“一贯制”责任护理模式对提高产科护理质量的影响

Impact of consistency primary nursing model on improvement of obstetric nursing care quality

目的探讨在产科实施“一贯制”责任护理模式对提高产科护理质量的影响。方法将采取“一贯制”责任护理模式的产科病房收治的孕产妇230例作为实验组，将基线资料均衡的未实施“一贯制”责任护理模式的产科病房收治的孕产妇240例作为对照组。采用产科护理工作满意度量表对2组研究对象进行问卷调查，了解2组孕产妇对护理的满意度及2组的护理质量考核成绩。结果实验组比对照组对护理的满意度明显提高；护理质量考核成绩除急救物品及消毒隔离2项均达到管理要求无显著差异外，其他各项成绩2组比较差异显著。结论“一贯制”责任护理模式明显提高孕产妇对产科护理工作的满意度以及产科护理质量，值得推广。

Objective The purpose of this study was to explore the impact of consistency primary nursing model on improvement of obstetric nursing care quality. Methods The sample consisted of 230 postpartum women in the intervention group and the other 240 postpartum women in the control group of nonintervention. The intervention is the use of new model of consistency primary nursing. Women finished the scale of overall patient satisfaction before their delivery. The other data of obstetric nursing care quality score were collected by study staff for three months. Data were analyzed using t test. Results Score of patients＇ overall satisfaction and obstetric nursing care quality in the invention group were much higher than that of the control group except for first-aid articles and disinfection and isolation. Conclusions The consistency primary nursing model resulted in higher satisfaction and nursing care quality standard. It is suggested to extend this new nursing model in most maternity and infant hospitals and other general hospitals.