科护理安全管理中的作用。方法 本次实验跨越2021年6月至2022年7月这一时间段，研究人员对90例胸外科患者进行研究。将2021年6月至2021年12月期间入院的45例患者设置为对照组，未实施持续质量改进，在2022年1月初实施持续质量改进，实验组患者入院时间为2022年1月至2022年7月，记录对照组及实验组患者护理认可度、护理风险事件出现情况、护理质量评分，并加以分析对比。结果 对照组及实验组所选患者中对护理工作持特别认可及比较认可态度的人数分别为30人及40人，占比为66.67%及88.89%，组间患者护理认可度相关数据之间存在着不容忽视的差距，（p＜0.05）；对照组及实验组所选患者中出现护理风险事件的人数分别为4人及0人，占比分别为8.89%及0.00%，组间护理风险事件出现概率相关数据之间的差异是不容忽视的，（p＜0.05）；对照组及实验组护理质量方面的数据差异突出，两组在文书书写、危重护理、基础护理、消毒隔离方面的数据均有着不容忽视的差距，（p＜0.05）。结论 持续质量改进在胸外科护理安全管理中有着较为显著的应用效果，应用价值较高。

Abstract

Objective To study and analyze the role of continuous quality improvement in nursing safety management in thoracic surgery.
Methods: This experiment spanned the time period from June 2021 to July 2022, and the researchers studied 90 patients with thoracic surgery. The 45 patients admitted to the hospital from June 2021 to December 2021 were set as the control group, and continuous quality improvement was not implemented. Continuous quality improvement was implemented in early January 2022. The admission time of patients in the experimental group was from January 2022 to 2022. In July, the nursing recognition, nursing risk events and nursing quality scores of patients in the control group and the experimental group were recorded, and analyzed and compared.
Results Among the selected patients in the control group and the experimental group, there were 30 and 40 patients with special recognition and comparative recognition of nursing work, respectively, accounting for 66.67% and 88.89%. There is a gap that cannot be ignored (p<0.05); the number of selected patients in the control group and the experimental group with nursing risk events was 4 and 0, accounting for 8.89% and 0.00%, respectively. The difference between the data related to the probability of occurrence of events cannot be ignored (p<0.05); the data of the control group and the experimental group in terms of nursing quality are significantly different. There is a gap that cannot be ignored (p<0.05).
Conclusion   Continuous quality improvement has a significant application effect in the nursing safety management of thoracic surgery, and its application value is high.