责任小组包干制在妇科老年患者围术期的应用

The application of responsibility group overall rationing system in the perioperative care for the elderly patients

目的：探讨责任小组包干制在妇科老年患者围术期护理的临床实践效果。方法将120例手术病人分为观察组和对照组，每组60例，对照组采用传统功能制护理，病例为回顾性资料；观察组采用责任小组包干制护理，由责任护士对其从入院到出院的全程护理。两组通过住院时间、健康知识知晓、焦虑抑郁程度及患者满意率等进行优势对比。结果观察组平均住院天数少于对照组（P〈0.05），健康知识得分、康复程度及满意率高于对照组（均P〈0.05）。结论实施责任小组包干制护理模式，能够减轻患者痛苦，增强老年围术期患者战胜疾病的信心，积极轻松地配合接受医疗和护理，明显提高了患者对护理服务的满意度。

Objective To investigate the application effects of responsibility group overall rationing system in the perioperative care for the elderly patients. Methods A total of 120 cases of surgical patients were divided into two groups （ n=60 cases） , the control group adopted the traditional functional system of care, experimental group adopted responsibility group overall rationing system. Two groups were compared with hospital stay, health knowledge, degree of anxiety and depression and patient satisfaction rate advantage. Results The aver-age length of hospital stay in the observation group was significantlyless than that in the control group, the score of health knowledge, the ex-tent of recovery and satisfaction rate were significantly higher than those of the control group （ P〈0. 05 ） . Conclusions Implementation of responsibility group overall rationing system can alleviate the patients＇suffering, enhance the confidence of the elderly perioperative patients o-vercome the disease, actively accept medical and nursingand significantly improve patients＇ care satisfaction.