基于人因学理论的床旁结算一体化在住院患者中的应用效果  

Application effects of bedside settlement based on human factors theory in hospitalized patients

作　　者：薛黎明[1] 贺彩芳[2] 金拼拼[1] 章小丹[1] 

机构地区：[1]温州医科大学附属第一医院感染内科,325000 [2]温州医科大学附属第一医院护理部,325000

出　　处：《中华现代护理杂志》2016年第17期2488-2491,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨基于人因学理论的床旁结算一体化在住院患者中的应用效果。方法选取2012年11月—2016年2月住院部患者322例，依据住院时间分为床旁结算组（2014年3月—2016年2月）和常规结算组（2012年11月—2014年2月），比较两组护理管理效果、出院等候时间、护理人员满意度和患者满意度。结果床旁结算组的护患关系、护理责任心、住院信息实时化均明显优于常规结算组，患者出院等候时间低于常规结算组，差异有统计学意义（P ＜0．05）。床旁结算组护理人员37人，工作环境满意度、业务水平满意度、人际关系满意度、护理差错率分别为91．89％，86．49％，89．19％，0．00％；常规结算组护理人员46人，工作环境满意度、业务水平满意度、人际关系满意度、护理差错率分别为76．09％，76．09％，67．39％，4．35％。床旁结算组患者162例，出院流程满意度、护理质量满意度、护理态度满意度、投诉率分别为98．15％，93．83％，91．98％，0．00％；常规结算组患者160例，出院流程满意度、护理质量满意度、护理态度满意度、投诉率分别为88．13％，81．88％，78．13％，2．50％。结论基于人因学理论的床旁结算一体化能够明显提高护理人员和患者满意度，缩短出院等候时间，优化出院流程，值得临床推广。Objective To investigate the application effects of bedside billing integration based on human factors integration theory in hospitalized patients.Methods Selected 322 patients from November 2012 to February 2016 the department of our hospital,according to the hospital bedside settlement time they were divided into observation group （March 2014-February 2016,settle account at bedside）and control group （November 2012-February 2014,settle account regularly）,and the effects of nursing management,discharge waiting time,nurse′s satisfaction and patient′s satisfaction were compared.Results In observation group, nurse-patient relationship,nursing responsibility,and up-to-date hospital information were significantly better than that of control group;however,the discharge waiting time was significantly lower than that of control group （P〈0.05 ）.In 37 nurses,the work environment satisfaction,level of business satisfaction,interpersonal satisfaction,and nursing error rate were 91.89%,86.49%,89.19%,0.00% in observation group,while in 46 nurses of control group,they were 76.09%,76.09%,67.39%,4.35%.A total of 162 patients in observation group,discharged flow satisfaction,satisfaction with the quality of care,care attitude satisfaction and complaint rates were 98.15%,93.83%,91.98%,0.00%,they were 88.13%,81.88%,78.13%, 2.50% in 160 patients of control group.Conclusions Bedside billing integration based on human factors theory can obviously improve nurse′s and patient′s satisfaction,shorten the hospital waiting times,optimize discharge processes,so it is worthy of promotion.

关 键 词：人因学 床旁结算一体化 满意度 出院等候时间 

分 类 号：R473[医药卫生—护理学]