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1、持续质量改进对结核病患者护理质量的影响研究—S__•咼zr山东省胸科医院250013【摘要】目的：探宄护理质量持续改进对结核病患者预后的影响。方法：将我院自2012年1月〜2014年6月收治的400例结核患者作为研究对象，随机分为观察组和对照组，各200例，对照组在患者常规的护理指导，观察组在此基础上实施持续护理质量改进，对比两组患者护理质量、满意度、遵医行为及结核病的复发率。结果：实施持续质量改进的优质护理服务后，基础护理的合格率、护理质量合格率、服务质量的合格率及病IX管理合格率等基木指标均有显著提升，实施前后有统计学意义(P<0.05)。通过护理质量改进措施之后，观察组患者
2、的护理满意度92.5%,显著高于对照组患者73.0%,有统计学差异(P<0.05)。6个月后对两组患者的遵医行为进行比较发现，观察组的遵医行为显著优于对照组(P<0.05)，观察组复发率(2.50%)也远远小于对照组复发率(14.00%)(P<0.05),差异均有统计学意义。结论：结核病患者进行持续护理质量改进，能显著提高护理质量，增加患者的遵医行为，降低疾病的复发率，有积极的临床意义。【关键词】持续质量改进；结核病；患者护理质量；遵医行为【中图分类号】R47【文献标识码】B【文章编号】1674-8999(2015)9-0739-02Researchonthecontinuous
3、qualityimprovementimpactofthecareforpatientswiththoracictuberculosisGaoYunShandongprovincialChestHospital【Abstract】Objective:Toexplorethequalityimprovementontheprognosisofpatientswithtuberculosis.Methods:InourhospitalfromJanuary2012toJune2014inourhospital,400casesoftuberculosispatientswereselect
4、edastheresearchobject,theywererandomlydividedintoobservationgroupandcontrolgroup,200casesineachgroup,thepatientsincontrolgroupweregivenroutineguidecare,basedontheimplementationofthecontrolgroup，theobservationgroupweregivencontinuousnursingqualityimprovement,comparedtwogroupsofpatientsaboutthenur
5、singqualitysatisfaction,compliancebehaviorandtuberculosisrecurrencerate.Results:Aftertheimplementationofhighqualitynursingservicecontinuousqualityimprovement,thebasicindicatorofbasicnursing,nursingqualityqualifiedrateofqualifiedrate,servicequalityqualifiedrateandqualifiedrateofwardmanagementhadi
6、mprovedsignificantlybeforeandaftertheimplementation,withstatisticalsignificance(P<0.05).Aftertheimprovementthequalityofcare,nursingsatisfactionofpatientsintheobservationgroupwas92.5%,itwassignificantlyhigherthan73%inthecontrolgroup,therewassignificantdifference(P<0.05).6monthsafterthecompl
7、iancebehaviorofpatients,thetwogroupswerecompared,thecomplianceoftheobservationgroupwassignificantlybetterthanthatofthecontrolgroup(P<0.05),therecurrencerateoftheobservationgroupwas2.50%,itwasfarlessthanthatofthecontrolgro
