[摘要] 目的 中医骨科护理质量管理在持续质量改进中的效果。方法 选择该院骨科在2017年2月—2019年2月之间收治的122例患者进行调查与分析，将患者分为两组，每组61例。对比组采用常规管理方式，实验组在此基础上运用护理质量管理。分析两组患者HAMA、HAMD得分，护理差错充、投诉充以及护理满意情况。结果 护理差错率实验组为4.92%，低于对比组24.59%（P<0.05）;实验组的护理投诉率为3.28%均低于对比组的27.87%（P<0.05）;对比组护理满意度与实验组相比较低，两组差异有统计学意义（t=40.685，P=0.000）;对比组患者的HAMD以及HAMA得分和实验组相比较高，差异有统计学意义（P=0.000）。结论 护理质量管理方案可提高骨科患者治疗以及护理的依从性，有利于提高治疗效果以及取得患者的满意。

[关键词] 持续改进;护理质量;质量管理;骨科;中医

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）05（b）-0075-03

Effect of Traditional Chinese Medicine Orthopedics Nursing Quality Management in Continuous Quality Improvement

ZHUANG Lan-lan

Juxian People's Hospital， Rizhao， Shandong Province， 276500 China

[Abstract] Objective The effect of quality management of traditional Chinese medicine orthopedics nursing in continuous quality improvement. Methods A total of 122 patients admitted to our orthopaedic department between February 2017 and February 2019 were selected for investigation and analysis， and the patients were divided into 2 groups with 61 patients in each group. The control group adopted the conventional management method， and the experimental group applied nursing quality management on this basis. Analyze the HAMA， HAMD  score， nursing error rate， complaintrate and satisfaction of nursing care of the two groups of patients. Results The nursing error rate was 4.92% in the experimental group， which was lower than the comparison group by 24.59% （P<0.05）; the nursing complaint rate in the experimental group was 3.28%， which was lower than the comparison group's 27.87%（P<0.05）; Compared with the experimental group， the degree was lower than that of the experimental group， the difference was statistically significant（t=40.685， P=0.000）; the HAMD and HAMA scores of the patients in the comparison group were higher than those in the experimental group， with a statistically significant difference（P=0.000）. Conclusion The nursing quality management scheme can improve the compliance of orthopedic patients in treatment and nursing， and is conducive to improving the treatment effect and achieving patient satisfaction.

[Key words] Continuous improvement; Quality of nursing; Quality management; Orthopedics; traditional Chinese medicine

骨科是该院重要科室，同时也是各大医院中最为常见的科室之一，该科室主要研究人体骨骼肌肉系统的病理、生理以及解剖情况，同时也会运用到药物以及手术、物理方法对患者实施治疗，使人体骨质系统正常的形态以及功能可以保持以及发展。伴随着我国经济的进步，时代以及社会发展与变更，骨科伤病谱也发生了明显变化，例如原本发病率很高的骨关节结核以及骨髓炎与小儿麻痹症等疾病近年来有明显降低趋势，因交通事故以及坠楼等意外伤害而导致创伤者有明显增多趋势。由于骨科特殊患者也十分特殊，该科室主要收治一些因外伤以及实质性骨质病变来院治疗的患者，这些患者往往存在病情严重、急促的特点，需要及时有效的医疗护理采用保证生命安全[1]。但由于骨科收治患者较为特殊，大多数患者存在疼痛等特点，治疗配合程度比较低，除此以外因为生活水平的提升，人们对于医疗也有所改变，从原本的治疗转变为医疗护理服务，家属对于治疗的要求也有所提升。……