医护一体化为中心的优质护理服务模式在放疗科的应用  

Application of the integration model of doctors and nurses in high-quality nursing service in the radiotherapy department

作　　者：张健[1] 邢燕[1] 徐静静[1] 黄桂玉[1] 伍金花[1] 

机构地区：[1]四川省肿瘤医院腹盆妇放疗病区,成都610041

出　　处：《中华现代护理杂志》2013年第23期2829-2831,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨医护一体化为中心的护理模式在放疗科优质护理服务中的应用效果.方法 2012年5月至2012年10月,在四川省肿瘤医院放疗科实施医护一体化、人力资源优化、护士按能力分层管理的护理模式,比较活动开展前后患者满意度及护理服务改善情况.结果 实施医护一体化模式后,从医、护、患三方对护理服务现状评价,在护理工作能力、沟通协调能力、团队合作、专业技能与照护及护患关系方面得分均高于实施前[（7.86 ±0.61）/（6.12 ±0.47）,（8.42±0.65）/（6.51±0.49）,（9.03±0.78）/（6.78±0.52）,（9.11±0.80）/（7.21±0.58）,（8.15±0.63）/（6.32±0.45）,（7.91±0.62）/（5.78±0.43）],实施前后比较,差异有统计学意义（t值分别为-11.235,-9.987,-8.538,-16.637,-7.651,-6.876;P ＜0.05）.实施医护一体化模式后,患者满意度较实施前明显提高（x2 =24.335,P＜0.01）.结论 在肿瘤放疗病区开展医护一体化、人力资源优化、护士按能力分层管理的优质护理服务可改善护理服务现状,提高病员满意度及护理质量.Objective To investigate the application effect of the integration model of doctors and nurses on high-quality nursing service in the department of radiation oncology.Methods From May 2012 to October 2012,the nursing model,which included the integration of doctors and nurses,the optimization of human resources and the classification management according to nurses＇abilities,were implemented in the Second People＇s Hospital of Sichuan.And the patient satisfaction and the improvement degree of nursing service were are compared before and after carrying out the nursing model.Results The nursing service were evaluated according to doctors,nurses and patients.There were statistically significant different between before and after carrying out the integration model of doctors and nurses at the following contents：nursing abilities [（7.86 ±0.61） vs （6.12 ± 0.47）],communication and coordination skills [（8.42 ± 0.65） vs （6.51 ±0.49）],teamwork abilities [（9.03 ±0.78） vs （6.78 ±0.52）],professional skill and care [（9.11 ±0.80） vs （7.21 ± 0.58） ; （8.15 ± 0.63） vs （6.32 ± 0.45）],and nurse-patient relationship [（7.91 ± 0.62） vs （5.78 ±0.43）],the differences were statistical significant （t =-11.235,-9.987,-8.538,-16.637,-7.651,-6.876;P ＜ 0.05）.Compared with before carrying out the integration model of doctors and nurses,patient satisfaction after carrying out the integration model of doctors and nurses improved significantly （x2 =24.335,P ＜ 0.01）.Conclusions The implementation of the high-quality nursing service,including the integration of doctors and nurses,the optimization of human resources and the classification management according to nurses＇abihties,can help to improve the current status of nursing service and to increase the patient satisfaction and the nursing quality.

关 键 词：放疗科 医护一体化 优质护理 

分 类 号：R473.73[医药卫生—护理学]