责任制护理结合APN排班扁平化管理模式在肝胆外科护理中的应用效果(1)
[摘要]目的 探讨责任制护理结合APN排班扁平化管理模式在肝胆外科护理中的应用效果。方法 选取2017年4月～2018年5月上饶市第二人民医院收治的肝胆外科患者120例，将2017年4～10月采用责任制护理模式设为对照组，2017年11月～2018年5月采用责任制护理结合APN排班扁平化管理模式设为观察组，每组各60例。比较两组的护理效果、护理信任满意度及护理质量。结果 观察组的疾病认知水平(94.41±3.23)分、护理信任满意度(97.35±1.27)分、基础护理合格率(100.00%)、危重护理合格率(98.33%)、健康教育落实率(98.33%)、护理文书合格率(100.00%)及质量检查合格率(100.00%)均明显高于对照组，差异均有统计学意义(P<0.05)。结论 在肝胆外科护理中采取责任制护理结合APN排班扁平化管理模式，能明显提升患者的疾病知识认知，增强护理信任满意度，有利于提高护理质量。
[关键词]责任制护理；APN排班；扁平化管理模式；肝胆外科
[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721(2018)10(a)-0179-03
[Abstract] Objective To investigate the application effect of primary nursing combined with APN scheduling flat-type management in nursing of hepatological surgery department. Methods 120 patients in the hepatological surgery department of Shangrao Second People′s Hospital from April 2017 to May 2018 were selected. The patients with primary nursing from April to October 2017 were selected as control group， and the patients with primary nursing combined with APN scheduling flat-type management from November 2017 to May 2018 were selected as observation group， 60 cases in each group. The nursing effects， nursing trust and satisfaction， nursing quality were compared between the two groups. Results The disease cognition level， nursing trust and satisfaction， qualified rate of basic nursing， qualified rate of critical nursing， implementation rate of health education， qualified rate of nursing record sheets， qualified rate of quality inspection in observation group ([94.41±3.23]) points， ([97.35±1.27]) points， 100.00%， 98.33%， 98.33%， 100.00%， 100.00%) were higher than those in control group， and there were statistical difference (P<0.05). Conclusion Primary nursing combined with APN scheduling flat-type management in nursing of hepatological surgery department can increase the patients′ disease cognition， strengthen nursing trust and satisfaction and promote nursing quality.
[Key words] Primary nursing； APN scheduling； FLat-type management； Hepatological surgery department
目前，肝膽外科的相关疾病在临床上有较高的发病率，如胆结石、胆囊息肉等。随着医学技术的高速发展，临床上对肝胆疾病治疗已取得显著效果。近年来，随着微创治疗技术的不断发展，治疗方案逐渐优化，大大减轻患者的痛苦。与此同时，越来越多的患者对护理服务提出了更高的要求[1-2]。据相关研究表明，责任制护理结合APN排班扁平化管理模式，能减少中间管理层次，有利于最大限度地挖掘护理人员的潜能，提高护理质量[3]。本研究探讨了责任制护理结合APN排班扁平化管理模式在肝胆外科护理中的应用效果，现报道如下。
1资料与方法
1.1一般资料
选取2017年4月～2018年5月上饶市第二人民医院收治的肝胆外科患者120例，将2017年4～10月采用责任制护理模式设为对照组，2017年11月～2018年5月采用责任制护理结合APN排班扁平化管理模式设为观察组，每组各60例。本研究经医院医学伦理委员会审核批准，且两组患者及家属均已知晓研究内容且自愿参加。对照组男36例，女24例；年龄47～70岁，平均(57.92±6.04)岁；疾病类型：胆结石28例，胆囊息肉27例；肝癌5例。观察组男39例，女21例；年龄45～69岁，平均(57.83±5.98)岁；疾病类型：胆结石27例，胆囊息肉24例，肝癌9例。两组的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(毛小英 吴婕 龚莉江)
[关键词]责任制护理；APN排班；扁平化管理模式；肝胆外科
[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721(2018)10(a)-0179-03
[Abstract] Objective To investigate the application effect of primary nursing combined with APN scheduling flat-type management in nursing of hepatological surgery department. Methods 120 patients in the hepatological surgery department of Shangrao Second People′s Hospital from April 2017 to May 2018 were selected. The patients with primary nursing from April to October 2017 were selected as control group， and the patients with primary nursing combined with APN scheduling flat-type management from November 2017 to May 2018 were selected as observation group， 60 cases in each group. The nursing effects， nursing trust and satisfaction， nursing quality were compared between the two groups. Results The disease cognition level， nursing trust and satisfaction， qualified rate of basic nursing， qualified rate of critical nursing， implementation rate of health education， qualified rate of nursing record sheets， qualified rate of quality inspection in observation group ([94.41±3.23]) points， ([97.35±1.27]) points， 100.00%， 98.33%， 98.33%， 100.00%， 100.00%) were higher than those in control group， and there were statistical difference (P<0.05). Conclusion Primary nursing combined with APN scheduling flat-type management in nursing of hepatological surgery department can increase the patients′ disease cognition， strengthen nursing trust and satisfaction and promote nursing quality.
[Key words] Primary nursing； APN scheduling； FLat-type management； Hepatological surgery department
目前，肝膽外科的相关疾病在临床上有较高的发病率，如胆结石、胆囊息肉等。随着医学技术的高速发展，临床上对肝胆疾病治疗已取得显著效果。近年来，随着微创治疗技术的不断发展，治疗方案逐渐优化，大大减轻患者的痛苦。与此同时，越来越多的患者对护理服务提出了更高的要求[1-2]。据相关研究表明，责任制护理结合APN排班扁平化管理模式，能减少中间管理层次，有利于最大限度地挖掘护理人员的潜能，提高护理质量[3]。本研究探讨了责任制护理结合APN排班扁平化管理模式在肝胆外科护理中的应用效果，现报道如下。
1资料与方法
1.1一般资料
选取2017年4月～2018年5月上饶市第二人民医院收治的肝胆外科患者120例，将2017年4～10月采用责任制护理模式设为对照组，2017年11月～2018年5月采用责任制护理结合APN排班扁平化管理模式设为观察组，每组各60例。本研究经医院医学伦理委员会审核批准，且两组患者及家属均已知晓研究内容且自愿参加。对照组男36例，女24例；年龄47～70岁，平均(57.92±6.04)岁；疾病类型：胆结石28例，胆囊息肉27例；肝癌5例。观察组男39例，女21例；年龄45～69岁，平均(57.83±5.98)岁；疾病类型：胆结石27例，胆囊息肉24例，肝癌9例。两组的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(毛小英 吴婕 龚莉江)