产科医护患一体化服务模式在促进优质护理服务中的应用

Discussion on the effect of doctor-nurse-patient integrated nursing mode in obstet-rical department to promote high-quality care

目的：探讨产科医护患一体化服务模式在促进优质护理服务中的应用。方法以2014年6-7月132例初产妇作为对照组，实施传统的片段式产科医疗护理模式；以2015年3-4月136例初产妇作为研究组，实施医护患一体化服务模式。比较实施前后初产妇对医疗护理工作满意度及医生对护理工作满意度、护士自身满意度，并对初产妇体质量控制、自然分娩、社会因素剖宫产、母乳喂养进行比较。结果实施医护患一体化服务模式后，初产妇与医护的满意度都较实施前有明显提高（ P〈0.01）；实施医护患一体化服务模式后，有效降低孕期体质量异常与社会因素剖宫产发生率，对提高自然分娩率及母乳喂养率有明显作用（ P〈0.01）。结论产科实施医护患一体化服务模式可改善护理服务现状，提高了医护患满意度。

Objective To explore the effect of doctor-nurse-patient integrated nuring mode in promoting high quality care in obstetrical department. Methods A total of 132 cases of primipara from June to July 2014 were taken as the control group, and were given the traditional fragmented obstetric health care model. A total of 136 cases of primipa-ra from March to April 2015 were taken as the study group, and adopted doctor-nurse-patient integrated nursing mode. The primiparaˊs satisfaction for nursing, doctorsˊ satisfaction for nursing, nursesˊ self-satisfaction before and after the implementation were compared. Meanwhile, the primiparaeˊs body weight control, natural childbirth, cesarean social factors and breastfeeding of the primipara before and after the implementation were compared as well. Results After the implementation of doctor-nurse-patient integrated nursing mode, primiparaˊs, doctorsˊ and nursesˊ satisfaction were all significantly improved （P〈0. 01） . After the implementation of doctor-nurse-patient integrated nursing mode, the ab-normal pregnancy body mass and social factors cesarean section incidence were effectively reduced. It had obviously im-proved the rate of natural birth and the rate of breastfeeding （ P〈0. 01 ） . Conclusions The implementation of doctor-nurse-patient integrated nursing mode can improve the status quo of nursing and improve the doctorsˊ, nursesˊ and pa-tientsˊsatisfaction.