医护成组制合作模式在肺血栓栓塞症防治管理中的应用  

The effect of doctor-nurse cooperation responsibility system in medical care on patients with pulmonary thromboembolism

作　　者：胡艳军[1] 胡晓[1] 腾彩云[1] 刘金凤[1] 江刚[1] Hu Yanjun;Hu Xiao;Teng Caiyun;Liu Jinfeng;Jiang Gang(WardⅠ,Department of Pulmonary and Critical Care Medicine,People′s Hospital of Hu′nan Province,Changsha 410002,China)

机构地区：[1]湖南省人民医院呼吸与危重症医学一科,长沙410002

出　　处：《中国实用护理杂志》2020年第26期2012-2016,共5页Chinese Journal of Practical Nursing

基　　金：2015年湖南省卫生厅中医药科研基金(湘中医药(2015)8号)。

摘　　要：目的探讨医护成组制合作模式在肺血栓栓塞症防治管理中的应用效果。方法选取2017年10月至2018年10月收治的肺血栓栓塞症患者共208例作为研究对象,其中高危肺血栓栓塞患者144例,确诊肺血栓栓塞患者64例。按照住院时间将患者随机分为对照组和试验组,每组104例,其中对照组有高危患者74例,确诊患者30例,试验组有高危患者70例,确诊患者34例。对照组患者实施常规防治管理模式,试验组患者实施医护成组制合作模式,比较2组患者的高危患者漏报率、高危标识漏挂率、预防性药物抗凝漏治疗率、物理预防漏治疗率、检查单漏开率、出血征象漏发现率、健康教育知晓率及患者满意度。结果对照组中高危组的高危患者漏报率分别为8.1%(6/74)、高危标识漏挂率12.2%(9/74)、患者预防性药物抗凝漏治疗率8.1%(6/74)、患者物理预防漏治疗率9.5%(7/74),试验组中高危组的高危患者漏报率为2.9%(2/70)、高危标识漏挂率4.3%(3/70)、患者预防性药物抗凝漏治疗率2.9%(2/70)、患者物理预防漏治疗率4.3%(3/70),以上各项试验组低于对照组,差异有统计学意义(χ^2值为6.08~7.51,P<0.05);对照组患者满意度82.4%(61/74)低于试验组患者满意度90.0%(63/70),差异有统计学意义(χ^2值为6.31,P<0.05)。对照组中确诊组检查单漏开率43.3%(13/30)高于试验组17.6%(6/34)、对照组中确诊组健康教育知晓率36.7%(11/30)低于试验组91.2%(31/34)、对照组中确诊组患者满意度40.0%(12/30)低于试验组94.1%(32/34),2组比较差异有统计学意义(χ^2值为10.26、4.57、4.22,P<0.05)。结论医护成组制合作模式提高了防治干预执行率、提高了患者健康教育的知晓率及满意度,促进了防栓抗栓工作的有效开展。Objective To study the effect of doctor-nurse cooperation responsibility system in medical care in patients with pulmonary thromboembolism.Methods A total of 208 patients with suspected pulmonary thromboembolism were selected as research objects from Oct 1st,2017 to Oct 1st,2018.Among them,there were 144 patients with high risk pulmonarythromboembolism,64 patients with diagnosed pulmonary thromboembolism.They were divided into control group and experimental group randomly by admission time,104 patients for each group.Therein,there were 74 patients with high risk pulmonary thromboembolism,and 30 patients with diagnosed pulmonary thromboembolism in control group,70 patients with high risk pulmonary thromboembolism,and 34 patients with diagnosed pulmonary thromboembolism in study group.The patients in control group were given conventional nursing management mode and patients in study group were given all-in-one nursing mode in medical care.The nursing effects were compared between the two groups.Results The missing report rate in the control group was 8.1%(6/74),high risk identification leakage rate was 12.2%(9/74),the preventive drug treatment leakage rate was 8.1%(6/74),and the physical preventive leakage treatment rate was 9.5%(7/74).The experimental group about the missing report rate was 2.9%(2/70),high risk identification leakage rate was 4.3%(3/74),The preventive drug treatment leakage rate was 2.9%(2/70),physical preventive leakage treatment rate was 4.3%(3/70),all of these items were lower than those of the control group,and patient satisfaction of the high risk patients had significant differences between the two groups(χ^2 values were 6.08-7.51,P<0.05).And the inspection checklist leakage rate of the control group[43.3%(13/30)]was higher than that of the experimental group[17.6%(6/34)],the health education awareness rate of the control group was[36.7%(11/30)],lower than that of the experimental group[91.2%(31/34)],patient satisfaction of the control group[40.0%(12/30)]was lower than that of the experimen

关 键 词：医护成组制 肺血栓栓塞症 防治管理 

分 类 号：R473.5[医药卫生—护理学]