医护同组责任制护理在肝硬化患者中的应用效果

Primary nursing application effects of doctor-nursing group in hospitalized patients with liver cirrhosis

目的：探讨医护同组责任制护理在住院肝硬化患者中的应用效果。方法选取2013年1月—2015年6月无锡市第二人民医院收治的肝硬化患者106例,根据入院时间不同分为观察组和对照组,各53例。对照组实行常规的护理模式,观察组实行医护同组责任制护理模式。干预后对两组患者的肝硬化指标、护理情况、医生和护士满意度、患者满意度进行比较。结果两组患者的4项肝硬化指标水平较护理前有所下降,观察组的肝硬化指标水平均优于对照组,组间差异有统计学意义（P〈0.05）。观察组护理质量为（92.3±6.7）分,病情掌握情况为（91.4±5.6）分,患者生活质量为（78.2±10.3）分；对照组分别为（87.4±5.1）,（75.3±7.7）,（59.6±9.8）分；两组比较差异有统计学意义（t值分别为1.987,2.332,2.561；P〈0.05）。观察组的医生和护士满意度为94.3%,患者满意度为94.3%,对照组分别为85.8%,86.8%,医生和护士满意度差异有统计学意义（χ^24.281；P〈0.05）。结论医护同组责任制护理提高了护理质量,改善肝硬化患者的相关指标,得到了医生、护士及患者的广泛认同,值得临床推广。

Objective To explore the application effects of primary nursing of doctor-nurse group in hospitalized patients with hepatic fibrosis. Methods A total of 106 patients with hepatic fibrosis, who treated in Wuxi Second People′s Hospital from January 2013 to June 2015, were selected as samples and were randomly divided into experimental group and control group with equal number. The patients of control group applied the conventional nursing mode and the patients of experimental group applied the primary nursing of doctor-nurse group mode. The level of liver fibrosis indicators, nursing situation, the percentage of doctors and nurses′satisfaction, and the percentage of patients′ satisfaction were compared between two groups. Results The patients in both groups had certain declining of four indicators of liver fibrosis levels after nursing care comparing with the pre-treatment levels. The level of liver fibrosis indicators of patients in the experimental group were superior to that in the control group （P〈0. 05）. The score nursing quality of control group was （92. 3 ± 6. 7）, the predication of disease was （91. 4 ± 5. 6）;the patients quality of life was （78. 2 ± 10. 3）, the score of control group were （87. 4 ± 5. 1）, （75. 3 ± 7. 7） and （59. 6 ± 9. 8） respectively （t=1. 987, 2. 332, 2. 561;P〈0. 05）. The percentage of doctors and nurses′satisfaction was 94. 3% in the experimental group and patients′satisfaction was 94. 3%, while the percentage of control group were 85. 8% and 86. 8%, but only the difference of doctors and nurses′satisfaction were significantly different （χ^2=4. 281,P〈0. 05）. Conclusions The primary nursing of doctor-nursing group can enhance the quality of care, contribute the indicator of hepatic fibrosis, and acquire doctors, nurses and patients′wide acceptance, which is worthy of clinical promotion.