Application of "disease-characteristics nursing quality improvement" program in the nursing practice of atrial fibrillation patients

Abstract

Objective To explore the application of disease-characteristics nursing quality improvement program in the nursing practice of atrial fibrillation patients. Methods On basis of patient-centered and evidence-based nursing, the cardiovascular department of Peking University First Hospital made the disease-characteristics nursing quality improvement program. The differences of patients′ satisfaction, the index of work satisfaction of nurses, the index of disease management before (2014) and after (2015) the implementation of disease-characteristics nursing quality improvement program were observed and compared. Results Before and after the disease-characteristics nursing quality improvement program, the patients′ satisfaction were 90.0%(135/150) and 96.8%(149/154), the rate of well warfarin knowledge were 74.3%(78/105) and 90.2%(101/112), the compliance rate of international standardization ratio were 79.0%(83/105) and 91.1%(102/112), the rate of telephone follow-up as requested were 57.3%(86/150) and 85.7%(132/154), the rate of outpatient follow-up as requested were 72.0%(108/150) and 83.1%(128/154). The differences all above were statistically significant (χ2=5.408-30.171,all P<0.05). Before and after the disease-characteristics nursing quality improvement program, the scores of the index of work satisfaction were (135.19±19.17) and (178.37±18.46) points. The difference was statistically significant (t=-13.577, P<0.05). Conclusions The disease-characteristics nursing quality improvement program is an effective method to improve the nursing quality of patients with atrial fibrillation. Key words: Atrial fibrillation; Nursing care; Disease-characteristics nursing quality improvement program