医护合作干预模式对武汉市某医院肿瘤患者过度医疗需求行为的影响  

Influence of Intervention Model of Doctor-Nurse Cooperation on Excessive Medical Demand Behaviors of Patients with Tumor in a Hospital in Wuhan

作　　者：孙丽[1] 杨霞[1] 吴晓燕[1] 胡雪芝[1] 柳丽娜[1] 刘潋[1] 陶利琼 

机构地区：[1]华中科技大学同济医学院附属协和医院肿瘤医院,武汉430023

出　　处：《医学与社会》2017年第9期30-31,35,共3页Medicine and Society

基　　金：华中科技大学自主创新基金项目;编号为2013YQ031

摘　　要：目的:探讨控制肿瘤患者过度医疗需求行为的医护合作干预方法及效果。方法:将2015年1-3月武汉市某医院肿瘤科98例住院患者作为对照组,2015年4-6月99例住院患者做为干预组。满足对照组患者的各项合理要求,对干预组的过度医疗需求行为实施医护合作干预措施。结果:干预组的过度医疗需求行为发生率为32.32%,显著低于对照组的79.59%(P<0.01);两组干预后患者满意度比较差异无统计学意义(P>0.05)。采取医护合作模式后,医生对护理人员的满意度提高(P<0.05)。结论:医护合作干预模式能避免肿瘤患者过度医疗需求行为的产生,提高了医生对护理人员的满意度。Objective： To discuss intervention method and effect of doctor-nurese cooperation to control demand of excessive medical treatment in patients with tumor medical. Methods： 98 inpatients of January-March 2014 were selected as control group and 99 inpatients of April- June were selected as intervention group in Cancer Center of a hospital in Wuhan. The reasonable requirements of patients in the control group were met. The excessive medical demand behaviors of intervention group were implemented by the cooperative intervention measures of doctors and nurses. Results：The incidence of the excessive medical treatment de- mand behavior of intervention group was 32.32% which was significantly lower than the control group＇s 79.59% （P〈0.01）. Patient＇s satisfactions of the two groups were compared after intervention and there was no significant difference （P〉0.05）.The doctor＇s satisfaction to the nurses was improved after taking the doctor-nurse cooperation pattern（P〈0.05）. Conclusion：Doctor-nurse cooperation intervention model can avoid the excessive medical demand behavior of tumor patients, improve doctor＇s satisfaction of nursing staff.

关 键 词：过度医疗需求 医护合作 满意度 

分 类 号：R197.323[医药卫生—卫生事业管理]