医护一体化模式在经尿道2μm 激光前列腺剜除术患者中的应用  

Application of integrated medical care model of health care in transurethral 2μm laser enucleation of the prostate patient

作　　者：杨永红[1] 吴君贤[1] 刘兰兰[1] 张蕾[1] 

机构地区：[1]空军总医院泌尿外科,北京100142

出　　处：《中华现代护理杂志》2014年第35期4481-4483,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨医护一体化模式在经尿道2μm 激光前列腺剜除术患者中的应用效果。方法2013年6月开始在经尿道2μm激光前列腺剜除术患者中应用医护一体化模式，比较实施医护一体化前与实施后医护工作能力、前列腺剜除术患者中并发症的发生率以及患者对于医护工作的满意度。结果实施医护一体化模式前医护水平总评分、诊疗能力、医护沟通能力、团队合作能力、护理工作能力、护患关系得分分别为（72．1±6．5），（16．5±2．2），（13．2±3．6），（10．5±2．1），（16．5±3．6），（15．4±2．8）分，实施医护一体化模式后分别为（86．4±7．2），（17．0±2．1），（17．8±4．2），（16．9±3．7），（17．0±3．4），（18．4±3．3）分，医护人员医护水平总评分、医护沟通能力、团队合作能力、护患关系评分均高于应用医护一体化前，差异有统计学意义（ t值分别为6．5929，3．7189，6．7275，3．1000；P＜0．05）。观察组患者术后并发症发生率为8．1％，低于对照组的24．2％，差异有统计学意义（χ^2＝5．9615，P＜0．05）。观察组医护工作满意度评分为（87．1±6．8）分，高于对照组（74．3±6．8）分，差异有统计学意义（t＝10．4805， P＜0．05）。结论在经尿道2μm激光前列腺剜除术患者中实施医护一体化有利于提高医护间工作协调，降低患者并发症发生率，提高患者对医护工作的满意度。Objective To investigate the application of integrated medical care model in transurethral 2μm laser enucleation of the prostate patients .Methods Integrated medical care model was applied from June 2013 in transurethral 2 μm laser enucleation of the prostate patients .Health care work ability , incidence of complications , satisfaction of the health care work were compared before and after the implementation of integrated medical care model .Results Before the implementation of integrated care clinic capacity , the scores of health communication skills, teamwork skills, ability to work nursing, nurse-patient relationship were （16.5 ± 2.2）,（13.2 ±3.6）,（10.5 ±2.1）,（16.5 ±3.6）,（15.4 ±2.8）, respectively; after implementation of integration the scores were （17.0 ±2.1）,（17.8 ±4.2）,（16.9 ±3.7）, （17.0 ±3.4）, （18.4 ±3.3）, and medical care communication skills , teamwork, nurse-patient relationship scores were higher than that before the application of health care integration , the differences were statistically significant （t=6.592 9,3.718 9,6.727 5, 3.100 0, respectively;P〈0.05）.The total incidence of complications of observation group was lower than the control group, the difference was statistically significant （8.1% vs 24.2%,χ^2 =5.961 5,P〈0.05）.Health care job satisfaction score of observation group was （87.1 ±6.8）, significantly higher than the control group （t=10.48,P〈0.05）.Conclusions Application of integrated medical care model in transurethral 2μm laser enucleation of the prostate patients can help improve coordination and work capacity , reduce patient morbidity and improve patient satisfaction with health care work , which is worthy of clinical application .

关 键 词：经尿道前列腺切除术 手术后并发症 医护一体化模式 满意度 

分 类 号：R473.6[医药卫生—护理学]