Application of nursing quality management in the follow-up management of analgesic pumpafter anesthesia department
护理质量管理在麻醉科术后镇痛泵随访管理的应用

摘要

目的 探究麻醉科术后镇痛泵随访管理中护理质量管理的应用效果。方法 选择2022年1月~2023年1月间，本院麻醉科中术后实施镇痛泵镇痛的患者100例作为研究对象。设计对照研究，抽签法将纳入患者随机分为2组，50例/组。对照组行常规随访管理，观察组则予以护理质量管理。比较两组不良反应发生率、镇痛泵有效按压次数、静息时疼痛发生率、疼痛管理满意度以及随访质量。结果 不良反应中，观察组发生率2.00%，较对照组低（χ2=4.8913；P<0.05）。镇痛泵有效按压次数中，观察组（5.45±1.32）次，较对照组高（T=4.7662；P<0.05）。静息时疼痛中，观察组发生率10.00%，较对照组低（χ2=4.3360；P<0.05）。疼痛管理中，观察组管理满意度100.00%，较对照组高（χ2=4.1667；P<0.05）。随访质量中，观察组管理后有效随访（95.87±4.02）分、护患沟通（94.06±4.99）分、镇痛泵认知（92.18±5.44）分、文案书写（93.68±4.36）分，均较对照组高（T=6.1061；T=5.2532；T=5.9258；T=7.4308；P<0.05）。结论 麻醉科术后镇痛泵随访管理中，护理质量管理可提升随访质量，提高患者镇痛效果，减少不良反应，还可提高患者疼痛管理满意度，利于医院口碑，值得推广。

Abstract

Objective To explore the application effect of nursing quality management in the follow-up management of postoperative analgesic pump in anesthesiology department.
Methods 100 patients who implemented postoperative analgesic pump analgesia in the Department of Anesthesiology of our hospital between January 2022 and January 2023 were selected as study subjects. A controlled study was designed, and the included patients were randomly divided into 2 groups by lottery method, 50 cases/group. The control group was managed with routine follow-up, while the observation group was managed with quality of care. The two groups were compared in terms of the incidence of adverse reactions, the number of effective presses of the analgesic pump, the incidence of pain at rest, the satisfaction of pain management, and the quality of follow-up.
Results Among the adverse reactions, the incidence rate of the observation group was 2.00%, which was lower than that of the control group (χ2=4.8913; P<0.05). In the number of effective presses of analgesic pump, the observation group (5.45±1.32) times, higher than the control group (T=4.7662; P<0.05). In pain at rest, the incidence rate was 10.00% in the observation group, which was lower than the control group (χ2=4.3360; P<0.05). In pain management, management satisfaction was 100.00% in the observation group, which was higher than the control group (χ2=4.1667; P<0.05). In the quality of follow-up, the scores of effective follow-up after management (95.87±4.02), nurse-patient communication (94.06±4.99), awareness of analgesic pump (92.18±5.44), and copy writing (93.68±4.36) were higher in the observation group than in the control group (T=6.1061; T=5.2532; T=5.9258; T=7.4308; P< 0.05).
Conclusion   In the follow-up management of postoperative analgesic pump in anesthesiology department, nursing quality management can improve the quality of follow-up, improve the analgesic effect of patients, reduce adverse reactions, and also improve the satisfaction of patients' pain management, which is beneficial to the hospital's reputation, and is worthy of promotion.