Construction and application of nursing quality evaluation index system for percutaneous radiofrequency ablation of liver cancer under the background of disease diagnosis related groups
10.3969/j.issn.1008-794X.2025.02.014
- VernacularTitle:DRGs背景下肝癌经皮射频消融护理质量评价指标体系的构建及应用实践
- Author:
Xufang HUANG
1
;
Qiaohong WU
;
Jianting MAO
;
Qiaoying RAO
;
Jia SONG
;
Jing LI
;
Weifeng XIA
Author Information
1. 321000 浙江丽水 温州医科大学附属第五医院(丽水市中心医院),浙江省影像诊断与介入微创研究重点实验室
- Keywords:
liver cancer;
radiofrequency ablation;
nursing quality;
evaluation index;
disease diagnosis related groups
- From:
Journal of Interventional Radiology
2025;34(2):192-196
- CountryChina
- Language:Chinese
-
Abstract:
Objective Based on the background of disease diagnosis related groups(DRGs)in public hospitals to construct the nursing quality evaluation index system for percutaneous radiofrequency ablation(PRFA)of liver cancer so as to improve the nursing quality for PRFA of liver cancer.Methods Using three-dimensional quality model and through interview,literature analysis,two rounds of Delphi expert letter inquiry and analytic hierarchy process,the evaluation standard of PRFA nursing quality of liver cancer was established,and its effect was validated in clinical practice.Results The evaluation index system of PRFA nursing quality for liver cancer was constructed,which included 3 first-level indexes,9 second-level indexes and 22 third-level indexes.After clinical application,the incidence of intraoperative and postoperative moderate-severe pain,the incidence of high fever,and the 24-hour number of times required care in the intervention group were lower than those in the control group(P＜0.05),the incidence of postoperative Ⅲ degree vomiting in the intervention group was remarkably lower than that in the control group(P＜0.01),and the average hospitalization days in the intervention group were less than those in the control group(P＜0.05),and the average hospitalization expense in the intervention group was lower than that in the control group,but the difference was not statistically significant(P＞0.05).Conclusion The PRFA nursing quality evaluation index system for liver cancer is scientific and practical,which is helpful for improving the outcome of patients and promoting the quality of nursing.
