出院计划模式在呼吸内科应用探讨

Application of Discharge Planning Model in Respiratory Department

目的探讨出院计划模式在呼吸内科应用。方法构建呼吸内科出院计划模式,通过评估、计划、实施、追踪流程对呼吸内科住院患者进行规范管理,让患者在住院全程得到全面的康复治疗方案。将出院计划模式实施前(2014年1月-3月)的716例出院患者设为对照组,出院计划模式实施后(2014年4月-6月)的739例出院患者设为观察组。对比实施前后的医生计划出院安排率、平均住院时间、出院患者滞留率、护士力量薄弱时间段新入院患者收治及医嘱处置数、出院患者满意度。结果实施出院计划模式后,医生计划出院安排率明显提高、病房平均住院时间缩短、出院患者上午10:00后滞留率明显下降,中班及夜间护士力量薄弱时间段新入院患者收治和医嘱处置数下降、出院患者满意度明显提高,差异有统计学意义(P<0.05)。结论实施出院计划模式,可以有效促进医护合作,计划性对出院患者实施健康指导,为患者回归社会、家庭提前准备,提高患者满意度,实现以患者为中心的优质护理目标,同时通过缩短平均住院时间,减少力量薄弱时间段医嘱,既保证病房医疗指标完成,又有利于护士排班管理。

Objective To explore the application of discharge planning model in Respiratory Department. Methods We developed discharge planning model in the Respiratory Department and performed standardized management on inpatients by assessing, planning, implementing and following up the whole process. A total of 716 discharged patients before the implementation of the planning model（January to March 2014） were designated as the control group, and 739 discharged patients at er the model implementation（April to June 2014） were regarded as the observation group. h en, we compared such indexes as the rate of discharge planning, average length of hospital stay, retention rate of discharged patients, the number of new hospital admissions and medical orders during the time of weak nurse strength, and inpatient satisfaction before and at er the model implementation. Results At er implementation of discharge planning model, all observed indicators were significantly better in the observation group（P〈0.05）. Conclusions Implementation of discharge planning model can effectively promote physician-nurse cooperation, plan health guidance for discharged patients, make them be ready to return to society and family, improve patients＇ satisfaction, and achieve the aim of patient-oriented high quality care. Meanwhile, it also can shorten the average length of hospital stay, reduce orders during the time of weak strength. It can not only ensure the ward medical indexes, but is helpful to manage nursing schedule.