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项目管理提高老年患者滴眼药水正确率的效果

Effect of project management on improving the accuracy of eye drops in elderly patients

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【作者】 欧阳淑怡刘沛珍张小妮李严丽周妍柯苹芳刘宝怡李浩君蔡丹娜吴乔伟

【Author】 OUYANG Shuyi;LIU Peizhen;ZHANG Xiaoni;LI Yanli;ZHOU Yan;KE Pingfang;LIU Baoyi;LI Haojun;CAI Danna;WU Qiaowei;Department of Ophthalmology, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Guangdong Eye Disease Prevention and Control Institute;

【通讯作者】 欧阳淑怡;

【机构】 广东省眼病防治研究所广东省人民医院(广东省医学科学院)眼科

【摘要】 目的:探讨项目管理对提高老年患者滴眼药水正确率的效果。方法:以老年患者滴眼药水困难为切入点,改善护理项目的质量。纳入2019年1~2月271名老年患者作为对照组,2019年3~7月276名老年患者作为实验组(项目改善组),通过问卷调查收集质量改善过程中的难点以及对此问题的推荐程度,再进行项目改善。对照组入院后按常规对患者进行滴眼药水教育和发放宣传手册;实验组入院时进行问卷调查,根据问卷反映的难点关键点进行项目改善,对患者增加视频宣教关键步骤讲解和操作示范。结果:对照组滴眼药水的正确率为41.64%,实验组为83.48%,差异有统计学意义(P<0.001)。结论:项目改善能提高老年患者滴眼药水的正确率,减少药物浪费,提高治疗效果,使患者受益,具有良好的应用前景。

【Abstract】 Objective:To evaluate the effect of project management on improving the correct rate of eye drops for elderly patients.Methods:The difficulty of eye drops in elderly patients was regarded as the entry point to improve the quality of nursing projects.A total of 271 elderly patients admitted to our hospital from January to February 2019 were assigned into the control group,and 276 elderly patients from March to July 2019 were enrolled in the experimental group (project improvement group).The difficulties in the process of quality improvement and the recommendation degree of this problem were collected through questionnaire survey,and then the project was carried out to improve the project in the control group.After admission,eye drops use was routinely taught to patients and brochures were distributed.Patients in the experimental group were investigated by questionnaire upon admission,and the project was improved according to the key difficult points reflected in the questionnaire.The key steps of video education and operation demonstration were delivered to the patients.Results:The correct rate of eye drops in the control group was 41.64%,significantly lower compared with 83.48% in the experimental group.The test showed that the correct rate of the experimental group was higher,and the difference was statistically significant (P<0.001).Conclusion:Project improvement can improve the correct rate of eye drops for elderly patients,reduce drug waste,improve treatment effect,bring clinical benefits,and have a good application prospect.

【基金】 广东省人民医院登峰计划护理科研基金(2020005)~~
  • 【分类号】R473.77
  • 【被引频次】1
  • 【下载频次】223
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