人本位整体护理在普外科实施的效果评价
·护理研究·
2012年11月第9卷第33期
人本位整体护理在普外科实施的效果评价
李正碧1罗玉芬1王小丽1李如先2李世荣3
1. 重庆市綦江区人民医院普外科,重庆401420;2. 重庆市綦江区人民医院护理部,重庆
3. 重庆第三军医大学西南医院整形美容外科,重庆400038
401420;
[摘要]目的探讨人本位整体护理模式在临床护理中的运行效果,保证优质护理服务的有效实施。方法随机抽取普外科开展人本位整体护理前后收治的住院患者各150例,对比两组患者的护理质量各项评估指标及护士的各项评
估指标。结果实施人本位整体护理后,护理质量各项评估指标包括出院患者满意度、患者疾病知识知晓率、护理不良事件发生率、重大并发症早期发现率、护理质量考核合格率及对护士的各项评估指标包括护士三基专科考试合格率、医生对护士的满意度、护士对职业的满意度均得到改善,差异均有统计学意义(均P
[关键词]人本位整体护理;优质护理;质量;满意度[中图分类号]R47[文献标识码]C [文章编号]1673-7210(2012)11(c )-0146-03
Effective evaluation of humanism holistic nursing in general surgery depart -ment
LI Zhengbi 1LUO Yufen 1WANG Xiaoli 1LI Ruxian 2LI Shirong 3
1.Department of General Surgery, the People's Hospital of Qijiang District in Chongqing City, Chongqing 401420, China; 2.Department of Nursing, the People's Hospital of Qijiang District in Chongqing City, Chongqing 401420, China; 3.Depart -ment of Aesthetic Plastic Surgery, the Southwest Hospital of Chongqing Third Military Medical University, Chongqing 400038, China
[Abstract]Objective To explore the effective of humanism holistic nursing mode in clinical nursing, ensure the effective implement of the quality of care services. Methods 150patients were enrolled respectively in the two groups before and af -ter the holistic nursing care in department of general surgery hospitalized, and the index of nursing quality and nurse eval -uation of the two groups were compared. Results After the implementation of humanism holistic nursing care, both the e -valuation indexes of quality of nursing including discharged patients' satisfaction, patients of knowledge about disease, in -cidence of nursing adverse events, the rate of major complications early found and the quality of nursing assessment quali -fied, and the evaluation indexes for nurses including the pass rate of nurse's three-foundations examination, the doctor's satisfaction for the nurse, the awareness of nurses in vocational were improved, and the differences were statistically signifi -cant (P
2010年卫生部在全国启动了“优质护理服务示范工程”
活动,它是促进公立医院改革的重要举措。其落脚点是护士全面履行护理职责,不断丰富内涵,拓展外延,为患者提供全面、全程、主动、专业、个性化的优质护理服务;切入点是改革临床护理模式,实施责任护士对患者的全面负责———责任制整体护理;而“人本位整体护理”是从人性化、规范、科学的角度体现责任制整体护理模式,即在治疗疾病的过程中,高度关注患者,观察判断处理疾病的反应,尽量满足和缓解疾病和治疗过程给患者在情感、心理、功能等整体方面带来的个性化的需求和改变[1]。我科于2011年实施人本位整体护理以来,注重护理人员的综合素质培养;实施责任护士包患者,开
[基金项目]国家自然科学基金资助项目(项目批准号:30973133)。[作者简介]李正碧(1971.5-),女,重庆綦江人,汉族,副主任护师。[通讯作者]李如先(1964.3-),女,重庆綦江人,汉族,副主任护师。展护理评估,发展专科护理,丰富护理内涵;让患者参与医疗安全;建立绩效考评激励机制;以患者的感受为主导提供人本位整体护理服务。对比2010年和2011年的考评指标,取得良好效果,现报道如下:1对象与方法1.1调查对象
我科实施人本位整体护理前后的2010年与2011年同期比较,对实施前后的住院患者随机抽取各150例,发放问卷调查表300份,收回问卷调查表300份。问卷内容包括患者满意度、患者疾病相关知识。1.2方法
人本位整体护理在临床护理工作中的运行。
1.2.1强化培训,提高护理人员综合素质①护理人员转变观念,采取因人、因时、因病、因实、因境、因式而异的“六因法”,
146中国医药导报CHINA MEDICAL HERALD