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目的:探讨基于金达标理论的术前集中访视模式降低护患纠纷和改善患者睡眠状况的效果。方法:随机选取2012年1月~2015年3月单月在浙江省台州市第一人民医院行择期手术的1998例患者为对照组,随机选取同期双月在该院择期手术的1998例患者为观察组。对照组采用常规术前访视模式,观察组采用基于金达标理论的术前访视,对两组的睡眠状况、护患纠纷和患者满意度等进行比较。结果:观察组在术前1天、手术当天、术后1天及术后3天等的睡眠状况评分均明显低于对照组(P<0.05);对照组的护理投诉数、护理差错数及护患纠纷数等均明显高于观察组(P<0.05);观察组在术前1天、手术当天和出院两周后对护理服务的满意度均明显高于对照组(P<0.05)。结论:实施基于金达标理论的术前集中访视模式,可显著改善患者的睡眠状况,增进护患双方的交流和理解,护患纠纷明显降低,患者对手术室护理工作的满意度明显提高。
OBJECTIVE: To investigate the effect of reducing the nurse-patient dispute and improving the patient's sleep status by preoperative centralized visit mode based on the gold standard. Methods: A total of 1998 patients who underwent elective surgery in the First People's Hospital of Taizhou City, Zhejiang Province from January 2012 to March 2015 were randomly selected as the control group. Randomly selected 1998 patients Observation group. The control group underwent routine preoperative visit mode. The observation group used preoperative interview based on the gold standard to compare the sleep condition, nurse-patient dispute and patient satisfaction. Results: The scores of sleep in the observation group at 1 day before operation, on the operation day, 1 day after operation and 3 days after operation were significantly lower than those in the control group (P <0.05). The number of nursing complaints, nursing errors and The number of nurses and nurses disputes were significantly higher than that of the observation group (P <0.05). The satisfaction of nursing service in the observation group at 1 day before operation, on the operation day and two weeks after discharge was significantly higher than that in the control group (P <0.05). Conclusion: The implementation of centralized preoperative observation mode based on gold superscript standard can significantly improve the patient 's sleep condition, enhance the exchange and understanding between nurses and patients, significantly reduce the nurse - patient dispute, and significantly improve the patient' s satisfaction with the operation room care.