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目的探讨“零缺陷”管理对内镜黏膜下剥离术患者并发症及护理质量的影响。方法选取2014年1月至2015年6月84例行内镜黏膜下剥离术患者为研究对象,根据患者入院时间分为观察组(2014年1月至2014年9月)及对照组(2014年9月至2015年6月)各42例,对照组实施常规性护理,观察组实施“零缺陷”管理,对比分析两组手术情况、护理质量、并发症发生情况及患者满意率。结果观察组手术时间、平均住院时间短于对照组,术中出血量少于对照组(P<0.05),术后疼痛评分低于对照组(P<0.05)。观察组护士沟通能力、责任心、熟练程度、服务态度、书写规范性、应急能力等评分显著高于对照组(P<0.05)。观察组满意率高于对照组,患者纠纷事件、并发症发生率低于对照组(P<0.05)。结论 “零缺陷”管理能有效提高内镜黏膜下剥离术患者护理质量,降低患者并发症,提高患者满意率。
Objective To investigate the effect of “zero defect” management on the complication and nursing quality of endoscopic submucosal dissection. Methods 84 patients undergoing endoscopic submucosal dissection from January 2014 to June 2015 were selected and divided into observation group (January 2014 to September 2014) and control group (2014 From September to June 2015, 42 cases were in each group. The control group was given routine nursing and the observation group was administered “zero defect” management. The operative conditions, quality of care, complications and patient satisfaction were compared between the two groups. Results The operation time and average length of stay in the observation group were shorter than those in the control group. The blood loss during operation was less than that of the control group (P <0.05). The postoperative pain score was lower than that of the control group (P <0.05). The observation group nurses’ communication ability, sense of responsibility, proficiency, service attitude, written norms, emergency response capacity were significantly higher than the control group (P <0.05). The satisfaction rate of the observation group was higher than that of the control group, and the incidence of patients’ complications and complications was lower than that of the control group (P <0.05). Conclusions “Zero defect ” management can effectively improve the nursing quality of endoscopic submucosal dissection patients, reduce patient complications and improve patient satisfaction.