医护一体化工作模式在泌尿外科中的应用

THE STUDY ON THE APPLICATION EFFECT OF DOCTOR-NURSE INTEGRATION IN THE DEPARTMENT OF UROLOGY

目的探讨医护一体化工作模式在泌尿外科的应用效果。方法该院泌尿外科A医疗组实施医护一体化的工作模式,B组实施传统的工作模式,持续1年观察:1平均住院日、术前等待天数、大型检查(CT、MRI)等待时间。2护理人员工作满意度、患者满意度。3术后并发症发生率、病情变化医生反馈时间、医疗不良事件发生率。结果在平均住院日、术前等待天数、大型检查(CT、MRI)等待时间、术后并发症发生率、病情变化医生反馈时间、医疗不良事件发生率方面,A组均少于B组(P<0.05),差异具有统计学意义。护理人员工作满意度、患者满意度方面,A组高于B组(P<0.05),差异具有统计学意义。结论医护一体化的工作模式能够缩短患者的住院时间,提升护士及患者的满意度,保障医疗、护理质量及安全。

Objective To study the application effect of doctor-nurse integration in the department of urology.Methods The department of urology was divided into two groups.The doctor-nurse integration model was implemented in group A,and the traditional model was implemented in group B.After 1 year,some indexes were compared between the two groups such as patient satisfaction,nurse satisfaction,the average days in hospital,the days before surgery,the days before CT or MRI,operation complication,the feedback time of the changes of disease,the incidence of adverse events.Results About the above indexes,group A was better than group B,and the differences were statistically significant（P 〈0.05）.ConclusionApplication of doctor-nurse integration can improve the satisfaction of patient and nurse,shorten the average days in hospital,guarantee the safety of medical.