[1]冯亚新杨春玲*吕婷婷周爱霞么莉李振香徐建鸣侯岩芳赵爱萍崔晓宁杜鹃宋霈霈周艳丽杨兰菊杨琳琳.心血管内科护理质量控制指标构建与应用[J].中国卫生质量管理,2022,29(10):1-6.[doi:10.13912/j.cnki.chqm.2022.29.10.01 ]
　FENG Yaxin,YANG Chunling,LV Tingting.Construction and Application of Nursing Quality Control Index in Cardiovascular Department[J].Chinese Health Quality Management,2022,29(10):1-6.[doi:10.13912/j.cnki.chqm.2022.29.10.01 ]

点击复制

心血管内科护理质量控制指标构建与应用

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第29卷期数: 2022年10期页码: 1-6 栏目: 特别关注出版日期: 2022-10-28

Title:: Construction and Application of Nursing Quality Control Index in Cardiovascular Department

作者:: 冯亚新1杨春玲1*吕婷婷1周爱霞1么莉2李振香3徐建鸣4 侯岩芳1 赵爱萍崔晓宁杜鹃宋霈霈周艳丽杨兰菊杨琳琳; 聊城市人民医院

Author(s):: FENG Yaxin; YANG Chunling; LV Tingting; Liaocheng People's Hospital

关键词:: 心血管内科; 质量指标; 质量控制; 德尔菲法; 护理质量

Keywords:: Cardiovascular Department; Quality Index; Quality Control; Delphi Method; Nursing Quality

分类号:: R47；R541;R543

DOI:: 10.13912/j.cnki.chqm.2022.29.10.01

文献标志码:: A

摘要:: 目的构建心血管内科护理质量控制指标。方法基于文献回顾法、访谈法、德尔菲法初步构建心血管内科护理质量控制指标，经由全国护理质量促进联盟专家讨论后，最终确定心血管内科护理质量控制指标。于2021年6月-12月在全国护理质量促进联盟14家三甲医院进行应用。结果共确定了包含一级指标2项、二级指标3项、三级指标6项的心血管内科护理质量控制指标。应用后，14家三甲医院6项指标均得到改善（P<0.05）。但血管活性药物规范使用执行率评价项目中，应用心电监护仪监测生命体征规范执行率较低；经桡动脉行冠状动脉介入术后穿刺部位并发症发生率评价项目中，肿胀发生率较高。结论心血管内科护理质量控制指标体现了心血管专科特点，可用于心血管内科护理质量评价。

Abstract:: ObjectiveTo establish the nursing quality control indicators in Cardiovascular Department.MethodsBased on the literature review, interview and Delphi methods, the nursing quality control index of Cardiovascular Department was initially constructed. After discussion by experts of the National Nursing Quality Promotion Alliance, the nursing quality control index of Cardiovascular Department was finally determined. It was applied in 14 tertiary hospitals of the National Nursing Quality Promotion Alliance from June to December 2021.ResultsA total of 2 primary indicators, 3 secondary indicators and 6 tertiary indicators were determined for nursing quality control of Cardiovascular Department. After the application, the 6 indexes of 14 tertiary hospitals were improved (P<0.05). However,among the evaluation items of implementation rate of the standard use of vasoactive drugs,the implementation rate of the application of ECG monitor to monitor vital signs was low. Among the evaluation items of puncture site complications after transradial coronary intervention, the incidence of swelling was high.Conclusion The nursing quality control index Cardiovascular Department reflects the characteristics of cardiovascular specialty, which can be used to evaluate the nursing quality of Cardiovascular Department.

参考文献/References:

［1］国家卫生计生委医院管理研究所护理中心.护理敏感质量指标实用手册（2016版）［M］.北京:人民卫生出版社,2016：1-23. ［2］尚文涵,张海燕,么莉,等.护理专业医疗质量控制指标（2020年版）的构建［J］.中国卫生质量管理,2021,28(6):66-69,74. ［3］国家心血管病中心.《中国心血管健康与疾病报告2020》正式出版［J］.中国心血管杂志,2021,26(3):276. ［4］丁慧,宋瑰琦,朱艳,等.我国护理质量敏感指标研究的文献计量学分析［J］.中国卫生质量管理,2022,29(2):55-59. ［5］王妍,田敏,刘峰,等.心内科护理安全管理指标体系的构建［J］.护理学杂志,2019,34（11）:46-50. ［6］张慧,沙凯贤,黄燕.护理质量敏感指标在心血管内科护理安全管理中的应用［J］.护理实践与研究,2018,15(23):123-125. ［7］穆尔海德.护理结局分类［M］.北京:北京大学医学出版社,2006：20-45. ［8］张晓侠,杨晓蓉,张玉莲.儿科护理敏感质量指标体系的构建［J］.中国卫生质量管理,2017,24(6):63-66. ［9］么莉.护理敏感质量指标监测基本数据集实施指南（2018版）［M］.北京:人民卫生出版社,2018：1-15. ［10］中华护理学会.《血管活性药物静脉输注护理》团体标准：T/CNAS22-2021［S］.2021-12-31. ［11］高娟,李国宏.专科护理敏感质量指标的研究现状［J］.护理研究,2018,32(15):2329-2332. ［12］YOUNG BT.Highlights from the 2017 cardiovascular and stroke nursing clinical symposium［J］.J Am Heart Assoc,2017,6(12):e007895. ［13］沈莹,刘文娟,朱艳梅,等.老年急性心力衰竭患者分期精细化容量管理效果的研究［J］.中国护理管理,2022,22(1):75-78. ［14］CHAPUIS C，CHANOINE S，COLOMBET L，et al. Interprofessional safety reporting and review of adverse events and medication errors in critical care［J］.Ther Clin Risk Manag,2019,15:549-556. ［15］钟竹青,秦宁,高学琴,等.临床护士输注血管活性药物的现状调查［J］.中华护理杂志,2021,56(8):1208-1215. ［16］吴焰,何晓芳,游莉.心血管内科专科护理安全质量评价指标体系的初步构建［J］.现代临床护理,2017,16(6):65-71. ［17］IBANEZ B,JAMES S, AGEWALL S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST- segment elevation［J］. Eur Heart J,2018, 39(2):119-177. ［18］牟婷,郭洪林,戎靖枫.敷手方干预冠状动脉介入术后穿刺部位并发症的疗效研究［J］.中西医结合心脑血管病杂志,2020,18(18):3059-3061. ［19］杨欣,张健,姜金霞,等.急性ST段抬高型心肌梗死急救护理质量评价指标体系的构建［J］. 现代临床护理,2021,20(4):65-71. ［20］戴可可,闫海艳,武瑾,等.电话随访式延续性护理对慢性心力衰竭患者心理状态、自我效能及生活质量的影响［J］.国际护理学杂志,2020,39(13):2478-2481. ［21］田焕,张灵芳,李姗,等.随访信息平台结合全程健康教育对慢性心力衰竭患者遵医行为及心脏功能的影响［J］.中国实用护理杂志,2020,36(24):1907-1911. ［22］胡慧秀,孙超,张洁,等.老年慢性心力衰竭患者出院准备服务的循证实践［J］.中华护理杂志,2021,56(12):1765-1771.

相似文献/References:

[1]吴娜庄薇* 赵敏慧厉跃红郭娜菲.围产期护理质量评价关键指标体系的构建[J].中国卫生质量管理,2016,23(05):56.[doi:10.13912/j.cnki.chqm.2016.23.5.17]
[2]尚文涵李长安吴志军简伟研张海燕么莉.国家护理质量数据平台的建设、应用及改进建议[J].中国卫生质量管理,2019,26(03):1.[doi:10.13912/j.cnki.chqm.2019.26.3.01]
[3]谢小娟李小侠孙晶晶魏力强.应用六西格玛评价陕西省临床检验质量[J].中国卫生质量管理,2019,26(04):56.[doi:10.13912/j.cnki.chqm.2019.26.4.16]
[4]沈鑫段降龙王建华苏亚妮李晓晴.公立医院医疗质量绩效考核指标比较分析[J].中国卫生质量管理,2021,28(07):44.[doi:10.13912/j.cnki.chqm.2021.28.7.12 ]
　SHEN Xin,DUAN Xianglong,WANG Jianhua.Comparative Analysis of Medical Quality Indicators in Performance Appraisal of Public Hospitals[J].Chinese Health Quality Management,2021,28(10):44.[doi:10.13912/j.cnki.chqm.2021.28.7.12 ]
[5]陈练魏瑗赵扬玉.国内外产科质量指标体系现状和启示[J].中国卫生质量管理,2022,29(05):6.[doi:10.13912/j.cnki.chqm.2022.29.5.02 ]
　CHEN Lian,WEI Yuan,ZHAO Yangyu.Present Situation and Enlightenment of Domestic and International Obstetrical Quality Index System[J].Chinese Health Quality Management,2022,29(10):6.[doi:10.13912/j.cnki.chqm.2022.29.5.02 ]
[6]董亮贾燕瑞丁舒张春艳王淑芹高凤莉.呼吸内科护理质量控制指标构建与应用[J].中国卫生质量管理,2022,29(10):7.[doi:10.13912/j.cnki.chqm.2022.29.10.02 ]
　DONG Liang,JIA Yanrui,DING Shu.Construction and Application of Nursing Quality Control Index in Respiratory Specialty[J].Chinese Health Quality Management,2022,29(10):7.[doi:10.13912/j.cnki.chqm.2022.29.10.02 ]
[7]张琦张玉侠徐建鸣冯丽冯志仙黄春美.急诊专科护理质量控制指标构建与应用[J].中国卫生质量管理,2022,29(10):11.[doi:10.13912/j.cnki.chqm.2022.29.10.03 ]
　ZHANG Qi,ZHANG Yuxia,XU Jianming.Construction and Application of Nursing Quality Control Index in Emergency Department[J].Chinese Health Quality Management,2022,29(10):11.[doi:10.13912/j.cnki.chqm.2022.29.10.03 ]
[8]温贤秀刘婉琳谢彩霞宋瑰琦杨丽方茜龚仁蓉易凤琼.手术室护理质量控制指标构建与应用[J].中国卫生质量管理,2022,29(10):17.[doi:10.13912/j.cnki.chqm.2022.29.10.04 ]
　WEN Xianxiu,LIU Wanlin,XIE Caixia.Construction and Application of Nursing Quality Control Index in Operating Room[J].Chinese Health Quality Management,2022,29(10):17.[doi:10.13912/j.cnki.chqm.2022.29.10.04 ]
[9]刘丽丽张琳琪么莉尚文涵张海燕.儿科护理质量指标构建与应用[J].中国卫生质量管理,2022,29(10):21.[doi:10.13912/j.cnki.chqm.2022.29.10.05 ]
　LIU Lili,ZHANG Linqi,YAO Li.Construction and Application of Nursing Quality Index for Pediatric Specialty[J].Chinese Health Quality Management,2022,29(10):21.[doi:10.13912/j.cnki.chqm.2022.29.10.05 ]
[10]刘小敏高菊林李晨陆李珊珊么莉尚文涵向晶徐建鸣辛霞.血液透析护理质量控制指标构建与应用[J].中国卫生质量管理,2022,29(10):23.[doi:10.13912/j.cnki.chqm.2022.29.10.06 ]
　LIU Xiaomin,GAO Julin,LI Chenlu.Construction and Application of Hemodialysis Nursing Quality Control Index[J].Chinese Health Quality Management,2022,29(10):23.[doi:10.13912/j.cnki.chqm.2022.29.10.06 ]

更新日期/Last Update: 2022-10-28