Application of specialized nursing quality management in the hepatitis B liver cirrhosis patient in decompensated period
10.3760/cma.j.issn.1674-2907.2017.23.021
- VernacularTitle:专科护理质量指标管理在失代偿期乙肝肝硬化患者中的应用
- Author:
Xiuru GE
1
;
Yunli PENG
;
Cuicui ZHANG
Author Information
1. 221004,江苏省徐州市传染病医院消化内科
- Keywords:
Liver cirrhosis;
Hepatitis B;
Specialized quality indicator;
In decompensated period;
Quality of care
- From:
Chinese Journal of Modern Nursing
2017;23(23):3037-3040
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the specialized nursing quality management of infectious diseases in the role of hepatitis B liver cirrhosis patient care in liver disease internal medicine during decompensated period.Methods For 180 patients with decompensated period of hepatitis B cirrhosis, quality of care was carried out in of the liver specialized subject index management to ensure decubitus standardized rate, gastrointestinal bleeding predictive rate, hepatic encephalopathy predictive nursing accuracy for the corresponding nursing quality monitoring indicators. The comparisons were conducted in the nurse's core competence evaluation results, patient's satisfaction during hospitalization for nursing and common complications for specialized quality indicators before and after implementations.Results After the introduction of specialized nursing quality indicators, nurse's disease clinical core competency assessment qualified rate increased significantly in nurse's ability of disease observation and assessment increasing from 64.71% to 88.24%, professional knowledge master inclining from 61.76% to 94.12%, strain capacity increasing from 55.88% to 85.29%, and patient care satisfaction improving from 85.56% to 97.78% (χ2=5.2308,10.3497,7.0833,8.8000;P< 0.05).Conclusions Specialized nurse quality index is applied to manage patients with hepatitis B cirrhosis in decompensated period for nursing quality control management, which can improve the core competence of nurses and patient satisfaction on nursing service, and decrease complications, as well as enrich the connotation of the nurse quality.
