Application effect of "disease-characteristics nursing quality improvement" program in the management of rectal cancer patients
10.3760/cma.j.issn.1674-2907.2017.02.008
- VernacularTitle:"一病一品"项目在直肠癌患者管理中的应用效果
- Author:
Zhuo LIU
1
;
Zheng XU
;
Hongtao GU
;
Yanming DING
;
Lan WANG
Author Information
1. 100034,北京大学第一医院普外科
- Keywords:
Rectal tumor;
Specialist nursing;
"Disease-characteristics nursing quality improvement" program
- From:
Chinese Journal of Modern Nursing
2017;23(2):180-183
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of "disease-characteristics nursing quality improvement" program(DNQIP)in improving the nursing quality of rectal cancer patients.Methods On basis of patient-centered and evidence-based practice,Department of General Surgery of Peking University First Hospital searched for the optimal nursing practice,created the characteristic management of rectal cancer and implemented the DNQIP program. We explored and compared the differences of patients in patient satisfaction, nurses' satisfaction,disease management index before(2012)and after(2015)the implementation of DNQIP. Results Compared with the indicatiors before the implementation,DNQIP effectively improved patient satisfaction(χ2=18.990,P<0.001),nurses' satisfaction(χ2=9.463,P=0.002),increased the number of stoma positioning(χ2=17.053,P<0.001),decreased the incidence rate of the stoma complications(χ2=5.291, P=0.021),increased outpatient follow-up number(χ2=10.459,P=0.001)and effectively shorten the average length of stay(ALOS)(t=128.34,P<0.001).Conclusions DNQIP is an effective method to improve the nursing quality of patients with rectal cancer.