The application of structure-process-outcome three-dimensional quality evaluation model in daytime operation management of patients undergoing digital subtraction angiography
10.3760/cma.j.cn115682-20201109-06126
- VernacularTitle:结构-过程-结果三维质量评价模式在数字减影血管造影术患者日间手术管理中的应用
- Author:
Jingmi WU
1
;
Liyan ZHANG
;
Ping ZHANG
;
Haofen XIE
Author Information
1. 浙江省宁波市第一医院神经外科 315000
- Keywords:
Cerebral angiography;
Daytime operation;
Structure-process-outcome three-dimensional quality evaluation;
Compliance;
Satisfaction
- From:
Chinese Journal of Modern Nursing
2021;27(21):2858-2862
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of Donabedian's structure-process-outcome three-dimensional quality evaluation model in the quality management of daytime surgery for patients undergoing digital subtraction angiography (WBDSA) .Methods:The patients who underwent daytime DSA at Ningbo First Hospital in Zhejiang Province from October 2019 to October 2020 were selected as the research subjects, with 61 patients admitted from October 2019 to April 2020 included into a control group, and 65 patients admitted from May to October 2020 included into an observation group. Patients in the control group received routine daytime operation management, while patients in the observation group underwent daytime operation management based on a structure-process-outcome three-dimensional quality evaluation model. The incidence of complications, ≥ 2 times reexamination rate and patient satisfaction were compared between the two groups.Results:There was no significant difference in the incidence of complications at the puncture site and non-puncture site between the two groups ( P>0.05) . The rate of ≥ 2 reexamination in the observation group was 21.54% (14/65) , which was higher than 8.20% (5/61) in the control group, and the difference was statistically significant ( P<0.05) . The patient satisfaction in the observation group was (99.04±2.10) , which was higher than (96.93±2.95) in the control group, and the difference was statistically significant ( P<0.05) . Conclusions:The daytime operation management model based on Donabedian three-dimensional quality evaluation model can improve the compliance of reexamination and satisfaction of patients undergoing DSA.
