基于OEC模式的流程精细化管理在无痛胃肠镜患者诊疗中的应用效果

Application effect of process refinement management based on the OEC model in the diagnosis and treatment of patients undergoing painless gastrointestinal endoscopy

  • 摘要:
    目的 探讨基于OEC模式的流程精细化管理在无痛胃肠镜患者诊疗过程中的应用效果。
    方法 选取接受无痛胃肠镜检查的200例门诊患者作为研究对象, 采用随机数字表法将其分为对照组与观察组,每组100例。对照组实施常规护理管理,观察组实施基于OEC模式的流程精细化管理。比较2组患者的护理满意度、检查等待时间、检查时间、术后苏醒时间、并发症发生率及焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。
    结果 观察组患者的检查等待时间、检查时间及术后苏醒时间均短于对照组,差异有统计学意义(P < 0.05)。干预前, 2组患者SAS评分、SDS评分比较,差异无统计学意义(P>0.05); 干预后,观察组患者SAS评分、SDS评分均低于对照组,差异有统计学意义(P < 0.05)。观察组患者的并发症发生率为4.00%,低于对照组的15.00%, 差异有统计学意义(χ2=7.037, P=0.008, Phi系数=0.188)。观察组患者的护理满意度为98.00%, 高于对照组的91.00%, 差异有统计学意义(χ2=4.714, P=0.030, Phi系数=0.154)。
    结论 将基于OEC模式的流程精细化管理应用于无痛胃肠镜患者诊疗过程中, 可有效提高护理满意度,缩短检查等待时间、检查时间和术后苏醒时间,降低并发症发生率,并减轻患者的焦虑、抑郁情绪。

     

    Abstract:
    Objective To explore the application effect of process refinement management based on the OEC model in the diagnosis and treatment process of patients undergoing painless gastrointestinalendoscopy.
    Methods A total of 200 outpatient patients who underwent painless gastrointestinal endoscopy were selected as the research subjects. They were randomly divided into control group and observation group using a random number table method, with 100 cases in each group. The control group received routine nursing management, while the observation group received process refinement management based on the OEC model. The nursing satisfaction, examination waiting time, examination time, postoperative recovery time, complication incidence rate, and scores of the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were compared between the two groups.
    Results The examination waiting time, examination time, and postoperative recovery time in the observation group were all shorter than those in the control group, with statistically significant differences (P < 0.05). Before the intervention, there were no statistically significant differences in the SAS and SDS scores between the two groups (P>0.05). After the intervention, the SAS and SDS scores in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). The complication incidence rate in the observation group was 4.00%, which was lower than 15.00% in the control group, with a statistically significant difference (χ2=7.037, P=0.008, Phi coefficient=0.188). The nursing satisfaction in the observation group was 98.00%, which was higher than 91.00% in the control group, with a statistically significant difference (χ2=4.714, P=0.030, Phi coefficient=0.154).
    Conclusion The application of process refinement management based on the OEC model in the diagnosis and treatment process of patients undergoing painless gastrointestinal endoscopy can effectively improve nursing satisfaction, shorten the examination waiting time, examination time, and postoperative recovery time, reduce the complication incidence rate, and alleviate patients' anxiety and depression.

     

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