Effect of Nursing Quality Management on the Nosocomial Infection Rate and Psychology State of Patients with Burn and Plastic Surgery
Abstract
Abstract
Background: To explore the effect of nursing quality management on the nosocomial infection rate and Psychology State of patients with burn and plastic surgery.
Methods: Overall, 92 patients with burn and plastic surgery admitted to Qilu Hospital, Jinan, China from Apr 2017 to Jul 2018 were selected, in which 46 cases were randomly selected as a control group for routine nursing management, and another 46 cases as a research group to strengthen nursing quality management. The incidence of nosocomial infection, nursing satisfaction and nurse-patient disputes were compared. MMAS-8 scale was used to compare the compliance of the two groups. SAS and SDS score were used to compare the psychological status. The recovery and discharge were compared.
Results: The incidence of nosocomial infection in the study group was significantly lower than that in the control group (P<0.05). The total satisfaction rate of the study group was significantly higher than that of the control group (P<0.05). The incidence of nurses-patients disputes was significantly lower than that of the control group. The SAS and SDS score of the study group were significantly better than the control group (P<0.05). The healing time, blood circulation recovery time of skin wounds and discharge time in the study group were significantly better than those in the control group.
Conclusion: Strengthening nursing quality management can effectively reduce the nosocomial infection rate of burn and plastic surgery. It helps to further accelerate the recovery of patients and make patients’ psychological state better.
2. Rosenberg L, Krieger Y, Bogdanov-Berezovski A, et al (2014). A novel rapid and selective enzymatic debridement agent for burn wound management: a multi-center RCT. Burns, 40: 466-474.
3. Mehrabani D, Farjam M, Geramizadeh B, et al (2015). The healing effect of curcumin on burn wounds in rat. World J Plast Surg, 4: 29.
4. Fuzaylov G, Anderson R, Knittel J, et al (2015). Global health: burn outreach pro-gram. J Burn Care Res, 36: 306-309.
5. Hayashi M, Muramatsu H, Nakano M, et al (2014). Experience of using cultured epi-thelial autografts for the extensive burn wounds in eight patients. Ann Plast Surg, 73: 25-29.
6. Kambhampati A, Koopmans M, Lopman BA (2015). Nosocomial infections and their control strategies. J Hosp Infect, 5: 509-514.
7. Breathnach AS (2013). Nosocomial infec-tions and infection control. Medicine, 41: 649-653.
8. Fashafsheh I, Ayed A, Eqtait F, et al (2015). Knowledge and Practice of Nursing Staff towards Infection Control Measures in the Palestinian Hospitals. J Educ Pract, 6: 79-90.
9. Shang J, Stone P, Larson E (2015). Studies on nurse staffing and health care–associated infection: Methodologic chal-lenges and potential solutions. Am J Infect Control, 43: 581-588.
10. Duan X, Shi Y (2014). Current status of quality evaluation of nursing care through director review and reflection from the nursing quality control centers. Int J Clin Exp Med, 7: 3737.
11. McHugh MD, Stimpfel AW (2012). Nurse reported quality of care: a measure of hospital quality. Res Nurs Health, 35: 566-575.
12. Stavrou D, Weissman O, Tessone A, et al (2014). Health related quality of life in burn patients–a review of the literature. Burns, 40: 788-796.
13. Butler DP (2013). The 21st century burn care team. Burns, 39: 375-379.
14. Lootens L, Brusselaers N, Beele H, et al (2013). Keratinocytes in the treatment of severe burn injury: an update. Int Wound J, 10: 6-12.
15. Nelson A, Powell-Cope G, Palacios P, et al (2007). Nurse staffing and patient out-comes in inpatient rehabilitation settings. Rehabil Nurs, 32: 179-202.
16. You LM, Aiken LH, Sloane DM, et al (2013). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe. Int J Nurs Stud, 50: 154-161.
17. Greenfield E (2010). The pivotal role of nursing personnel in burn care. Indian J Plast Surg, 43: S94.
18. Milutinović D, Simin D, Brkić N, Brkić S (2012). The patient satisfaction with nurs-ing care quality: the psychometric study of the Serbian version of PSNCQ question-naire. Scand J Caring Sci, 26: 598-606.
19. Al-Abri R, Al-Balushi A (2014). Patient satis-faction survey as a tool towards quality improvement. Oman Med J, 29: 3.
20. Hua XU (2010). Anxiety and depression analysis and mental nursing in severe burn adult patients. Nurs Pract Res, 9.
21. El-Sayed M, Gomaa M, Abdel-Aziz M (2015). Nurses’ knowledge and practice for prevention of infection in burn unit at a university hospital: suggested nursing guidelines. J Nurs Health Sci, 4: 62-69.
22. Kang JH, Kim CW, Lee SY (2014). Nurse-perceived patient adverse events and nursing practice environment. J Prev Med Public Health, 47: 273.
23. Van Bogaert P, Timmermans O, Weeks SM, et al (2014). Nursing unit teams matter: Impact of unit-level nurse practice envi-ronment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events—A cross-sectional survey. Int J Nurs Stud, 51: 1123-1134.
24. Chen Y, Han X, Xu Y, et al (2017). Nursing project management to reduce the oper-ating room infection. Iran J Public Health, 46: 192-198.
| Files | ||
| Issue | Vol 49 No 9 (2020) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v49i9.4082 | |
| PMCID | PMC7898113 | |
| PMID | 33643940 | |
| Keywords | ||
| Nursing Nosocomial infection rate Compliance Psychological state | ||
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