连续性排班与层级管理模式对老年骨折术后患者护理质量的影响  

Effect of continuous scheduling of hierachical management on postoperative complications in elderly patients with fractures

作　　者：包永兰[1] 林琳[1] 纪惠丹[1] 胡佳成[1] 韩小君[1] 

机构地区：[1]深圳市龙岗区人民医院骨科,广东深圳518172

出　　处：《现代临床护理》2011年第5期56-58,共3页Modern Clinical Nursing

摘　　要：目的探讨连续性排班与层级管理模式对老年骨折术后患者护理质量的影响。方法选择2006年1月-2008年2月本院骨科收治的老年骨折术后患者198例为对照组,选择2008年3月-2010年4月老年骨折术后患者198例为观察组,对照组采用传统的责任制护理模式对患者实施护理,观察组采用连续性排班与层级管理模式对患者实施护理,比较两组患者对相关疾病知识的知晓率、医患满意度及术后并发症的发生情况。结果观察组患者疾病相关知识知晓率、医患对护理工作的满意度高于对照组,术后并发症的发生率低于对照组(均P<0.05)。结论对老年骨折术后患者应用连续性排班与层级管理模式实施护理,能有效提高患者对相关疾病知识的知晓率及对护理工作的满意度,降低术后并发症,值得临床推广应用。Objective To study the effects of continuous scheduling of hierachical management on postoperative nursing quality in elderly patients with fractures. Methods We selected 198 aged patients with fractures in our hospital from January 2006 to February 2008 as the control group,then another 198 from March 2008 to April 2010 as the observation group.We treated the control group with traditional model of responsible nursing care and the observation group with the continuous scheduling of hierachical management.The two groups were compared in terms of the mastery rates of knowledge related to disease,patient＇ satisfaction and the incidence of postoperative complications. Results Both the mastery rates of knowledge related to disease and patients＇ satisfaction in the observation group were higher than those in the control group.Meanwhile,the incidence rates of postoperative complications in the observation group was lower than that in the control group（P 0.05） Conclusion Continuous scheduling of hierachical management to aged patients with fractures can effectively increase patients＇ mastery rates of knowledge related to disease,increase patient＇ satisfaction of care and reduce postoperative complications and so it is worth widely applying clinically.

关 键 词：连续性排班 层级管理 护理质量 骨折 老年患者 

分 类 号：R473.6[医药卫生—护理学]