摘要
目的:探讨Donabedian的结构-过程-结果三维质量评价模式在数字减影血管造影术(DSA)患者日间手术质量管理模式中的应用效果。方法:选择2019年10月—2020年10月在浙江省宁波市第一医院行DSA日间手术的患者为研究对象,将2019年10月—2020年4月收治的61例患者作为对照组,将2020年5—10月收治的65例患者作为观察组。对照组采取常规日间手术管理模式,观察组采取以结构-过程-结果三维质量评价模式为理论框架的日间手术管理模式。比较两组患者的并发症发生率、复查≥2次的比例和患者满意度。结果:两组患者的穿刺部位并发症、非穿刺部位并发症发生率比较,差异无统计学意义(P>0.05)。观察组患者的复查≥2次比例为21.54%(14/65),高于对照组的8.20%(5/61),差异有统计学意义(P<0.05)。观察组患者的满意度为(99.04±2.10)分,高于对照组的(96.93±2.95)分,差异有统计学意义(P<0.05)。结论:基于Donabedian三维质量评价模式构建的DSA患者日间手术管理模式能提高患者的复查依从性和满意度。
Objective To explore the effects of Donabedian's structure-process-outcome three-dimensional quality evaluation model in the quality management of daytime surgery for patients undergoing digital subtraction angiography(WBDSA).Methods The patients who underwent daytime DSA at Ningbo First Hospital in Zhejiang Province from October 2019 to October 2020 were selected as the research subjects,with 61 patients admitted from October 2019 to April 2020 included into a control group,and 65 patients admitted from May to October 2020 included into an observation group.Patients in the control group received routine daytime operation management,while patients in the observation group underwent daytime operation management based on a structure-process-outcome three-dimensional quality evaluation model.The incidence of complications,≥2 times reexamination rate and patient satisfaction were compared between the two groups.Results There was no significant difference in the incidence of complications at the puncture site and non-puncture site between the two groups(P>0.05).The rate of≥2 reexamination in the observation group was 21.54%(14/65),which was higher than 8.20%(5/61)in the control group,and the difference was statistically significant(P<0.05).The patient satisfaction in the observation group was(99.04±2.10),which was higher than(96.93±2.95)in the control group,and the difference was statistically significant(P<0.05).Conclusions The daytime operation management model based on Donabedian three-dimensional quality evaluation model can improve the compliance of reexamination and satisfaction of patients undergoing DSA.
作者
邬静密
张丽艳
张萍
谢浩芬
Wu Jingmi;Zhang Liyan;Zhang Ping;Xie Haofen(Department of Neurology,Ningbo First Hospital,Ningbo 315000,China;Department of Nursing,Ningbo First Hospital,Ningbo 315000,China)
出处
《中华现代护理杂志》
2021年第21期2858-2862,共5页
Chinese Journal of Modern Nursing
基金
浙江省医药课题(2019KY566)
宁波市医学科技项目(2017T07)。
关键词
脑血管造影术
日间手术
结构-过程-结果三维质量评价
依从性
满意度
Cerebral angiography
Daytime operation
Structure-process-outcome three-dimensional quality evaluation
Compliance
Satisfaction
