骨科护理责任组长查房流程的设计及应用  

Design and application of round going process of nursing group leader in Orthopedic Department

作　　者：毕娜[1] 韩旭[1] 王晓燕[1] 于梅[1] 张延晖[1] 张翠娜[1] 杨雪[1] Bi Na Han Xu Wang Xiaoyan Yu Mei Zhang Yanhui Zhang Cuina Yang Xue(Orthopedic Department, the 309th Hospital of PLA , Beifing 100091, China)

机构地区：[1]解放军第309医院骨科中心,北京100091

出　　处：《中华现代护理杂志》2016年第25期3647-3651,共5页Chinese Journal of Modern Nursing

基　　金：医院护理科研基金课题

摘　　要：目的：探讨骨科护理责任组长查房流程的应用效果。方法解放军第309医院骨科中心于2016年1月开始使用骨科护理责任组长查房流程，比较实施前（2015年3月）和实施后（2016年3月）患者的健康教育知晓率、基础护理质量合格率、护理评估和高危风险评估准确性、患者服务满意度、护理标识准确率、查对签名制度落实率。结果实施前和实施后，患者健康教育知晓率中专科用药分别为92.50％，98.33％；围术期健康教育知晓率分别为94.17％，99.17％；基础护理合格率中“清洁”分别为76.30％，91.11％，“舒适”分别为81.11％，92.22％；护理评估准确率中入院评估分别为93.33％，98.52％；高危评估分别为91.67％，98.33％；护理标识准确率中等级护理分别为85.88％，96.68％，管道标识分别为80.72％，92.64％，高危标识分别为95.74％，98.89％；查对签名制度落实率巡视卡分别为83.17％，95.26％，护理措施表分别为84.95％，97.67％，翻身卡分别为89.24％，95.63％，两组差异均有统计学意义（ P〈0.05）。结论使用骨科护理责任组长查房流程，可提升环节质量控制和健康教育水平，提高基础护理质量。Objective To evaluate the effect of round going process of nursing group leader in Orthopedic Department.Methods The round going process of nursing group leader in orthopedic department had been implemented since January 2016 in the 309th Hospital of PLA. It was compared, before （ March 2015） and after （ March 2016） the implementation, of the patients′ awareness of health education, qualified rate of basic nursing quality, accuracy of nursing assessment and high risk assessment, patients′satisfaction, accuracy rate of nursing marks and implementation of checking and signature. Results Before and after the implementation, of patients′health education awareness, rates of awareness of specialty drugs were 92.50% and 98.33% and rates of perioperative health education were 94. 17% and 99. 17%; of qualified rates of basic nursing, rates of cleanliness were 76.30% and 91.11% and rates of comfort were 81.11% and 92.22%; of nursing assessment accuracy, rates of admission assessment were 93. 33% and 98. 52% and rates of high risk assessment were 91.67% and 98.33%; of accuracy of nursing marks, rates of nursing grade were 85. 88% and 96. 68%, rates of tube marking were 80.72% and 92.64%, and rates of high risk marking were 95.74% and 98.89%; of implementation of checking and signature, rates of patrol card were 83. 17% and 95. 26%, rates of nursing measure table were 84.95% and 97.67%, and rates of turning over card were 89.24% and 95.63% （ P〈0.05） . Conclusions Process quality control, health education level and basic nursing quality can all be improved by round going process of nursing group leader in orthopedic department.

关 键 词：骨科 责任护理 质量改进 查房流程 

分 类 号：R473.6[医药卫生—护理学]