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乡村医学 ›› 2025, Vol.2 ›› Issue (2) DOI: 10.12238/jrm.v2i2.13118

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基于课题研究型品管圈构建神经源性膀胱骶神经调控术患者个案管理模式

黄非 , 白晓静 , 何泽琳 , 赵朋伟 ()   
  1. 1 . 西安交通大学第一附属医院泌尿外科
  2. 2 . 西安交通大学第一附属医院泌尿外科
  3. 3 . 西安交通大学第一附属医院泌尿外科
  4. 4 . 西安交通大学第一附属医院普通外科
  • 收稿日期:2025-02-01 14:02:47 发布日期:2025-05-17
  • 通讯作者: 赵朋伟

  • 作者贡献:
  • 基金资助:

The Case Management Model of Patients with Neurogenic Vesicosacral Neuroregulation was Constructed by Using the Research-based Quality Control Circle

HUANG Fei BAI Xiaojing HE Zelin ZHAO Pengwei ()   
  1. Department of General Surgery, The First Affiliated Hospital of Xi’an Jiao Tong University
  2. Department of General Surgery, The First Affiliated Hospital of Xi’an Jiao Tong University
  3. Department of General Surgery, The First Affiliated Hospital of Xi’an Jiao Tong University
  4. Department of Urinary Surgery, The First Affiliated Hospital of Xi’an Jiao Tong University
  • Received:2025-02-01 14:02:47 Online:2025-05-17
  • Contact: ZHAO Pengwei

摘要: 目的:运用课题研究型品管圈构建神经源性膀胱骶神经调控术患者个案管理模式。方法:以“构建神经源性膀胱骶神经调控术患者个案管理模式”为活动主题,开展品管圈活动,分别从患者入院、围手术期、出院及居家等阶段进行现状调查及分析、挖掘攻坚点,拟定可行性对策后并予以实施,包括组建多学科个案管理团队,重协作;建立个案管理模式,重干预;个案管理信息化建设,重反馈等。结果:骶神经调控术二期转化率、患者平衡膀胱率、患者尿路感染发生率、患者生活质量评分、患者焦虑抑郁评分、患者满意度均较实施前有明显改善,差异有统计学意义(P < 0.05)。结论:课题研究型品管圈构建了以个案管理师为主导的神经源性膀胱骶神经调控术患者个案管理模式,使神经源性膀胱患者的临床管理更加全面化、标准化、具有延续性,提高了患者的生活质量。

关键词: 神经源性膀胱;骶神经调控术;个案管理;课题研究型品管圈

Abstract

Objective:To establish a case management model for patients with neurogenic vesicosacral neuroregulation by using research-based quality control circle. Methods:With the theme of “Building a case management model for patients with neurogenic vesicosacral neuroregulation”, quality control circle activities were carried out to investigate and analyze the current situation of patients from the stages of admission, perioperative period, discharge and home, explore the key points, formulate feasible countermeasures and implement them, including setting up a multidisciplinary case management team and focusing on cooperation. Establish a case management model, emphasizing intervention; Case management information construction, heavy feedback, etc. Results:The second-stage conversion rate of sacral neuroregulation, balance bladder rate, incidence of urinary tract infection, quality of life score, anxiety and depression score, and satisfaction of patients were significantly improved compared with those before implementation, with statistical significance (P < 0.05). Conclusion:The research quality control circle established a case management model for patients with neurogenic cystosacral neuroregulation led by case managers, which made the clinical management of patients with neurogenic bladder more comprehensive, standardized and consistent, and improved the quality of life of patients.

Objective

To establish a case management model for patients with neurogenic vesicosacral neuroregulation by using research-based quality control circle.

Methods

With the theme of “Building a case management model for patients with neurogenic vesicosacral neuroregulation”, quality control circle activities were carried out to investigate and analyze the current situation of patients from the stages of admission, perioperative period, discharge and home, explore the key points, formulate feasible countermeasures and implement them, including setting up a multidisciplinary case management team and focusing on cooperation. Establish a case management model, emphasizing intervention; Case management information construction, heavy feedback, etc.

Results

The second-stage conversion rate of sacral neuroregulation, balance bladder rate, incidence of urinary tract infection, quality of life score, anxiety and depression score, and satisfaction of patients were significantly improved compared with those before implementation, with statistical significance (P < 0.05).

Conclusion

The research quality control circle established a case management model for patients with neurogenic cystosacral neuroregulation led by case managers, which made the clinical management of patients with neurogenic bladder more comprehensive, standardized and consistent, and improved the quality of life of patients.

Key words: Department of Urinary Surgery,The First Affiliated Hospital of Xi’an Jiao Tong University

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