医护一体化模式对心衰患者护理质量的影响  

Influence by medical care integration mode on nursing quality in heart failure patients

作　　者：熊敏[1] 林宇洵 许少娜[1] 郭维英[1] 

机构地区：[1]汕头大学医学院第一附属医院,515041

出　　处：《中国实用医药》2017年第12期161-163,共3页China Practical Medicine

摘　　要：目的观察和评价医护一体化模式对心力衰竭(心衰)患者护理质量的影响。方法 50例2015年4~9月住院心衰患者设为对照组,实施按区域分组的责任制护理模式;50例2015年10月~2016年4月住院心衰患者设为观察组,实施医护一体化模式管理。比较两组患者的护理质量。结果观察组的满意度评分与自我效能评分明显高于对照组,差异具有统计学意义(P<0.01)。观察组健康教育知晓率评分为(56.4±2.7)分,明显高于对照组的(52.5±2.3)分,差异具有统计学意义(P<0.01)。治疗后,观察组N末端脑钠肽原(NT-pro BNP)值明显低于对照组,差异具有统计学意义(P<0.01)。结论对心衰患者实施医护一体化护理模式,有利于提高患者的满意度,提升护理服务质量,值得临床进一步推广应用。Objective To observe and evaluate influence by medical care integration mode on nursing quality in heart failure patients. Methods There were 50 hospitalized heart failure patients in April-September 2015 as control group receiving primary nursing mode by regional grouping, and another 50 hospitalized heart failure patients in October 2015-April 2016 as observation group receiving medical care integration mode nursing management. Nursing quality was compared between the two groups. Results The observation group had obviously higher satisfaction degree score and self-efficacy score than the control group, and their difference had statistical significance （P〈0.01）. The observation group had health knowledge awareness rate score as （56.4 ± 2.7） points, which was obviously higher than （52.5 ± 2.3） points in the control group, and their difference had statistical significance （P〈0.01）. After treatment, the observation group had much lower N-terminal pro- brain natriuretie peptide （NT-proBNP） level than the control group, and the difference had statistical significance （P〈0.01）. Conclusion Implement of medical care integration mode for heart failure patients is beneficial for improving satisfaction degree in patients and quality of nursing service. This method is worth further promotion and applieation.

关 键 词：医护一体化 心力衰竭 满意度 自我效能 N末端脑钠肽原 

分 类 号：R473.5[医药卫生—护理学]