基层医院实施医护患一体化查房效果研究.docVIP

基层医院实施医护患一体化查房效果研究 　　【摘要】 目的：探讨基层医院实施医护患一体化查房的临床效果。方法：本院于2015年1月开始实施医护患一体化查房模式，分别调查2014年、2015年医生41、42名，患者92、95例，对实施前后的满意率、护理质量、突发事件发生率进行调查。结果：医护患一体化查房实施前后，患者对护理工作满意率分别为86.96%、97.89%，医生对护理工作满意率分别为87.80%、100%，实施后均明显高于实施前，差异均有统计学意义（P0.05），且实施后护理质量评分高于实施前，差异有统计学意义（P0.05）。2014年不良事件发生率为1.56%，高于2015年的0.69%，差异有统计学意义（P0.05）。结论：在基层医院实施医护患一体化查房，可明显提高护理质量和护理满意率，减少不良事件的发生率，值得推广。 　　【关键词】 基层医院； 医护患一体化； 查房 　　Study on the Effect of Doctor-nurse-patient Integration Model Implemented in Primary Hospital/JIA Chun-yuan，ZHAO Na，ZHANG Gui-you，et al.//Medical Innovation of China，2017，14（06）：142-144 　　【Abstract】 Objective：To investigate the clinical effect of doctor-nurse-patient integration model implemented in primary hospital.Method：From January 2015，the doctor-nurse-patient integration model was implemented in our hospital，41，42 doctors and 92，95 patients were investigated in 2014 and 2015，satisfaction rate，nursing quality，incidence of emergency were investigated before and after the implementation.Result：Before and after the implementation，the satisfaction rate of cases to nursing work was 86.96% and 97.89% respectively，the satisfaction rate of doctors was 87.80% and 100% respectively，the differences were statistically significant（P0.05），and nursing quality score was also higher than before（P0.05）.The incidence of adverse events in 2014 was 1.56%，2015 was 0.69%，the difference was statistically significant（P0.05）.Conclusion：The implementation of doctor-nurse-patient integration model in the primary hospital，can significantly improve the quality of nursing and nursing satisfaction rate，reduce the incidence of adverse events，worthy of promotion. 　　【Key words】 Primary hospital； Doctor-nurse-patient integration model； Ward round 　　First-author’s address：Zhongshan Sanxiang Hospital，Zhongshan 528463，China 　　doi：10.3969/j.issn.1674-4985.2017.06.040 　　?o理查房是评价护理程序实施效果和护理人员护理工作情况的常用方法，护理查房的形式较多，一般是通过查阅病历、访视患者及家属等方式进行，是检验护理质量的重要手段[1-2]。目前护理查房中存在与业务学习相混淆、护理问题不突出等问题[3-4]。为满足患者的护理需求，为患者提供更科