优质护理服务在新生儿监护病房中的应用  

Application of quality nursing service in neonatal intensive care units

作　　者：商明霞[1] 雷娜[1] 董建英[2] 

机构地区：[1]北京军区总医院附属八一儿童医院早产儿监护病房,100700 [2]北京军区总医院附属八一儿童医院护理办公室,100700

出　　处：《中华现代护理杂志》2011年第26期3167-3169,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨优质护理服务在新生儿监护病房中的应用与效果。方法针对新生儿病房特点，通过完善规章制度和工作流程，加强护士培训，改变排班模式，细化基础护理项目等，比较开展优质护理服务前（n=1578）和开展优质护理服务后（n=1507）家长对护理工作的满意度、护理质量改进及护理缺陷发生情况。结果开展优质护理服务活动后，基础护理达标率为96．7％，护理文书书写达标率为98．0％，均高于实施前91．1％，91．O％，差异均有统计学意义（x2=6．827，11．368；P〈0．01），其他护理指标达标率实施前后比较差异均有统计学意义（P〈0．05）；患儿家长对护理工作的满意度评分比较：实施后环境设施（4．71±0．31）分，人文关怀（4．56±0．34）分，均高于实施前评分（3．72±0．69），（3．95±0．46）分，差异均有统计学意义（t=51．01，41．74；P〈0．01），其他护理服务满意度评分实施前后比较差异均有统计学意义（19〈0．01）；护理缺陷发生率实施后低于实施前，差异均有统计学意义（X2=7．007，8．993，6．563；P〈0．05）。结论新生儿病房实施优质护理服务，可以提高护理质量和新生儿家长对护理工作的满意度，减少护理缺陷。因此，在新生儿病房实施优质护理服务是可行的。Objective To explore the effect of quality nursing service implemented in the neonatal intensive care units （NICU）. Methods According to the characteristics of NICU, we implemented the quality nursing service by means of perfecting rules, regulations and work process, strengthening the nurses＇ training, changing the way of scheduling nurses＇ roster and refining the basic nursing care, etc. Then the satisfaction of patients with nursing job, the improvement of nursing quality and the number of nursing malpractices was recorded before （n = 1 578） and after （n = 1 507） quality nursing service implementation. Results Basic nursing passing rate was 96.7%, writing passing rate was 98.0% after quality nursing service implementation, and those before implementation were 91.1% and 91.0%, respectively, and the differences between the two groups was significant （X2 = 6.827,11. 368;P 〈 0. 01 ）. Other measurements index of nursing after and before quality nursing service implementation were also different （ P 〈 0. 05）. Score of environmental device was （4.71 ± 0.31 ）, the score of humanistic care was （4. 56 ±0. 34）, were higher than those before quality nursing implementation, （3.72 ±0.69） and （ 3.95 ±0.46）, respectively, and the difference was significant （ t = 51.01,41.74 ; P 〈 0. 01 ）. Other satisfactory scores were also different between the two group （ P 〈 0. 01 ）. Number of nursing malpraetiees after implementation was less than that before high quality nursing implementation （ X2 = 7. 007,8. 993,6. 563 ; P 〈 0. 05 ）. Condusions The implementation of quality nursing serviee in NICU can improve the quality of nursing, raise the relative＇ s satisfaction with nursing job and reduce the number of nursing malpraetiees. Therefore, It＇s feasible to implement quality nursing service in NICU.

关 键 词：护理管理研究 优质护理服务 新生儿监护病房 

分 类 号：R47[医药卫生—护理学]