优质护理服务在内科门诊中的应用效果分析(1)
[摘要] 目的 观察优质护理服务在内科门诊中的应用效果。方法 方便选择2017年9月—2018年2月在该院内科门诊就诊的300例患者作为试验组，给予优质护理服务；选择2017年3—8月在该院内科门诊就诊的300例患者作为对照组，给予常规护理。比较两组患者对护理过程的满意度、就诊等候时间和就诊后的焦虑情绪。 结果 实施优质护理服务后，试验组患者对护理过程的满意度96.67显著高于对照组82.00%(χ2=33.86，P<0.05)，门诊挂号等候时间、辅助检查等候时间和就诊后的SAS评分显著低于同期对照组[(16.98±8.43)min vs (25.92±9.51)min，(t=3.571，P<0.05)；(24.95±9.12)min vs (35.34±10.57)min，(t=3.364，P<0.05)；(40.21±6.31)分 vs (48.76±8.17)分(t=3.234，P<0.05)。 结论 在内科门诊中实施优质护理服务可通过缩短就诊等候时间和改善患者的焦虑情绪而显著提高患者对护理过程的满意度。
[关键词] 优质护理；内科门诊；满意度；焦虑情绪
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2018)06(c)-0142-03
[Abstract] Objective This paper tries to investigate the application effects of high quality nursing service on internal medicine department. Methods A total of 300 patients on internal medicine department accepted high quality nursing service in the hospital from September 2017 to February 2018 were convenient chosen as experimental group， and patients on internal medicine department accepted routine management in the hospital from March to August 2017 were chosen as control group. Satisfaction rate with the nursing process， waiting time and anxiety were recorded and compared between experimental group and control group. Results After the implementation of quality care services， the patients in the trial group 96.67% were significantly more satisfied with the nursing process than the control group 82.00% (χ2=33.86， P<0.05)， waiting time for patient registration， waiting time for assistant examination， and SAS after consultation. The score was significantly lower than the control group at the same time (16.98±8.43)min vs (25.92±9.51)min， t=3.571，P<0.05)，(24.95±9.12) min vs (35.34±10.57)min， t=3.364，P<0.05)，(40.21±6.31)points vs (48.76±8.17)points(t=3.234，P<0.05). Conclusion Implementing quality care services in internal medicine clinics can significantly improve patient satisfaction with the care process by reducing waiting time for visits and improving patient anxiety.
[Key words] High-quality care； Internal medicine clinic； Satisfaction； Anxiety
隨着我国老龄化程度不断加深，慢性内科疾病的发病率呈逐年上升的趋势。内科门诊作为医院的窗口服务部门，不但承受着巨大的患者就诊量和疑难重症的压力，而且面临患者维权意识的不断增加而引发的医疗纠纷风险，其服务质量将直接影响医院的声誉[1]。2010年全国护理工作会议中提出，要把强化基础护理、改善护理服务作为护理工作的重中之重，做出成效，显出实效[2]。优质护理服务以患者为工作核心，通过夯实基础护理、建立完善的护理工作责任制、优化服务流程而有效提高护理服务的质量，现已得到临床护理工作者越来越多的认同和推崇[1-4]。该研究观察了优质护理服务对2017年9月—2018年2月在该院内科门诊就诊的300例患者的影响，现报道如下。
1 资料与方法
1.1 一般资料
方便选择实施优质护理服务后的2017年9月—2018年2月在该院内科门诊就诊的300例患者作为试验组，其中男性178例，女性122例，年龄39～79岁，平均(58.34±9.45)岁。选择未实施优质护理服务的2017年3月—2017年8月在该院内科门诊就诊的300例患者作为对照组，其中男性180例，女性120例，年龄41～76岁，平均(58.16±10.22)岁。纳入标准：①年龄≥18岁，且≤80岁。②所有患者均对该次研究知情同意，且获得医院伦理委员会批准。③排除严重精神障碍、意识障碍、智力障碍等不能正确理解问卷内容的患者。两组患者的性别比、年龄、病种、病情等差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(陈楠)
[关键词] 优质护理；内科门诊；满意度；焦虑情绪
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2018)06(c)-0142-03
[Abstract] Objective This paper tries to investigate the application effects of high quality nursing service on internal medicine department. Methods A total of 300 patients on internal medicine department accepted high quality nursing service in the hospital from September 2017 to February 2018 were convenient chosen as experimental group， and patients on internal medicine department accepted routine management in the hospital from March to August 2017 were chosen as control group. Satisfaction rate with the nursing process， waiting time and anxiety were recorded and compared between experimental group and control group. Results After the implementation of quality care services， the patients in the trial group 96.67% were significantly more satisfied with the nursing process than the control group 82.00% (χ2=33.86， P<0.05)， waiting time for patient registration， waiting time for assistant examination， and SAS after consultation. The score was significantly lower than the control group at the same time (16.98±8.43)min vs (25.92±9.51)min， t=3.571，P<0.05)，(24.95±9.12) min vs (35.34±10.57)min， t=3.364，P<0.05)，(40.21±6.31)points vs (48.76±8.17)points(t=3.234，P<0.05). Conclusion Implementing quality care services in internal medicine clinics can significantly improve patient satisfaction with the care process by reducing waiting time for visits and improving patient anxiety.
[Key words] High-quality care； Internal medicine clinic； Satisfaction； Anxiety
隨着我国老龄化程度不断加深，慢性内科疾病的发病率呈逐年上升的趋势。内科门诊作为医院的窗口服务部门，不但承受着巨大的患者就诊量和疑难重症的压力，而且面临患者维权意识的不断增加而引发的医疗纠纷风险，其服务质量将直接影响医院的声誉[1]。2010年全国护理工作会议中提出，要把强化基础护理、改善护理服务作为护理工作的重中之重，做出成效，显出实效[2]。优质护理服务以患者为工作核心，通过夯实基础护理、建立完善的护理工作责任制、优化服务流程而有效提高护理服务的质量，现已得到临床护理工作者越来越多的认同和推崇[1-4]。该研究观察了优质护理服务对2017年9月—2018年2月在该院内科门诊就诊的300例患者的影响，现报道如下。
1 资料与方法
1.1 一般资料
方便选择实施优质护理服务后的2017年9月—2018年2月在该院内科门诊就诊的300例患者作为试验组，其中男性178例，女性122例，年龄39～79岁，平均(58.34±9.45)岁。选择未实施优质护理服务的2017年3月—2017年8月在该院内科门诊就诊的300例患者作为对照组，其中男性180例，女性120例，年龄41～76岁，平均(58.16±10.22)岁。纳入标准：①年龄≥18岁，且≤80岁。②所有患者均对该次研究知情同意，且获得医院伦理委员会批准。③排除严重精神障碍、意识障碍、智力障碍等不能正确理解问卷内容的患者。两组患者的性别比、年龄、病种、病情等差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(陈楠)