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目的:探讨内科护理开展护士分层管理对护理质量的影响。方法:选取医院内科开展护士分层管理前的2015年6~12月与管理后的2016年1~6月收治患者各210例为研究对象,比较管理前后患者的护理满意度与护理质量。结果:实施分层管理后,病房管理、安全管理、护理文书、健康教育、心理护理、护理行为、操作技能和服务态度均较管理前显著提高(P<0.05);满意度为99.05%,较之前的89.05%显著提高(P<0.05);护理缺陷和投诉率为0.95%和0.48%,低于之前的6.67%和5.24%(P<0.05)。结论:内科护理中开展护士分层管理,有利于提高护理质量和患者满意度,降低护理缺陷和护理投诉率。
Objective: To explore the impact of nurse administration on nursing quality in medical nursing. Methods: A total of 210 patients admitted to our hospital between June 2015 and June 2016 before stratified nurse management and hospitalized patients from January to June 2016 were selected as the research objects to compare the nursing satisfaction and quality of care before and after the management. Results: Ward management, safety management, nursing documents, health education, psychological care, nursing behavior, operational skills and service attitude were significantly improved (P <0.05) compared with those before management. The satisfaction rate was 99.05% (P <0.05). The incidences of nursing defects and complaints were 0.95% and 0.48%, lower than the previous 6.67% and 5.24%, respectively (P <0.05). Conclusion: The nurse management in the nursing of internal medicine is helpful to improve the nursing quality and patient satisfaction, reduce the nursing defects and the rate of nursing complaints.