张云

摘要目的：观察评估持续质量改进提高风湿免疫科护理安全的效果。方法：选取2018年3月前（持续质量改进前）山东省山东大学齐鲁医院风湿免疫科收治的住院病例100例（对照组）和2018年3月及以后（持续质量改进后）收治的风湿免疫科治疗患者100例（观察组）作为研究对象。比较持续质量改进前后安全事件发生率、患者满意度以及患者睡眠质量的改善效果。结果：观察组的护理安全事件发生率比对照组低，护理满意度明显高于对照组，差异均有统计学意义（P<005）。结论：在风湿免疫科护理安全管理中实行持续质量改进可降低安全管理不良事件发生率，提高护理人员的安全管理意识，提高护理的满意度和睡眠质量，值得在临床上推广应用。

关键词持续质量改进;风湿免疫科;护理安全;应用效果，护理满意度;睡眠质量

Application and Effect of Continuous Quality Improvement in Nursing Safety of Rheumatology and Immunology Department

ZHANG Yun

（Qilu Hospital of Shandong University，Ji′nan 250000，China）

AbstractObjective：From the point of view of nursing safety in department of rheumatology and immunology，this paper analyzed the effect of continuous quality improvement and the incidence of adverse eventsMethods：Before March 2018 and after March 2018，200 patients were treated in rheumatism and immunology department of Qilu Hospital of Shandong University，and 30 patients were treated with continuous quality improvement system atmosphere，mainly involving observation and control group，and the incidence of nursing safety incidents and satisfaction of nursing staff in the two groups were comparedResults：Through comparative analysis，the incidence of nursing safety incident management in the observation group was lower than that in the control group，and the nursing staff was also significantly higher than the control group in safety knowledge assessment and nursing satisfaction，presenting a significant difference（P<005），which proved that this study was statistically significantConclusion：In the rheumatology department of nursing safety management，the implementation of quality improvement method will be to a large extent to reduce the safety management of adverse events，improve the satisfaction of nursing，in clinical practice is worth using.

KeywordsContinuous quality improvement; Department of rheumatology; Nursing safety; Application effect

中图分类号：R471文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.003

护理的安全性是护理质量检验的一个十分重要的指标，加强安全护理管理工作就会控制和减少护理安全事故发生。风湿免疫科在进行治疗时，使用的药物较多，不良反应较大，患者可能会出现较多的并发症。在患者忽视自身疾病，不能积极配合治疗的情况下，就会出现护理安全事故。“持续质量改进”作为质量控制的一种方法。从持续和全面性角度出发，关注质量和环节管理的过程控制，可减少护理安全事故，提高护理质量。所以本文从医院风湿免疫科的安全隐患问题出发，把持续质量改进运用到护理之中，取得较好效果。现报道如下。

1资料与方法

11一般资料选取2018年3月前（持续质量改进前）山东省山东大学齐鲁医院风湿免疫科收治的住院病例100例（对照组）和2018年3月及以后（持續质量改进后）收治的风湿免疫科治疗患者100例（观察组）作为研究对象。……