細(xì)節(jié)管理在手外科患者護(hù)理質(zhì)量管理提升中的應(yīng)用評(píng)價(jià)分析

張玉玲 張艷會(huì)

[摘要] 目的 探討細(xì)節(jié)管理在手外科患者護(hù)理質(zhì)量提升中的應(yīng)用效果。方法 選自該院2017年7月—2018年7月接受治療的手外科患者98例，根據(jù)研究需要隨機(jī)分成觀察組和對(duì)照組，每組49例。對(duì)照組采用常規(guī)護(hù)理方式，觀察組對(duì)常規(guī)護(hù)理進(jìn)行細(xì)節(jié)管理，比較兩組患者對(duì)護(hù)理服務(wù)質(zhì)量的滿意度。結(jié)果 觀察組相關(guān)管理論掌握程度評(píng)分為（18.9±1.2分）、基礎(chǔ)護(hù)理落實(shí)評(píng)分（18.2±1.6）分、護(hù)理理論評(píng)分為（15.1±1.1）分，護(hù)理差錯(cuò)的評(píng)分為（11.5±2.6）分;對(duì)照組相關(guān)管理論掌握程度評(píng)分為（16.8±1.3）分、基礎(chǔ)護(hù)理落實(shí)評(píng)分（15.2±1.3）分、護(hù)理理論評(píng)分為（13.4±1.2）分，護(hù)理差錯(cuò)的評(píng)分為（15.6±2.5分）;觀察組的護(hù)理服務(wù)質(zhì)量評(píng)分明顯高于對(duì)照組，對(duì)比差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組患者對(duì)護(hù)理態(tài)度，護(hù)理質(zhì)量以及護(hù)理效果的評(píng)分均高于對(duì)照組（P<0.05）。結(jié)論 對(duì)手外科護(hù)理實(shí)施細(xì)節(jié)管理，能夠提高護(hù)理服務(wù)質(zhì)量和患者的滿意度，促進(jìn)患者早日康復(fù)，是一種值得進(jìn)行臨床推廣的護(hù)理管理方式。

[關(guān)鍵詞] 細(xì)節(jié)管理;手外科;護(hù)理質(zhì)量管理;應(yīng)用效果

[中圖分類號(hào)] R473.6 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2020）01（c）-0083-03

[Abstract] Objective To explore the application effect of detail management in improving the nursing quality of hand surgery patients. Methods A total of 98 hand surgery patients who were treated in the hospital from July 2017 to July 2018 were randomly divided into observation group and control group， with 49 cases in each group. The control group used conventional nursing methods， and the observation group performed detailed management of routine nursing， and compared the satisfaction of the two groups of patients with the quality of nursing services. Results The observation group's relevant management mastery score was（18.9±1.2）points， basic nursing implementation score （18.2±1.6）points， nursing theory score （15.1±1.1）points， and nursing error score（11.5±2.6）points， the relevant management theory mastery score was （16.8±1.3）points， the basic nursing implementation score （15.2±1.3）points， the nursing theory score was （13.4±1.2）points， and the nursing error score was（15.6±2.5）points; the nursing service quality score of the observation group was significantly higher than the control group， and the difference was statistically significant（P<0.05）. The scores of nursing attitude， quality and effect in the observation group were higher than those in the control group（P<0.05）. Conclusion The implementation of detailed management of hand surgical nursing can improve the quality of nursing service and patient satisfaction， and promote the early recovery of patients. It is a nursing management method worthy of clinical promotion.

[Key words] Detail management; Hand surgery; Nursing quality management; Application effect

對(duì)于醫(yī)院來(lái)說(shuō)，提高護(hù)理質(zhì)量是提高醫(yī)院醫(yī)療水平的重要手段。護(hù)理質(zhì)量的高低，能夠直接影響到醫(yī)院診療技術(shù)和患者康復(fù)質(zhì)量，因此，護(hù)理質(zhì)量一直是各個(gè)醫(yī)院管理的重點(diǎn)。對(duì)于醫(yī)療行業(yè)來(lái)說(shuō)，良好的管理質(zhì)量，能夠有效的提高醫(yī)院的市場(chǎng)競(jìng)爭(zhēng)力[1]。“細(xì)節(jié)決定成敗”，好的管理一定要在細(xì)節(jié)上下功夫。該研究所說(shuō)的細(xì)節(jié)管理，是指在護(hù)理過(guò)程中，用認(rèn)真的態(tài)度和科學(xué)的精神，將管理的每一個(gè)環(huán)節(jié)細(xì)節(jié)化。以此來(lái)規(guī)避護(hù)理工作中遇到的問(wèn)題和風(fēng)險(xiǎn)[2]。該研究選取2017年7月—2018年7月在該院接受治療的98例手外科患者作為研究對(duì)象，進(jìn)行細(xì)節(jié)管理在手外科護(hù)理管理工作中應(yīng)用效果的研究，現(xiàn)報(bào)道如下。……