责任制护理结合APN排班扁平化管理模式在肝胆外科护理中的应用效果  

Application effect of primary nursing combined with APN scheduling flat management mode in nursing of hepatological surgery department

作　　者：毛小英 吴婕 龚莉江 MAO Xiao-ying;WU Jie;GONG Li-jiang(Department of Internal Medicine,the Second People＇s Hospital of Shangrao City,Jiangxi Province,Shangrao 334000,China;Department of Internal Medicine,People＇s Hospital of Shangrao City,Jiangxi,Province,Shangrao 334000,China;Operating Room,People＇s Hospital of Shangrao City,Jiangxi Province,Shangrao 334000,China)

机构地区：[1]江西省上饶市第二人民医院内科,江西上饶334000 [2]江西省上饶市人民医院内科,江西上饶334000 [3]江西省上饶市人民医院手术室,江西上饶334000

出　　处：《中国当代医药》2018年第28期179-181,共3页China Modern Medicine

基　　金：江西省上饶市社会发展科技计划项目(2017ZCKJ42)

摘　　要：目的探讨责任制护理结合APN排班扁平化管理模式在肝胆外科护理中的应用效果。方法选取2017年4月~2018年5月上饶市第二人民医院收治的肝胆外科患者120例,将2017年4~10月采用责任制护理模式设为对照组,2017年11月~2018年5月采用责任制护理结合APN排班扁平化管理模式设为观察组,每组各60例。比较两组的护理效果、护理信任满意度及护理质量。结果观察组的疾病认知水平(94.41±3.23)分、护理信任满意度(97.35±1.27)分、基础护理合格率(100.00%)、危重护理合格率(98.33%)、健康教育落实率(98.33%)、护理文书合格率(100.00%)及质量检查合格率(100.00%)均明显高于对照组,差异均有统计学意义(P<0.05)。结论在肝胆外科护理中采取责任制护理结合APN排班扁平化管理模式,能明显提升患者的疾病知识认知,增强护理信任满意度,有利于提高护理质量。Objective To investigate the application effect of primary nursing combined with APN scheduling flat-type management in nursing of hepatological surgery department. Methods 120 patients in the hepatological surgery depart- merit of Shangrao Second People＇s Hospital from April 2017 to May 2018 were selected. The patients with primary nursing from April to October 2017 were selected as control group, and the patients with primary nursing combined with APN scheduling flat-type management from November 2017 to May 2018 were selected as observation group, 60 cases in each group. The nursing effects, nursing trust and satisfaction, nursing quality were compared between the two groups. Results The disease cognition level, nursing trust and satisfaction, qualified rate of basic nursing, qualified rate of critical nursing, implementation rate of health education, qualified rate of nursing record sheets, qualified rate of quality inspection in observation group （[94.41±3.23]） points, （[97.35±1.27]） points, 100.00%, 98.33%, 98.33%, 100.00%, 100.00%） were higher than those in control group, and there were statistical difference （P〈0.05）. Conclusion Primary nursing combined with APN scheduling flat-type management in nursing of hepatological surgery department can increase the patients＇ disease cognition, strengthen nursing trust and satisfaction and promote nursing quality.

关 键 词：责任制护理 APN排班 扁平化管理模式 肝胆外科 

分 类 号：R473[医药卫生—护理学]