医护一体化管理在眼科日间病房流程优化中的应用  

Application of collaborative doctor-nurse management of medical care in the optimization of ophthalmic day ward procedure

作　　者：王晓凤[1] 竺慧 王娟[1] 崔明兰[1] 汪灵燕[1] 薛昌萍[1] 毛佳[1] WANG Xiao-feng;ZHU hui;WANG Juan;CUI Ming-lan;WANG Ling-yan;XUE Chang-ping;MAO Jia(Department of Ophthalmology,the First Affiliated Hospital with Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院眼科,江苏省南京市210029

出　　处：《实用老年医学》2022年第4期426-429,共4页Practical Geriatrics

摘　　要：目的探索医护一体化管理模式在眼科老年性白内障日间病房流程优化中的应用,为进一步推进、优化日间病房的运转提供依据,为日间病房的深入开展积累经验。方法选取2019年9~12月在我院接受眼科日间手术治疗的362例老年性白内障病人为对照组,2020年9~12月在我院接受眼科日间手术治疗的老年性白内障病人328例为观察组,对比分析实行医护一体化管理模式下,不断优化眼科日间病房流程后,2组病人在日间手术失约率、病人对医护工作的满意率、不良事件的发生率等方面的差异。结果通过医护一体化管理模式,对日间病房流程实行优化后,日间手术的失约率由17.40%下降至3.04%(χ^(2)=37.480,P<0.01);不良事件发生率由16.85%下降至3.35%(χ^(2)=8.171,P<0.01);病人对医护工作满意率由91.99%上升至100%(χ^(2)=27.429,P<0.01)。结论医护一体化管理模式对老年性白内障日间病房流程进行了优化,可有效降低日间病房病人失约率,加快日间手术运作效率,提高病人对医护工作的满意度,可发现并拦截不良事件,保障病人安全,提高日间病房的医疗护理质量,值得在日间病房推广应用。Objective To explore the application of collaborative doctor-nurse management mode in the optimization of ophthalmic day ward procedure,so as to provide evidence for promoting and optimizing the procedure of day ward.Methods A total of 362 patients undergoing cataract surgery in the ophthalmic day ward of our hospital from September to December 2019 were enrolled into the control group(before the application of collaborative doctor-nurse management mode),and 328 patients from September to December 2020 were enrolled into the experimental group(after the application of collaborative doctor-nurse management mode).The non-attendance rate,the satisfaction rate of the patients to medical work,and the incidence rate of adverse events were compared between the two groups.Results After the application of collaborative doctor-nurse management mode,the non-attendance rate decreased significantly from 17.4%to 3.04%(χ^(2)=37.480,P<0.01),and the incidence rate of adverse events decreased significantly from 16.85%to 3.35%(χ^(2)=8.171,P<0.01),and the satisfaction rate of patients to medical work increased significantly from 91.99%to 100%(χ^(2)=27.429,P<0.01).Conclusions Optimizing the ophthalmic day ward by collaborative doctor-nurse management mode can effectively reduce the non-attendance rate,increasing the efficiency of day surgery and the patients’satisfaction to medical work,detecting and preventing adverse events,ensuring the safety of the patients,and improving the quality of medical care,which is worthy of popularization and application.

关 键 词：日间病房 医护一体 工作模式 流程优化 

分 类 号：R473.77[医药卫生—护理学]