With the development of health care, nursing has been unable to reach the requirements of clinical nursing work, there are many deficiencies in the nursing effect and need to improve. Quality care is based on the conventional care, improve the level of care of a nursing measure. Implementation of high quality nursing is all patients for each nursing staff requirements, but also nursing managers to pursue goals [1]. High quality of nursing is to take the patient as the center, give full consideration to the patients needs, for nursing and science. The key of the nursing work should be put in order to ensure the quality of nursing work, by providing all aspects, for the high quality of nursing service and improve the implementation of high quality nursing patients in clinical nursing work satisfaction [2]. This study admitted to undergraduate and 40 cases of patients, obtained satisfactory effect for patients, specific reports as follows.
1 data and methods.
1.1 general information selected in June 2011 to 2013 June in our hospital 80 cases of patients in Department of Cardiology, the patients were in accordance with the admission numbers divided into the observation group and the control group, 40 cases in each. Control group patients male 17, female in 23 cases; age 31~57 years old, average (37.8 ~ + 5.65) years old; call ceiling system disease patients in 13 cases, 15 cases of cardio cerebral vascular system disease patients and in patients with hematologic diseases 12 cases. The observation group patients (19 male, 21 female patients; old age 34~60. Average age was 42.6 + 5.58); 11 cases of patients with respiratory system diseases and 16 cases of patients with cardio cerebral vascular diseases, diseases of blood system 13 cases. Two groups of patients in gender, age, disease, and so on more general information, the difference was not statistically significant (P > 0.05), with comparability.
1.2 methods of nursing care in the control group were treated by conventional nursing methods, timely inspection and detailed records of patients with basic pulse, body temperature and heart rate, change medicine on time and on patients were appropriate publicity and education, asked the patients pay attention to such matters. Patients in the observation group on the basis of conventional care, to take quality care. If you want to include: (1) medical staff to the care of the nursing staff, investigating the details of each of the nursing staff, adopt scientific and reasonable methods for scheduling, for the nursing staff to reduce the working pressure, help nursing staff to resolve in the difficulty in life work; (2) to change the nursing staff the concept of service, always taking patients as the center, regular training and education of the nursing staff, improve the comprehensive quality of nurses and nursing skills, so as to enhance the overall quality and level of nursing in our hospital; (3) to maintain a good relationship between nurses and patients, avoid nurse patient relationship tension, nursing staff should pay attention to the psychological state of patients often, communicate with patients, understand the needs of patients, to fully grasp the status of patients with diseases and psychological, help patients solve difficulties , make the doctor-patient relationship more harmonious.
1.3 nursing effect judgment standard of the clinical common anxiety self rating scale (SAS) and depression self rating scale (SDS) of patients in nursing effect test. Psychological state before and after the nursing care of the patients in the two groups were observed and effectively assess the quality of life in the two groups of patients before and after care, assessment score 144 points, assessment content mainly includes daily life, self-conscious symptom and body physiological function, the symptoms score of 74, daily life and physiological function of state full marks the 35 points. SAS standard score 50 points for the critical value between 50 and 59 points with mild anxiety and 60-69 divided into severe anxiety, 70 and above for severe anxiety. SDS judgment standard reference SAS judgment standard.
1.4 system meter processing using SPSS18.0 statistical software for data analysis, the measurement data to x + s said, take t test; count data expressed as a ratio by x 2 test, P < 0.05 for differences have statistical significance.
2 knot fruit.
After nursing, psychological status and quality of life of two groups of patients have significantly improved, compared with the preoperative care, differences were statistically significant (P < 0.05); and improve the degree of observation group is better than the control group, two groups compared with statistically significant differences (P < 0.05), see Table 1.
3 discussion.
With the improvement of living standards, people the level of medical care have higher requirements, conventional nursing mode has been unable to meet the patients, and the quality of nursing. The core idea of the quality of nursing is to to patients for this, mainly according to the patient's psychological aspects carry out nursing work, in order to improve the quality of nursing service, enhance the effect of nursing, and improve the satisfaction of patients. Department of cardiology nursing service in the implementation of quality care is the main practice of the following.
3.1 change nursing service concept of nursing management personnel or a matron and organize all members of the Department should conscientiously study and implement the nursing department set up the nursing staff should be known manual ", the main content of the manual includes" basic nursing service norms "," high quality nursing service engineering activities ", the" guiding principles of grading nursing for general hospital ", the conventional clinical nursing technical service norms," [3] and actively solicit the opinions and suggestions of the nursing personnel, combined with nurse jointly formulate measures of high quality service, guide nurses to change the service conception, for carrying out high-quality care to lay a good foundation.
3.2 establishing perfect rules and regulations according to the Department of Cardiology specialist characteristics and actual needs of patients, strictly abide by the core system of care, the reasonable allocation of the Department staff, the exact implementation of the nursing operation, to develop and perfect the department regulations, clear responsibilities of workers at all levels, the standardization of nursing work, to ensure the quality of care, attention to detail service, enhance nursing level.
3.3 adopt scientific reasonable scheduling system management department of Cardiology to deal with every nurses were investigated, solicit the opinions and suggestions of the nursing personnel, combined with the characteristics of the Department, and the needs of patients with, formulate scientific and reasonable scheduling system, reduce the nursing staff's working pressure. Shift team to take the responsibility of scheduling, the team members including responsibility of nurses, leader of responsibility, the responsibility of nurses and assistant nurses. Scheduling work time arrangements: a class 8:00~16:00. Class B 16:00~22:00. Class C 22:00~8:00, may according to the actual situation of flexible scheduling.
3.4 to strengthen skills training in the Department of cardiology should be regular professional training of nursing staff, and strengthen the skills training, scheduled for Wednesday morning shift of professional nursing knowledge questions. Every Friday morning rounds by the nurse long development of holistic nursing teaching guide. Hospital regularly carry out full of basic nursing operation training, and to evaluate the examination, regular or irregular spot checks, the assessment of nursing staff on emergency procedures for master degree.
3.5 improve basic nursing quality department should be clear and public basic nursing items, reasonable arrangements for basic nursing schedule, with perfect basic nursing activities, such as perineum rinsing kettle, hair dryer, etc.. Comprehensively implement the basic nursing work and accomplished the standardization, standardization, from patients admitted to the hospital, the patient can enjoy high-quality, comprehensive care, including dressing, health rectification, skin care, etc.. Responsibility nurse, capital registered nurses do an exemplary role, active for patients with shampoo, foot bath, sponge bath, the implementation of holistic nursing care, and effectively improve the quality of basic nursing.
3.6 to strengthen health education for patients with nursing staff to implement health education for patients admitted to the hospital, patients admitted to the hospital, the nurse should be a comprehensive understanding of the patient's condition and the existing major nursing problems, master the psychological state of the patients, so that in nursing the patients implementation has for health education, education content including health knowledge education, medication guidance and psychological counseling. Nursing managers should often communicate with patients, found problems in a timely manner, and in a timely manner to give intensive education and guidance. Health education should vary from person to person, a targeted, for older patients, due to the memory and comprehension ability is poor, so deal with the implementation of a combination of written and oral education education education; for younger patients, by face to face guidance and concentrated propaganda way of health education. Also, not only to carrying out health education for patients, to families of patients to appropriate education, enable families to better understand the disease and related knowledge, in order to better assist nursing work. Due to cardiovascular disease is mostly belongs to the lifelong disease, it is difficult to cure, so patients prior to discharge health guidance is very important, should also carry out regular follow-up.
3.7 strengthening humanistic nursing personnel should always to patients as the center, improve the quality of service, to provide clean, tidy and comfortable ward environment for patients, timing for patients to open the window ventilation, to ensure the air quality in the wards, assist the patient to ordering and wash the dishes; for patient appointments check, arrange professional full escort escort; patient's birthday to send blessings, let a patient feel humanized service.
The research results show that application of high quality nursing care in nursing service in the Department of Cardiology, won the very satisfactory nursing effect, significantly higher than the routine nursing group. The hospital through carrying out high-quality care and nursing service concept of transformation, the exact implementation of basic nursing work, improved the quality of nursing, and patient satisfaction was improved, nursing staff and patient relationship more harmonious, nursing complaints and disputes significantly reduced. Through the implementation of the responsibility of the group scheduling system, adjust the scheduling model, clear responsibilities at all levels of staff positions, so that patients get a comprehensive and the whole process of high quality nursing service, patients to nursing work is more satisfactory, and but also improve the nursing personnel's recognition of its value. In short, the development of high quality nursing service, need the joint efforts of all the members of the Department and cooperate with each other, in Department of cardiology service in application of high quality nursing, is helpful to improve the quality of nursing, in order to ensure the safety of nursing, is of great significance to improve the overall quality of care in the hospital.
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