Construction of oncology special nursing sensitive quality index and its application in improvement of nursing quality in Oncology Department
10.3760/cma.j.cn115682-20200517-03399
- VernacularTitle:肿瘤专科护理敏感质量指标的构建及在肿瘤科护理质量改善中的应用
- Author:
Li HE
1
;
Xiaomei LIU
;
Birong ZHANG
Author Information
1. 陕西省人民医院肿瘤内科，西安 710068
- Keywords:
Neoplasms;
Special nursing;
Sensitive quality index;
Nursing quality
- From:
Chinese Journal of Modern Nursing
2021;27(10):1331-1335
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of establishing oncology special nursing sensitive quality index on nursing quality in Oncology Department.Methods:A total of 1 024 tumor patients who were admitted to Shaanxi Provincial People's Hospital from August 2019 to February 2020 were selected as the observation group by the convenient sampling method. In addition, 1 038 tumor patients admitted to Shaanxi Provincial People's Hospital from January 2018 to July 2019 were set as the control group. Patients in the control group were given routine nursing intervention in tumor specialty. According to the "structure-process-result" quality management model, the observation team used evidence-based analysis and Delphi expert correspondence method to clarify the sensitive quality indexes of oncology special nursing and used this as a basis for oncology special nursing. The construction of oncology special nursing sensitive quality indexes was analyzed. The clinical indexes of the observation group and the control group were compared.Results:A total of 6 oncology special nursing sensitive quality indexes were formed, which included the incidence of chemotherapy extravasation, the incidence of chemotherapy-related nausea and vomiting, the incidence of deep vein thrombosis, the incidence of PICC catheter-related infection, the incidence of accidents in tumor patients and incidence of anxiety and depression. After the intervention, the incidence of chemotherapy-related nausea and vomiting, deep vein thrombosis, PICC catheter-related infection, accidents in tumor patients and anxiety and depression in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . There was no statistically significant difference in the incidence of chemotherapy extravasation between the two groups ( P>0.05) . Conclusions:Construction of oncology special nursing sensitive quality indexes can improve the quality of oncology special nursing, which is worthy of promotion and application.
