基于专科护士为主导的多学科协作对提高妇科肿瘤科护士综合能力的效果评价  

Evaluation on the effect of specialist nurse-led multidisciplinary collaboration in promoting the comprehensive ability of nurses in department of gynecological oncology

作　　者：王春兰 夏黎瑶 黄静[1] 潘祯 陈雪峰 WANG Chun-lan;XIA Li-yao;HUANG Jing;PAN Zhen;CHEN Xue-feng(Institute of Cancer Research and Basic Medical Sciences of Chinese Academy of Sciences,Gynecologic radiotherapy department of Cancer Hospital Affiliated to University of Chinese Academy of Sciences,Hangzhou,Zhejiang 310022,China)

机构地区：[1]中国科学院肿瘤与基础医学研究所中国科学院大学附属肿瘤医院浙江省肿瘤医院妇科肿瘤放疗科,浙江杭州310022

出　　处：《中华全科医学》2020年第4期694-697,共4页Chinese Journal of General Practice

基　　金：2016年浙江省医药卫生平台计划(2016ZB002)。

摘　　要：目的探讨基于专科护士为主导的多学科协作护理模式在提升肿瘤专科医院妇瘤放疗科护士综合能力中的应用效果。方法选择医院34例正式编制护士,在2017年1-12月予常规护理管理(对照组),在2018年1-12月予专科护士为主导的多学科合作模式管理(观察组)。对比2组护士对专业知识掌握能力、病情掌握及多学科协作模式(MDT)了解程度,片区护理会诊量、护理满意度。结果观察组各项评分包括影像资料解读(2.64±0.81)分、治疗指南运用(2.25±0.76)分,专科护理指南(2.69±0.78)分、正确护理皮损(3.23±0.69)分、了解肿瘤分期(2.64±0.81)分、了解治疗手段(2.82±0.62)分、了解护理重点(2.91±0.77)分、科学评价营养(2.71±0.52)分及心理(2.53±0.59)分、MDT了解程度(2.82±0.62)分,护理满意评分(99.14±0.19)分,均高于对照组[(1.94±0.64)分、(1.87±0.62)分、(2.31±0.65)分、(2.61±0.58)分、(2.20±0.76)分、(2.44±0.74)分、(2.52±0.61)分、(2.38±0.40)分、(2.21±0.55)分、(2.47±0.52)分、(94.98±2.02)分],均P<0.05。观察组护理会诊量(42例)及会诊专科方向(9个)较对照组(7例、5个)均有大幅增长。结论运用以专科护士为主导的多学科合作能促进专科医院护士综合能力的提升。Objective To explore the application and effects of specialist nurse-led multidisciplinary collaboration nursing model in promoting the comprehensive ability of nurses in Radiotherapy Department of Gynecological Oncology in cancer hospital. Methods A total of 34 formal nurses were selected, who were given routine nursing management(control group) from January to December 2017 and multi-disciplinary cooperation mode management(observation group) led by specialized nurses from January to December 2018. The ability to master the professional knowledge, the degree of mastering the disease, the understanding of MDT, the amount of regional nursing consultation and nursing satisfaction were compared between the two groups. Results The observation group: the image data interpretation(2.64±0.81), treatment guide application(2.25±0.76), special nursing guide(2.69±0.78), correct care of skin lesions(3.23±0.69), understanding of tumor stage(2.64±0.81), treatment means(2.82±0.62), nursing focus(2.91±0.77), scientific evaluation of nutrition(2.71±0.52) and psychology(2.53±0.59) and MDT comprehensive ability(2.82±0.62) were significantly higher than those of the control group [(1.94±0.64),(1.87±0.62),(2.31±0.65),(2.61±0.58),(2.20±0.76),(2.44±0.74),(2.52±0.61),(2.38±0.40),(2.21±0.55),(2.47±0.52)](all P<0.05). The nursing satisfaction(99.14±0.19) score was significantly higher than that of the control group(94.98±2.02), t=11.956, P<0.05. The amount of nursing consultation(42 cases) and the direction of consultation(9 cases) in the observation group were significantly increased compared with those in the control group(7 cases, 5 cases). Conclusion Specialist nurse-led multidisciplinary collaboration model can promote the comprehensive ability of nurses in specialized hospital.

关 键 词：多学科协作 专科护士 综合能力 效果 

分 类 号：R473.73[医药卫生—护理学] R47[医药卫生—临床医学]