急性心肌梗死患者便秘预防过程质控指标的建立与实施
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女,本科,主管护师

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南京市医学重点科技发展项目(ZKX16051)


Establishment and implement of process quality control indicators of constipation prevention for patients with acute myocardial infarction
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    目的 建立并实施急性心肌梗死患者便秘预防过程质控指标,以降低便秘发生率。 方法 将439例住院心肌梗死患者按照住院时间顺序分为观察组218例、对照组221例。对照组实施常规便秘预防护理。观察组建立通便药物的服用率、预防便秘知识宣教落实率,腹部按摩、开塞露纳肛及低压灌肠执行率指标,并依此实施护理干预及质量控制。 结果 干预后住院期间,观察组5项指标落实率显著高于对照组,便秘发生率显著低于对照组(P<0.05,P<0.01)。 结论 过程质控指标的建立及实施,有利于降低急性心肌梗死患者便秘发生率和减少排便相关并发症。

    Abstract:

    Objective To reduce the incidence of constipation by establishing process quality control indicators of constipation prevention for patients with acute myocardial infarction(AMI). Methods A total of 439 AMI patients were divided into an intervention group of 218 patients, and a control group of 221 patients, as determined by the admission time.The control group received routine nursing measures against constipation, while the intervention group was subjected to nursing measures and quality control measures assisted with monitoring of such nursing quality control indicators as laxative drugs administration rate, constipation prevention knowledge education rate, abdominal massage rate, glycerin rectal use rate, low pressure enema rate. Results After the intervention, the above-mentioned rates in the intervention group were significantly higher, while the incidence rate of constipation were lower, than in the control group (P<0.05,P<0.01). Conclusion Establishment and implement of process quality control indicators of constipation prevention, helps reduce the incidence rate of constipation and defecation-related complications in AMI patients.

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杨阳,范羽飞,李秋月.急性心肌梗死患者便秘预防过程质控指标的建立与实施[J].护理学杂志,2021,36(15):41-43

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  • 收稿日期:2021-03-13
  • 最后修改日期:2021-05-08
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  • 在线发布日期: 2022-12-12