社区护士首诊负责制家庭病床管理模式对脑卒中患者遵医行为的影响  

Impact of community nurses' responsibility for the first consultation for nursing home bed on therapeutic compliance in discharged stroke patients

作　　者：兰丽梅[1] 彭惠兰[1] 杨秋菊[1] 黄惠君[1] 

机构地区：[1]南方医科大学附属小榄医院神经内科,广东中山528415

出　　处：《护理学杂志》2010年第13期80-81,共2页

摘　　要：目的探讨实行社区护士首诊负责制家庭病床管理模式对出院后脑卒中患者遵医行为及满意度的影响。方法将出院后回到医院管辖的8个社区的120例脑卒中患者按时间先后设为对照组与观察组各60例。对照组采用传统家庭病床管理模式,患者回到社区后由值班护士按常规登记资料及评估患者情况,访视及实施护理干预措施的护士不固定,根据组长排班进行。观察组采用社区护士首诊负责制家庭病床管理模式,患者回到社区后首次接诊的责任班护士全程负责该患者的一切护理干预工作。比较两组患者遵医行为及护理满意度。结果观察组遵医行为及护理满意度显著高于对照组(均P<0.01)。结论采用首诊负责制家庭病床管理模式可加强护士的责任心,密切护患关系,提高脑卒中患者康复期遵医行为和护理满意度,有利于患者康复。Objective To explore the impact of community nurses＇ responsibility for the first consultation for nursing home bed on therapeutic compliance and satisfaction in discharged stroke patients. Methods One hundred and twenty discharged stroke patients in 8 communities were allocated into two groups of 60 according to chronological order. The control group were given traditional model for nursing home bed, which a community nurse assessed patients and registered their data when patients returned to community, visits and nursing interventions were implemented by uncertain nurses according to group leader＇s scheduling. The observation group were subjected to model that a certain community nurse was responsible for the first consultation, and all interventions were conducted by the same nurse. Results Significant differences were found in therapeutic compliance and satisfaction between the two groups（P〈0.05 for both）. Conclusion Community nurses＇ responsibility for the first consultation for nursing home bed can strengthen nurses＇ responsibility and keep close nurse-patient relationship, so as to promote therapeutic compliance and satisfaction in discharged stroke patients.

关 键 词：脑卒中 出院患者 社区护士 首诊负责制 家庭病床 遵医行为 护理满意度 

分 类 号：R473.74[医药卫生—护理学] R473.2[医药卫生—临床医学]