Application of specialized nursing quality management in the hepatitis B liver cirrhosis patient in decompensated period

Abstract

Objective To study the specialized nursing quality management of infectious diseases in the role of hepatitis B liver cirrhosis patient care in liver disease internal medicine during decompensated period. Methods For 180 patients with decompensated period of hepatitis B cirrhosis, quality of care was carried out in of the liver specialized subject index management to ensure decubitus standardized rate, gastrointestinal bleeding predictive rate, hepatic encephalopathy predictive nursing accuracy for the corresponding nursing quality monitoring indicators. The comparisons were conducted in the nurse's core competence evaluation results, patient's satisfaction during hospitalization for nursing and common complications for specialized quality indicators before and after implementations. Results After the introduction of specialized nursing quality indicators, nurse's disease clinical core competency assessment qualified rate increased significantly in nurse's ability of disease observation and assessment increasing from 64.71% to 88.24%, professional knowledge master inclining from 61.76% to 94.12%, strain capacity increasing from 55.88% to 85.29%, and patient care satisfaction improving from 85.56% to 97.78% (χ2=5.230 8, 10.349 7, 7.083 3, 8.800 0; P< 0.05) . Conclusions Specialized nurse quality index is applied to manage patients with hepatitis B cirrhosis in decompensated period for nursing quality control management, which can improve the core competence of nurses and patient satisfaction on nursing service, and decrease complications, as well as enrich the connotation of the nurse quality. Key words: Liver cirrhosis; Hepatitis B; Specialized quality indicator; In decompensated period; Quality of care