论文部分内容阅读
目的:探讨“以人为本”理念应用在内科护理质量持续改进中的护理效果及价值。方法:将义乌市第二人民医院内科住院患者180例“以人为本”护理模式应用前后分为观察组和对照组,每组90例,对照组给予常规内科护理,观察组采用“以人为本”护理理念,记录两组护理情况。结果:实施后护士工作需求评分(19.76±3.48)分,自由程度评分(25.83±3.98)分,社会支持评分(27.23±2.89)分,均高于实施前;实施后情绪耗竭评分(8.32±1.13)分,消极怠慢评分(7.66±1.02)分,低效能感评分(8.13±1.23)分,上述评分均低于实施前,实施前后对比差异有统计学意义(P<0.05)。实施后学习主动性(16.43±2.31)分,护理管理理解(17.16±2.44)分,护理管理接受(17.54±2.18)分,护理管理态度(16.93±1.97)分,护理工作价值观(18.17±2.05)分,上述评分均高于实施前,实施前后对比差异有统计学意义(P<0.05)。观察组发生护理不良事件2例,护理投诉1例,护理满意度97.78%;对照组发生护理不良事件10例,护理投诉8例,护理满意度87.78%,组间对比差异有统计学意义(P<0.05)。结论:“以人为本”理念应用在内科护理质量持续改进中可以提升护士积极性和职业效能,提升患者护理满意,降低护理不良事件和护理投诉发生,值得在临床上推广应用。
Objective: To explore the nursing effect and value of applying “people-oriented” concept in continuous improvement of quality of medical care. Methods: Divided 180 inpatients with medical inpatients in Yiwu Second People ’s Hospital into two groups: observation group and control group, with 90 cases in each group. The control group was given routine medical nursing. The observation group adopted “people - oriented” “Nursing concept, record two groups of nursing situation. Results: After the implementation, the nursing work requirement score (19.76 ± 3.48), the degree of freedom (25.83 ± 3.98) points and the social support score (27.23 ± 2.89) points were higher than those before the implementation; after the implementation, the emotional exhaustion score (8.32 ± 1.13 ), Negative neglect score (7.66 ± 1.02), and ineffectiveness score (8.13 ± 1.23), all of which were lower than before. There was significant difference between before and after the implementation (P <0.05). (16.43 ± 2.31), nursing management understanding (17.16 ± 2.44), nursing management acceptance (17.54 ± 2.18) points, nursing management attitude (16.93 ± 1.97) points and nursing work values (18.17 ± 2.05) Points, the above scores were higher than before implementation, before and after the implementation of the difference was statistically significant (P <0.05). There were 2 cases of nursing adverse events in the observation group, 1 case of nursing complaints and 97.78% of nursing satisfaction. There were 10 cases of nursing adverse events in the control group, 8 cases of nursing complaints and 87.78% of nursing satisfaction, the differences between the two groups were statistically significant (P <0.05). Conclusion: The application of the ”people-oriented" concept in the continuous improvement of the quality of internal medicine nursing can improve the nurse’s enthusiasm and occupational efficiency, improve the patient’s nursing satisfaction, reduce the incidence of nursing adverse events and nursing complaints, which is worth popularizing and applying clinically.