分析走動式管理在兒科門診注射室護理質(zhì)量管理中的應用效果

張娟

[摘要] 目的 在兒科門診注射室當中實施走動式管理模式，分析其對護理質(zhì)量的影響。方法 選擇2018年1—12月在該院接受兒科門診注射室治療的小兒患者120例納入研究，按照其接受的兒科門診注射室管理模式的差異分為對照組和研究組，對照組接受的管理模式為常規(guī)性質(zhì)的，研究組則在常規(guī)護理的基礎上加以走動式管理，將兩組在完成診治后護理滿意度進行調(diào)查，并評估兩組護理質(zhì)量（醫(yī)院溝通、技術(shù)操作、服務態(tài)度、醫(yī)院環(huán)境）。結(jié)果 調(diào)查以及評估結(jié)果表示，研究組護理滿意度優(yōu)于對照組，且研究組在各項護理質(zhì)量項目中得分高于對照組（P<0.05）。結(jié)論 針對兒科門診注射室的小兒患者可以實施走動式管理模式，其有利于優(yōu)化整體服務質(zhì)量，為小兒患者提供全面的管理，加快診療效率，提升小兒家屬對醫(yī)院服務的滿意度。

[關(guān)鍵詞] 走動式管理;兒科門診注射室;病區(qū);護理質(zhì)量;護理管理

[中圖分類號] R47 [文獻標識碼] A [文章編號] 1672-5654（2020）01（a）-0039-03

[Abstract] Objective To implement a walking management mode in the injection room of a pediatric clinic and analyze its impact on the quality of care. Methods A total of 120 pediatric patients who were treated in our hospital's pediatric outpatient injection room during the period from January to December 2018 were selected. All of them were included in the study and managed according to the pediatric outpatient injection room they received. The differences in the models are divided into the control group and the research group. The management mode accepted by the control group was of a conventional nature. The research group was based on routine care added ambulatory management. The satisfaction of the two groups after the diagnosis and treatment was investigated， and the quality of care between the two groups （hospital communication， technical operations， service attitude， hospital environment） was assessed. Results The survey and evaluation results showed that the nursing satisfaction of the study group was better than that of the control group， and the study group scored higher than the control group in various nursing quality items（P<0.05）. Conclusion The pediatric patients in the pediatric outpatient injection room can implement the ambulatory management mode， which is conducive to optimizing the overall service quality， providing comprehensive management for pediatric patients， accelerating the efficiency of diagnosis and treatment， and improving the satisfaction of pediatric families to hospital services.

[Key words] Walking management; Pediatric outpatient injection room; Ward; Nursing quality; Nursing management

兒科門診注射室中的小兒患者大都是發(fā)病突然、病情發(fā)展迅速、病情變化多樣等，需要接受及時的診治，但是兒科門診注射室患兒數(shù)量比較多，且家屬因為患兒的病情存在焦慮的心理，對就診過程中的護理具有較高要求，醫(yī)院針對兒科門診注射室實施管理措施存在一定的難度。以往對兒科門診注射室實施的常規(guī)護理管理措施往往達不到患兒家屬的要求[1]，無法提高診療效率，容易引起護患糾紛，因此臨床針對兒科門診注射室的特點，近幾年逐漸應用走動式管理模式，為兒科門診注射室小兒患者提供全面護理，提高護理質(zhì)量。該研究選擇2018年1—12月在該院接受兒科門診注射室的小兒患者120例為研究對象評價該院兒科門診注射室實施走動式管理措施的效果，現(xiàn)報道如下。

1? 資料與方法

1.1? 一般資料

該研究取選擇在該院兒科門診注射室接受治療的小兒患者共120例，將其全部納入研究當中，在納入研究之前所有患兒家屬對該研究知情并同意參與其中，均為第1次到兒科門診注射室就診，按照其接受的兒科門診注射室管理模式的差異分為對照組和研究組。對照組：男患兒32例、女患兒28例;年齡分布區(qū)間為1～10歲，年齡中值為（5.2±1.6）歲;研究組：男患兒34例、女患兒26例;年齡分布區(qū)間為1～11歲，年齡中值為（5.8±1.2）歲。將兩組患兒年齡、性別進行比較差異無統(tǒng)計學意義（P>0.05）。