三级责任护理管理制在重症医学科患者中的应用  

Application of three-level primary nursing system to the patients in ICU

作　　者：张天敏[1] 刘芙蓉[1] 佟飞[2] 

机构地区：[1]邯郸市中心医院,河北邯郸056001 [2]河北医科大学第二医院

出　　处：《齐鲁护理杂志》2013年第5期7-8,共2页Journal of Qilu Nursing

基　　金：邯郸市科学技术研究与发展计划项目(1323108101-4)

摘　　要：目的:探讨三级责任护理管理制在重症医学科患者中的应用效果。方法:按实行护理模式不同将患者分为观察组1 015例和对照组978例,对照组采用科护士长-护士二级责任制,观察组采用护士长-护理组长-护士三级责任护理管理制。观察并比较两组患者不良事件、并发症、心理状态及满意度情况。结果:观察组不良事件、并发症发生情况低于对照组(P<0.05,P<0.01),观察组DSI评分、SDS评分及满意度评分明显优于对照组(P<0.05)。结论:对重症医学科患者采用三级责任护理管理制,可减少患者不良事件和并发症的发生,提高护理质量。Objective：To explore the application effect of three-level primary nursing system to the patients in ICU.Methods：The patients were divided into the observation group（n=1 015） and the control group（n=978） according to the nursing care in different modes.The two-level primary system（head nurse-nurse） was applied in the control group;the three-level primary nursing system（head nurse-leader of nursing team-nurse） was adopted in the observation group.The adverse events,complications,psychological status and satisfaction of the patients were observed and compared between the two groups.Results：The adverse events and incidence of complications were fewer and lower in the observation group than the control group（P0.05,P0.01）;the DSI scores,SDS scores and satisfaction scores were superior in the observation group to those in the control group（P0.05）.Conclusion：Application of three-level primary nursing system in ICU can reduce the adverse events and complications and improve the quality of nursing care.

关 键 词：三级责任护理管理制 重症医学科 呼吸机相关性肺炎 

分 类 号：R473.5[医药卫生—护理学]