The practice and effect of medical and nurse cooperative responsibility nursing model in gynaecological ward
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摘要:
目的探讨医护合作型责任制护理模式对医疗护理质量和病区相关满意度的影响。 方法选取该院妇科2014年1月~6月收治的患者为对照组(实施医护合作型责任制护理模式前),2014年7月~12月收治的患者为实验组。对照组采用传统的查房模式,实验组采用医护合作型责任制护理模式,比较医护合作型责任制护理模式实施前后医疗护理质量和病区相关满意度的情况。 结果实施医护合作型责任制护理模式后, 患者的住院天数、甲级病历病案率、患者满意度均优于实施前(P < 0.01)。 结论医护合作型责任制护理模式改善了医护患沟通,提高了工作效率,改进医疗护理质量,有利于深化优质护理服务,强化专科护理内涵。 Abstract:ObjectiveTo investigate the effects of medical and nurse quality and ward-related satisfaction under the cooperative responsibility nursing model. MethodsTo select the patients in the department of gynaecology in our hospital between Jan 2014 to Jun 2014 as the control group (before undergoing medical and nurse cooperative responsibility nursing model), the patients between Jul 2014 to Dec 2014 as experimental group. The control group carred out the traditional nursing rounds mode, the experimental group performed medical and nurse cooperative responsibility nursing model, to compare the medical and nurse quality and ward-related satisfaction between the two groups. ResultsThe days of hospitalization, medical grade medical record rate, patient satisfaction were better than before the implementation of medical and nurse cooperative responsibility nursing model (P < 0.01). ConclusionThe medical and nurse cooperative responsibility nursing model cooperative medical improves the health care accountability patient communication, increases the work efficiency, it also does benefit in improving the quality of medical care, helping deepen quality care, and strengthening specialist care connotation. -
表 1 实施医护合作型责任制护理模式前后的工作效率
组别 床位数
(张)医生人数
(人)护士人数
(人)住院天数
(d)病床使用率
(%)手术例数
(例)出院人数
(例)甲级病历病案率
(%)对照组 61 15 25 8.1±2.6 95 1100 1360 97.8(1330/1360) 实验组 61 15 25 6.7±±1.9 113 1450 1770 100.0(1770/1770) 与对照组比较,住院天数:t=17.40,P < 0.01;甲级病历病案率:x2=39.42,P < 0.01 表 2 患者满意度、医生对护理工作满意度、护士对医生的满意度和护士自我评价比较
组别 出院患者满意度(%) 医生对护理工作满意度(%) 护士对医生的满意度(%) 护士自我评价(%) 对照组 93.0(1265/1360) 8.1(12/15) 88.0(22/25) 84.0(21/25) 实验组 98.1(1736/1770) 93.3(14/15) 96.0(24/25) 92.0(23/25) 统计值(χ2、校正χ2或确切概率值) 49.91 - 0.272 0.189 P < 0.01 >0.05 >0.05 >0.05 -
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