基于医护合作决策的分级护理的实施效果

发布时间：2018-04-02 16:18

本文选题：分级护理　切入点：医护合作　出处：《解放军护理杂志》2016年21期

【摘要】：目的探讨基于医护合作共同决策的分级护理模式的实施效果。方法便利抽样选取2014年11月至2015年7月于温州市中心医院住院的患者398例,将患者随机分为观察组(199例)和对照组(199例),观察组由主管医生和责任护士合作决策患者的护理等级,对照组则采用传统护理分级实施方法,比较两组患者护理级别、护理质量和满意度的差别。结果两组患者护理分级构成差异有统计学意义(P0.05),其中:两组患者一级护理、二级护理差异有统计学意义(P0.05);特级护理、三级护理差异无统计学意义(P0.05);观察组护理质量达标率、护理质量评分以及健康教育落实率均高于对照组(均P0.05);医嘱执行评分两组差异无统计学意义(P0.05);观察组在工作效率、主动服务、病房环境、护患关系及健康教育等项目的满意度方面明显高于对照组(均P0.05)。两组护理技术、服务质量及人文关怀等方面差异无统计学意义(均P0.05)。结论基于医护合作共同决策的分级护理模式适合临床护理的发展,可提高分级护理质量,提高患者满意度。
[Abstract]:Objective to explore the effect of graded nursing model based on medical cooperation.Methods from November 2014 to July 2015, 398 inpatients in Wenzhou central hospital were selected for convenience sampling.The patients were randomly divided into observation group (n = 199) and control group (n = 199). The nursing grades of patients in the observation group were determined by the cooperation of the competent doctor and the responsible nurse. In the control group, the nursing levels of the patients in the two groups were compared by using the traditional nursing grading method.Differences in nursing quality and satisfaction.Results there were significant differences in nursing grading between the two groups (P 0.05). Among them, there was a significant difference between the two groups in the first level nursing, the second grade nursing, the special grade nursing, the third level nursing, the quality of nursing in the observation group, the quality of the observation group, the quality of the observation group, the quality of nursing in the observation group, the quality of nursing in the observation group, the quality of nursing in the observation group.The scores of nursing quality and health education were higher than those of the control group (all P0.05A, P 0.05), while the scores of the execution of doctor's orders had no significant difference between the two groups (P 0.05), the working efficiency, active service and ward environment of the observation group were higher than those of the control group (P < 0.05).The satisfaction degree of nurse-patient relationship and health education was significantly higher than that of the control group (all P 0.05).There was no significant difference in nursing technology, service quality and humanistic care between the two groups (P 0.05).Conclusion the classified nursing model based on the joint decision of medical and nursing cooperation is suitable for the development of clinical nursing. It can improve the quality of graded nursing and improve the satisfaction of patients.
【作者单位】：温州市中心医院护理部;温州市中心医院神经外科;
【分类号】：R197.323

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