循环质量反馈模式对精神病患者护理质量及家属满意度的影响

农秋燕 谢建芬 杜淑华

[摘要]目的 研究循環质量反馈模式对精神病患者护理质量及家属满意度的影响。方法 选取2015年3月～2017年1月我院收治精神病患者76例，采用随机数字表法将其分为常规组、循环质量组，每组38例。常规组采用的护理模式为常规护理模式，循环质量组采用的护理模式为循环质量反馈模式。比较两组患者家属满意度；疾病认知水平、治疗的依从性；护理前和护理后患者生活质量评分、BPRS量表评分的差异。结果 循环质量组患者家属满意度高于常规组，差异有统计学意义（P<0.05）。护理前，两组患者生活质量评分、BPRS量表评分的比较，差异无统计学意义（P>0.05）；护理后，循环质量组生活质量评分、BPRS量表评分优于常规组，差异有统计学意义（P<0.05）。循环质量组疾病认知水平、治疗的依从性高于常规组，差异有统计学意义（P<0.05）。结论 循环质量反馈模式对精神病患者护理质量高，可有效提高患者疾病认知水平和治疗依从性，改善患者精神状态和生活质量，促进家属满意度的提高，值得推广。

[关键词]循环质量反馈模式；精神病患者；护理质量；家属满意度；影响

[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2018）5（b）-0170-03

Quality feedback loop model on the nursing quality and the family member satisfaction of patients with psychosis

NONG Qiu-yan XIE Jian-fen DU Shu-hua

Guangzhou Civil Affairs Bureau Psychiatric Hospital，Guangdong Province，Guangzhou 528244，China

[Abstract]Objective To study the quality feedback loop model on the nursing quality and the family member satisfaction of patients with psychosis.Methods A total of 76 psychiatric patients were selected from March 2015 to January 2017 in our hospital.They were randomly divided into routine group and circulating quality group，with 38 cases in each group.The nursing mode of routine group was routine nursing mode，and the nursing mode of circulatory quality group was circulatory quality feedback mode.Family satisfaction was compared between the two groups.Disease cognitive level，treatment compliance；difference of quality of life score and BPRS scale score between pre- and post-care of patients in the two groups were compared.Results The family satisfaction of patients in the circulatory quality group was higher than that in the conventional group，and the difference was statistically significant（P<0.05）.Before nursing，there was no significant difference in quality of life score and BPRS scale score between the two groups（P>0.05）.After nursing，the scores of quality of life and BPRS scale in circulatory quality group were better than those in routine group，the differences were statistically significant（P<0.05）.The cognitive level of disease and the compliance of treatment in circulatory quality group were higher than those in routine group，the differences were statistically significant（P<0.05）.Conclusion The quality feedback loop model for psychiatric patients nursing quality is high，which can effectively improve the level of disease in patients with cognitive treatment adherence，and improve the patients'mental state and quality of life，promote family satisfaction enhancement，is worth promoting.

[Key words]Quality feedback loop mode；Psychiatric patients；The nursing quality；Family satisfaction；Impact

精神病是临床常见疾病，跟其他疾病不同，患者对临床治疗认知低下，治疗依从性低下，可严重影响治疗效果。因而，如何通过护理干预促进患者治疗效果的提高和生存质量的改善是精神病患者护理的关键。循环质量反馈模式是不断总结和完善护理细节和程序，以形成良好护理循环，不断促进患者病情的改善[1]。本研究对循环质量反馈模式对精神病患者护理质量及家属满意度的影响进行分析，现报道如下。

1资料与方法

1.1一般资料

选取2015年3月～2017年1月我院收治的精神病患者76例，采用随机数字表法将其分为常规组、循环质量组，每组 38例。所有患者符合精神病诊断标准，患者和家属均知情同意本次研究，均签署知情同意书。……