多元化管理模式对急诊肝病患者的效果观察  

Effects of Multiple Management on the Emergency Treatment for Patients with Liver Disease

作　　者：秦玉玲[1] 郭晓东[1] 宋兵[1] 张巍[1] 周越塑[1] 邓艳[1] 米来[1] 

机构地区：[1]解放军第302医院,北京100039

出　　处：《现代生物医学进展》2014年第5期944-946,共3页Progress in Modern Biomedicine

摘　　要：目的:近年来,急诊收治的不同病症的肝病患者越来越多,给医护人员带来很大的工作压力,以致工作频频出错,影响护理质量和患者的临床疗效。本文针对急诊肝病患者采取多元化管理模式进行护理,探讨该模式的特点及作用,为肝病的临床护理工作提供可借鉴的方法。方法:选取2011年10月-2012年12月我院急诊科收治的160例肝病患者,分为常规组和管理组。常规组采取基础护理,观察组采取多元化管理模式进行护理,包括人性化管理、分层级管理、情绪管理及环境管理。观察并比较两组患者对护理工作的满意度、护理工作的落实情况及患者的依从性。结果:管理组患者对护理服务的满意度为98.7%,护理工作落实率为97.62%,患者依从性为90.46%;常规组患者对护理服务的满意度为77.5%,护理工作落实率为94.58%,患者依从性为87.82%;管理组的患者满意度、护理工作落实情况及患者依从性均优于对照组,差异显著且具有统计学意义(P<0.05)。结论:采取多元化管理模式进行护理有助于提高护理质量,推进急诊工作顺利进行,更有利于提高肝病患者的临床疗效及对护理工作的满意度,该模式对临床护理工作有重要的指导意义,值得推广。Objective： In recent years, more and more patients with different symptoms aroused by liver disease were treated in the department of emergency that brought extra wok for clinical staff so that many mistakes have happened. This article aims to discuss the characteristics and functions of nursing management mode by performing the multiple management for patients with liver disease so as to provide a reference for clinical nursing. Methods： 160 patients with liver disease who were treated in the department of emergency of our hospital from October 2011 to December 2012 were selected and randomly divided into two groups. The patients in the conventional group were treated by the routine nursing method, while the patients in the management group were treated by the multiple management mode. Then the satisfaction of patients on the nursing service, the implementation of work and the compliance of patients were observed and compared between two groups. Results： The satisfaction of patients in the observation group was 98.7% which was higher than 77.5% of the patients in the control group with statistically significant difference （P〈0.05）. The implementation of nursing in the observation group was 97.62% which was better than 94.58% of the patients in the control group with statistically significant difference （P〈0.05）. The compliance of patients in the observation group was 90.46% which was better than 87.82% of patients in the control group with statistically significant difference （P〈0.05）. Conclusions： Multiple management mode is worthy of promoting with the important guidance and significance to the clinical because it is helpful to improve the quality of nursing service, promote the emergency work smoothly, enhance the clinical effects for patients with liver disease and develop the satisfaction on nursing.

关 键 词：肝病 多元化管理 效果 

分 类 号：R575[医药卫生—消化系统]