某医院放射科不同护理模式对医患关系的影响

Influence of different nursing models on doctor-patient relationship in the department of radiology in a hospital

目的探讨放射科不同护理模式对医患关系的影响,旨在提高服务质量。方法对某医院放射科护理工作模式改革效果进行回顾性评价。改革前采用传统护理方法,在传统的放射科窗口内护理;改革后在传统护理方法的基础上增设放射科窗口外护理,主要为患者行放射线检查前提供各项服务及健康咨询工作。两组通过年度统计的对比剂渗漏、碘过敏不良反应及其他不良事件和患者满意度调查等项目进行效果评价。结果改革前后总碘过敏反应发生率(χ2=0.58,P>0.05)及对比剂渗漏发生率(χ2=0.33,P>0.05)两组间比较差异无统计学意义;不良事件两组间比较,差异具有统计学意义(χ2=310.8,P<0.01);患者满意度由改制前的81.74%上升至91.81%,二者组间比较,差异具有统计学意义(χ2=52.7,P<0.01)。结论该医院增设放射科窗口外护理对对比剂渗漏及碘过敏反应的控制帮助不大,对不良事件和患者满意度影响大,该模式的运行有助于减少放射科不良事件的发生率和提高患者满意度,对缓解紧张的医患关系意义重大。

[ Objective ] To explore the influence of different nursing models on doctor-patient relationship in the department of radi- ology, improve the quality of medical service. [ Methods] The effect of nursing model reformation in the department of radiology in a hospital was evaluated retrospectively. Before reformation, the patients were given the traditional nursing service at the window of the department of radiology. After reformation, patients received the nursing service outside the window on the basis of traditional nursing service, which included the nursing services before radiographic examination and health consulting. The incidence rates of contrast agent extravasation, iodine allergy and other adverse events, as well as patient satisfaction in two groups were evaluated. [ Results]There was no significant difference in total incidence rate of iodine allergy （X2 =0.58 ,P 〉0.05） and incidence rate of contrast agent extravasation （X2 = 0.33 ,P 〉 0.05 ） between two groups.. The difference in incidence rate of adverse events between two groups was significant （ X2 = 310.8, P 〈 0.01 ）. The patient satisfaction increased from 81.74% before reformation to 91.81% after reformation, and the difference was significant （ X2 = 52.7, P 〈 0.01 ）. [ Conclusion ] The additional nursing service outside the window in the department of radiology will not bring significant improvement on the control of contrast agent extravasation and io- dine allergy, but it can help hospital to reduce the incidence of radiology adverse events and enhance the patient satisfaction, which has great significance on improving doctor-patient relationship.