责任制护理小组模式在肿瘤外科中的实践与效果(1)
 |
| 第1页 |
参见附件。
[摘要] 目的 探讨病区责任制护理小组模式，以提高肿瘤外科护理质量。 方法 回顾性分析传统管理护理模式200例患者和采用责任制护理小组200例患者的护理资料。病区护士根据各自的职称由责任制护理小组分为5个小组，责任组长每组设立1名、责任护士4名， 责任组长由临床经验丰富和专业知识强的主管护师承担。小组负责治疗护理工作和全部健康教育。 结果 实施责任制护理小组后，与传统管理模式下比较，责任制护理小组模式下患者呼叫后护士到位时间明显缩短、输液呼叫铃声次数明显减少，差异有统计学意义(P < 0.05)；责任制护理小组模式下患者的护理满意率(96%)和对疾病知识知晓率(95%)高于传统管理模式的护理满意率(81%)和对疾病知识知晓率(86%)，差异有统计学意义(P < 0.05)。 结论 责任制护理小组管理模式体现了人性化护理的理念，提高了护士的工作效率，提升了护理质量。
[关键词] 责任制护理；护理质量；肿瘤外科
[中图分类号] R471 [文献标识码] C [文章编号] 1673-7210(2012)02(a)-0146-03
Clinical practice and its effect of responsibility-based nursing team model in department of surgical oncology
ZHANG Aihua
The People's Hospital of Qian'an Ctiy, Hebei Province, Qian'an 064400, China
[Abstract] Objective To investigate the efficacy of responsibility-based nursing team model in improving quality of surgical oncology care. Methods Nursing data of 200 patients receiving traditional management model of care and 200 patients receiving responsibility-based nursing team model of care were retrospectively analyzed. Ward nurses, according to their titles were divided into 5 accountability groups, which consisted of one team leader and four team members. The team leaders were mainly charge nurses with rich clinical experience and strong expertise. Each team was responsible for the treatment care and health education. Results Nurses response time and daily infusion call times were significantly reduced after the implementation of responsibility-based nursing team model compared with traditional management model (P < 0.05); patient's care satisfaction rate (96%) and knowledge level of disease (95%) under the responsibility-based nursing team model were also significantly better than that under the traditional management model (81%, 86% respectively) (P < 0.05). Conclusion Responsibility-based nursing model reflects the concept of humane care, and it helps improve the efficiency of the nurses and enhance the quality of care.
[Key words] Accountability nursing; Quality of care; Tumor surgery
恶性肿瘤主要是由于人体正常细胞的某些基因发生突变，出现无限制的细胞增殖，从而导致机体正常的组织、器官功能丧失。恶性肿瘤对人类健康和生命具有较大的危险，据世界卫生组织(WHO)统计，目前全世界每年恶性肿瘤的新出现人数约700万[1]。患者得知自己患有肿瘤疾病后，通常都会出现不同程度的焦虑、恐惧、悲观、失望等心理问题，严重影响患者生活质量[2]。在“以患者为中心”的服务理念影响下，护理人员在提高患者患病期间的健康质量和生活质量上作出了巨大的贡献。因此，护理办法管理的高效率、护理力量的科学化配备在护理工作中的地位尤为重要[3] ......
您现在查看是摘要介绍页，详见PDF附件(2385kb)。