神内ICU两种护理排班方法比较

Two scheduling methods for nurses in neurological ICU

目的寻求神经内科重症监护室病人及护士满意度高的排班方法。方法通过连续排班法(APN排班法)、弹性排班法在神经内科监护室分别实行3个月后,对监护室34名护士及105名住院病人进行问卷调查。结果 APN排班法、弹性排班法住院病人满意率分别为93%和97%;两种方法在工作强度和医患沟通方面的护士满意度差异无统计学意义(P>0.05),在每周工作时间(2.59±0.75,3.59±0.66)、对生活影响(2.53±0.79,3.50±0.79)、总体评价(2.41±0.70,3.59±0.70)方面的护士满意度差异有统计学意义(P<0.05)。结论弹性排班法在神内监护室的临床工作中更受护士及病人欢迎。

Objective To find the satisfactory scheduling methods for nurses in neurological ICU.Methods Thirty-four nurses and 105 patients in neurological ICU were investigated with questionnaire 3 months after the APN and flexible scheduling methods were used.Results The satisfaction rates of patients for the APN and flexible scheduling methods was 97% and 93%,respectively.No significant difference was observed in the working strength and communication of nurses with the patients between the two methods.However,the effects of the two methods on working days per week,daily life and overall satisfaction degree of nurses were significantly different（2.59±0.75 and 3.59±0.66,2.53±0.79 and 3.50±0.79,2.41±0.70 and 3.59±0.70,P0.05）.Conclusion Nurses and patients in neurology ICU are fond of the flexible scheduling method more than the APN scheduling method.