效率医疗背景下全程护理管理模式在髋膝关节置换患者中的应用  

Application of whole-course nursing management mode based on efficiency medical background in patients with hip and knee replacement

作　　者：曹俊华[1] 吴小燕[2] 陆斐 杨爱青 CAO Junhua;WU Xiaoyan;LU Fei;YANG Aiqing(Nursing Department,The Second Affiliated Hospital of Zhejiang University,Hangzhou,310009,China)

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310009 [2]浙江大学医学院附属第二医院全程管理中心,杭州市310009 [3]浙江大学医学院附属第二医院骨科,杭州市310009 [4]浙江大学医学院附属第二医院内镜中心,杭州市310009

出　　处：《中国护理管理》2022年第10期1487-1491,共5页Chinese Nursing Management

摘　　要：目的 :以效率医疗为指导,观察全程护理管理模式对全髋关节、全膝关节置换患者医疗效率指标及住院满意度的影响。方法 :以2020年2月至8月住院的全髋关节、全膝关节置换患者为对照组,以2020年9月至2021年3月的住院患者为实验组,比较全程管理模式应用前后患者的平均住院日和住院总费用并调查全程护理管理模式应用后实验组患者的住院满意度。结果 :应用全程护理管理模式后,全髋关节置换患者的平均住院日由(7.69±2.32)天缩短至(5.24±1.34)天(P<0.001),住院费用由(52 436±6 386)元减少到(47 435±5 383)元(P<0.001)。全膝关节置换患者的平均住院日由(8.68±2.92)天缩短至(5.47±1.77)天(P<0.001),住院费用由(45 780±4 012)元减少到(39 796±4 489)元(P<0.001)。实验组患者住院满意度达到100%。结论 :效率医疗背景下的全程护理管理模式能明显缩短全髋关节、全膝关节置换患者住院日和降低住院费用,提高住院满意度,促进效率医疗。Objective: To apply the whole-course nursing management mode to the inpatient management of hip and knee replacement patients, and explore its influence on medical efficiency index and hospitalization satisfaction guided by efficient medical treatment. Methods: The average hospitalization days and total hospitalization expenses of hip and knee arthroplasty patients who were not included in the whole process management mode(control group) from February to August, 2020 and included in the whole process management mode(experimental group) from September 2020 to March,2021 were collected and statistically analyzed to compare the differences of efficiency indicators and the patient satisfaction of experimental group was investigated. Results: After application of whole-course nursing management mode, the average length of stay of patients with hip arthroplasty decreased from(7.69±2.32) days to(5.24±1.34) days(P<0.001), and the total cost of hospitalization decreased from(52436±6386) yuan to(47435±5383) yuan(P<0.001). The average hospitalization days of patients with knee arthroplasty were shortened from(8.68±2.92) days to(5.47±1.77) days(P<0.001), and the total hospitalization expenses were reduced from(45780±4012) yuan to(39796±4489) yuan(P<0.001). The satisfaction of hospitalized patients reached 100%. Conclusion: The whole process nursing management mode under efficiency medical treatment can significantly shorten the average length of stay, reduce the total cost of hospitalization, improve hospitalization satisfaction and promote medical efficiency.

关 键 词：效率医疗 全程护理管理模式 全髋关节置换术 全膝关节置换术 全程管理师 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]