医护同组责任制管理模式在经颈静脉肝内门体分流术患者的应用效果分析

发布时间：2018-04-03 11:02

本文选题：介入科病房　切入点：医护成组责任制管理模式　出处：《介入放射学杂志》2017年11期

【摘要】：目的探讨医护成组责任制管理模式在经颈静脉肝内门体分流(TIPS)术患者的应用效果。方法对介入科病房2016年1月到2016年12月收治的70例TIPS术患者按照随机数字表进行分组,对照组和观察组各35例,对照组患者实施传统护理分组管理模式,观察组患者实施医护成组责任制管理模式(含在院阶段和出院后的回访),比较两组患者住院期间并发症,出院后肝性脑病发生率和再入院率、患者对医护人员的满意度。结果实施医护成组责任制管理模式后,TIPS术患者术后并发症,出院后肝性脑病发生率和再入院率明显降低,患者对医护人员的满意度明显提高,差异有统计学意义(P0.05)。结论在介入科病房TIPS术患者实施医护成组责任制管理模式,能有效地降低术后并发症、出院后肝性脑病发生率和再入院率,提高患者对医护人员的满意度,具有十分重要的意义。
[Abstract]:Objective to investigate the medical group responsibility system in the management of transjugular intrahepatic portosystemic shunt (TIPS) surgery patients. Methods 70 cases of TIPS patients with interventional ward from January 2016 to December 2016 were grouped according to the random number table, the control group and the observation group with 35 cases in each group, the control group received conventional care group management mode patients, patients in the observation group to implement medical group responsibility system management mode (including in the hospital after discharge stage and return), compared two groups of patients with complications during the hospitalization, the incidence of hepatic encephalopathy after discharge and readmission rate, patient satisfaction of medical staff. The results of the implementation of the medical group responsibility system management mode, TIPS operation the complications after discharge, the incidence of hepatic encephalopathy and the readmission rate was significantly reduced, patient satisfaction of medical staff increased significantly, the difference was statistically significant (P0.05). Conclusion in interventional radiology The implementation of medical group responsibility management mode in ward TIPS patients can effectively reduce postoperative complications, the incidence of hepatic encephalopathy after discharge and the rate of readmission, and improve patient satisfaction with medical staff.

【作者单位】：湖南省人民医院(湖南师范大学附属第一医院)介入血管外科;
【分类号】：R473.5

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