Application of “Structure-process-result” Three-dimensional Quality Evaluation Model in the Prevention and Treatment of VTE in Surgical Inpatients

Ying YANG; Renlan LI; Lei SONG; Dongmei ZHUANG; Peiyu FAN; Si LI

doi:10.12259/j.issn.2095-610X.S20230625

Volume 44 Issue 6

Jun. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(6): 169-174

Ying YANG, Renlan LI, Lei SONG, Dongmei ZHUANG, Peiyu FAN, Si LI. Application of “Structure-process-result” Three-dimensional Quality Evaluation Model in the Prevention and Treatment of VTE in Surgical Inpatients[J]. Journal of Kunming Medical University, 2023, 44(6): 169-174. doi: 10.12259/j.issn.2095-610X.S20230625

Citation:

Ying YANG, Renlan LI, Lei SONG, Dongmei ZHUANG, Peiyu FAN, Si LI. Application of “Structure-process-result” Three-dimensional Quality Evaluation Model in the Prevention and Treatment of VTE in Surgical Inpatients[J]. Journal of Kunming Medical University, 2023, 44(6): 169-174. doi: 10.12259/j.issn.2095-610X.S20230625

Citation:

Ying YANG, Renlan LI, Lei SONG, Dongmei ZHUANG, Peiyu FAN, Si LI. Application of “Structure-process-result” Three-dimensional Quality Evaluation Model in the Prevention and Treatment of VTE in Surgical Inpatients[J]. Journal of Kunming Medical University, 2023, 44(6): 169-174. doi: 10.12259/j.issn.2095-610X.S20230625

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Application of “Structure-process-result” Three-dimensional Quality Evaluation Model in the Prevention and Treatment of VTE in Surgical Inpatients

doi: 10.12259/j.issn.2095-610X.S20230625

Second Department of General Surgery，Yan’an Hospital Affiliated to Kunming Medical University，Kunming Yunnan 650051，China

Received Date: 2023-03-17
Available Online: 2023-06-16
Publish Date: 2023-06-25

Abstract

Abstract

Objective To explore the application effect of “structure-process-outcome” three-dimensional quality evaluation model in the prevention and treatment of surgical inpatients with VTE. Methods A total of 400 patients admitted to Department of General Surgery in Yan’an Hospital of Kunming City from July 2020 to June 2021 were selected as research subjects, and were divided into control group and experimental group using random number table method, with 200 patients in each group. The control group received hospital VTE prevention and treatment nursing following the hospital regulations. The experimental group received the “structure-process-result” three-dimensional quality evaluation model, which was applied to the prevention and management system of VTE in the hospital, and was optimized from three dimensions: structure, process and result. The incidence of VTE, patient satisfaction, patient service perception and nursing quality score of the two groups were compared. Results The incidence of VTE in the experimental group was significantly lower than that in the control group （χ² = 4.592, P < 0.05）. There were significant differences in patient satisfaction （t = -8.811.91, P < 0.001） and service perception （t = -11.813, P < 0.001） between experimental group and control group. There were differences in five dimensions of service perception between the experimental group and the control group, namely, service system （t = -7.401, P < 0.001）, nursing professionalism （t = -8.347, P < 0.001）, executive ability （t = -5.73, P < 0.001）, demand feedback （t = -8.024, P < 0.001）, nurse-patient relationship （t = -9.799, P < 0.001）. The experimental group scored significantly higher on patient satisfaction and service perception than the control group. In addition, the nursing quality of the experimental group showed statistically significant differences, SD scores of nursing quality gradually decreased, and nursing quality gradually stabilized. Conclusion The application of the “structure-process-result” three-dimensional quality evaluation model can reduce the incidence of VTE in surgical inpatients and promote the high-quality development of nursing teams.
- Quality evaluation system,
- Venous thromboembolism,
- VTE prevention

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