Seamless Care Application And Evaluation Of Quality Management In Digestive Endoscopy In Patients During Treatment

ObjectiveTo explore the application and effect of seamless care quality management in patients with digestive endoscopic diagnosis and treatment. MethodsThis study utilized quasi-experimental research methods: 1215 hospitalized patients with digestive endoscopic treatment under the conventional nursing mode in the first affiliated hospital of Zhengzhou university(October 2014 to June 2013) were chosen as control group, and about 1000 hospitalized patients with same treatment and same hospital(August 2014 to April 2015) under the seamless care management mode were chosen as experimental group. Four aspects of the two groups were compared:1.Nursing quality success rate, patients’ satisfaction of nursing work, and nursing safety incidence of adverse events;2. Quality of the bowel preparation and the incidence of the follow-up complications;3. Postoperative recovery time, hospital stays, and hospitalization expenses, etc;4.Information of patients(satisfaction, nursing safety incidence of adverse events, etc.) collected by the medical records of patients together with method such as telephone follow-up. ResultsThe two groups of patients didn’t show clinical statistical significance difference(P > 0.05) in the aspect of gender, age, education background, lesion location, etc., and their results were clinic comparable.1.Nursing documents writing success(score over 90 points) rate of the experimental group is 98.60%(986/1000), significantly higher than control group, whose rate is 76.38%(928/1215). X2 = 230.6664 and the difference has statistical significance(P < 0.01).2. Total satisfaction rate of experimental group is 95.60%(956/1000), significantly higher than the control group, whose rate is 88.81%(1079/1215). X2 = 33.9070 and the difference has statistical significance(P < 0.01).3.Nursing safety adverse event rate of experimental group is 0.90%(9/1000), significantly lower than the control group, whose rate is 2.39%(29/1215). X2 = 7.1917 and the difference has statistical significance(P < 0.01).4.The amount of patients with score of bowel preparation quality over 3 in experimental group is significantly higher than the control group. X2 = 160.3100 and the difference has statistical significance(P < 0.01).5.The complication incidence of experimental group after digestive endoscopic treatment is 2.50%(25/1000), significantly lower than the control group, whose rate is 6.09%(74/1215). X2 = 16.5622 and the difference has statistical significance(P < 0.01).6.Gastrointestinal function recovery time(after digestive endoscopic diagnosis or treatment) of patients in experimental group is much shorter than the control group and the difference has statistical significance(P < 0.01).7. Hospital stay and hospitalization expenses(after digestive endoscopic diagnosis or treatment) of patients in experimental group is shorter(or less) than patients in the control group and the difference has statistical significance(P < 0.01). ConclusionThrough seamless care quality management, we can improve the level of nursing documents writing success rate and the process could be standardized; good relationship between nurses and patients could form and the satisfaction degree of the patients and their families would increase. Also, we could lower incidence of adverse events in the process of digestive endoscopic diagnosis and treatment, and reduce or avoid potential nursing safety risk. Furthermore, the quality of intestinal preparation could be raised to further improve digestive endoscopy positive rate, reduce the follow-up endoscopy positive rate, and avoid repeat medical treatment of patients. In addition, we can reduce the complication rate of endoscopic treatment, promote the recovery of patients’ gastrointestinal function, shorten hospital stays, and lower hospital costs. Finally, the life quality of patients after hospital discharge could be improved to make the patients fit into the society as soon as possible.