医护同组责任制管理模式在经颈静脉肝内门体分流术患者的应用效果分析  

The clinical application of the nursing management model of doctor-nurse same group responsibility system in treating patients receiving TIPS

作　　者：阳秀春[1] 向华[1] 谢鑫[1] 龙林[1] 莫伟[1] 

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)介入血管外科,长沙410005

出　　处：《介入放射学杂志》2017年第11期1038-1041,共4页Journal of Interventional Radiology

摘　　要：目的探讨医护成组责任制管理模式在经颈静脉肝内门体分流(TIPS)术患者的应用效果。方法对介入科病房2016年1月到2016年12月收治的70例TIPS术患者按照随机数字表进行分组,对照组和观察组各35例,对照组患者实施传统护理分组管理模式,观察组患者实施医护成组责任制管理模式(含在院阶段和出院后的回访),比较两组患者住院期间并发症,出院后肝性脑病发生率和再入院率、患者对医护人员的满意度。结果实施医护成组责任制管理模式后,TIPS术患者术后并发症,出院后肝性脑病发生率和再入院率明显降低,患者对医护人员的满意度明显提高,差异有统计学意义(P<0.05)。结论在介入科病房TIPS术患者实施医护成组责任制管理模式,能有效地降低术后并发症、出院后肝性脑病发生率和再入院率,提高患者对医护人员的满意度,具有十分重要的意义。Objective To discuss the clinical application of the nursing management mode of doctornurse same group responsibility system in treating patients who are receiving transjugular intrahepatic portosystemic shunt （TIPS）. Methods A total of 70 TIPS patients, who were admitted to a certain level Ill hospital during the period from Janual7 2016 to December 2016, were enrolled in this study. Using the table of random number, the patients were equally divided into the control group and the study group with 35 patients in each group. Traditional nursing group management mode was adopted in the control group, while doctor-nurse same group responsibility system was carried out in the study group （including the hospitalization period and the follow-up visit after discharge）. Complications during hospitalization, post- discharge incidence of hepatic encephalopathy, readmission rate, and patient＇s satisfaction with medical staff were calculated, and the results were compared between the two groups. Results After the implementation of doctor-nurse same group responsibility system, the post-TIPS complications, the post-discharge incidence of hepatic encephalopathy and the readmission rate were significantly decreased and the patient＇s satisfaction with medical staff was remarkably improved, the differences were statistically significant （P〈0.05）. Conclusion The implementation of doctor-nurse same group responsibility management mode for TIPS patients in the interventional ward can effectively reduce postoperative complications, post-discharge incidence of hepatic encephalopathy and the readmission rate, meanwhile, the patient＇s satisfaction with medical staff are obviously improved. Therefore, the implementation of doctor-nurse same group responsibility management mode for TIPS patients is of great value in clinical practice.

关 键 词：介入科病房 医护成组责任制管理模式 经颈静脉肝内门体分流术 应用效果 

分 类 号：R473.5[医药卫生—护理学]