To explore the application value of hemodialysis-related nursing sensitive indicators in improving the quality of hemodialysis.Methods Totally 40 outpatients undergoing dialysis treatment from January 2016 to December...To explore the application value of hemodialysis-related nursing sensitive indicators in improving the quality of hemodialysis.Methods Totally 40 outpatients undergoing dialysis treatment from January 2016 to December 2016 served as observation group.Another 40 outpatients who received dialysis from January 2015 to December 2015were selected as control group.Patients in control group received routine nursing and health education on hemodialysis,and those in observation group were given interventions based on nursing sensitive indicators.The hemodialysisrelated nursing sensitive indicators and satisfactory degree of patients on nursing service were compared between two groups.Results Observation group had a better outcome of hemodialysis nursing sensitive indicators compared with control group(observation group:Kt/V[1.30±0.06],Hb[115.0±4.8]g/L,serum Ca[2.31±0.06]mmoL/L,serum P[1.75±0.18]mmoL/L,product of Ca and P[30.95±0.58]mg2/dl,PTH[305±65]pg/mL.control group:Kt/V[1.18±0.07],Hb[99.0±5.2]g/L,serum Ca[2.52±0.07]mmoL/L,serum P[2.07±0.21]mmoL/L,product of Ca and P[39.75±0.74]mg2/dl,PTH[420±84]pg/mL.P<0.05 respectively.)The satisfactory degree of patients on nursing service was97.5%(39/40)in observation group and 80.0%(32/40)in the control group,with a significant difference(P<0.05).Conclusion Hemodialysis-related nursing sensitive indicators provide a scientific basis for nursing quality improvement in patients with hemodialysis,and also play a certain role in promoting high quality nursing service.展开更多
目的构建麻醉护理单元护理敏感质量指标体系,为麻醉护理质量管理提供科学的工具。方法以“结构-过程-结果”三维质量结构模型为理论依据,检索中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库、PubMed、Web of Science...目的构建麻醉护理单元护理敏感质量指标体系,为麻醉护理质量管理提供科学的工具。方法以“结构-过程-结果”三维质量结构模型为理论依据,检索中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库、PubMed、Web of Science核心合集数据库、MEDLINE、CINAHL、Sciencedirect等中英文数据库中构建或应用麻醉护理质量指标的相关研究,检索时限为建库至2023年11月。通过范围综述和专题小组讨论拟定指标体系初稿,采用目的抽样在全国范围内遴选函询专家,德尔菲法确定指标体系终稿,采用层次分析法确定各级指标权重。结果两轮函询问卷的有效回收率分别为90%和100%,专家权威系数为0.945和0.958,肯德尔和谐系数分别为0.148、0.162(P<0.001)。最终形成了包含3项一级指标、9项二级指标和22项三级指标的麻醉护理单元护理敏感质量指标体系。结论构建的麻醉护理单元护理敏感质量指标体系具有较好的科学性、可靠性和临床适用性,符合麻醉护理质量管理需求,可为客观评价麻醉护理单元护理质量提供一定参考。展开更多
文摘To explore the application value of hemodialysis-related nursing sensitive indicators in improving the quality of hemodialysis.Methods Totally 40 outpatients undergoing dialysis treatment from January 2016 to December 2016 served as observation group.Another 40 outpatients who received dialysis from January 2015 to December 2015were selected as control group.Patients in control group received routine nursing and health education on hemodialysis,and those in observation group were given interventions based on nursing sensitive indicators.The hemodialysisrelated nursing sensitive indicators and satisfactory degree of patients on nursing service were compared between two groups.Results Observation group had a better outcome of hemodialysis nursing sensitive indicators compared with control group(observation group:Kt/V[1.30±0.06],Hb[115.0±4.8]g/L,serum Ca[2.31±0.06]mmoL/L,serum P[1.75±0.18]mmoL/L,product of Ca and P[30.95±0.58]mg2/dl,PTH[305±65]pg/mL.control group:Kt/V[1.18±0.07],Hb[99.0±5.2]g/L,serum Ca[2.52±0.07]mmoL/L,serum P[2.07±0.21]mmoL/L,product of Ca and P[39.75±0.74]mg2/dl,PTH[420±84]pg/mL.P<0.05 respectively.)The satisfactory degree of patients on nursing service was97.5%(39/40)in observation group and 80.0%(32/40)in the control group,with a significant difference(P<0.05).Conclusion Hemodialysis-related nursing sensitive indicators provide a scientific basis for nursing quality improvement in patients with hemodialysis,and also play a certain role in promoting high quality nursing service.
文摘目的构建麻醉护理单元护理敏感质量指标体系,为麻醉护理质量管理提供科学的工具。方法以“结构-过程-结果”三维质量结构模型为理论依据,检索中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库、PubMed、Web of Science核心合集数据库、MEDLINE、CINAHL、Sciencedirect等中英文数据库中构建或应用麻醉护理质量指标的相关研究,检索时限为建库至2023年11月。通过范围综述和专题小组讨论拟定指标体系初稿,采用目的抽样在全国范围内遴选函询专家,德尔菲法确定指标体系终稿,采用层次分析法确定各级指标权重。结果两轮函询问卷的有效回收率分别为90%和100%,专家权威系数为0.945和0.958,肯德尔和谐系数分别为0.148、0.162(P<0.001)。最终形成了包含3项一级指标、9项二级指标和22项三级指标的麻醉护理单元护理敏感质量指标体系。结论构建的麻醉护理单元护理敏感质量指标体系具有较好的科学性、可靠性和临床适用性,符合麻醉护理质量管理需求,可为客观评价麻醉护理单元护理质量提供一定参考。
