多专科护理模式应用于智能评分缺损患者的研究

Study on the application of multi specialist nursing model to patients with inteUi-gence score defect

目的探讨多专科护理模式应用于智能评分缺损患者的护理效果。方法选取本院神经一病区智能评分缺损患者100例为观察组，采用多专科护理模式实施护理即医护共同查房，由科主任、护士长、主管医生、责任护士、认知训练护士及护理安全管理员每天早上共同查房、进行护理评估，制定个性化护理安全措施，对患者实施医护同组工作、早期认知功能训练和护理安全管理等。将神经二病区智能评分缺损患者100例为对照组，按照传统神经内科护理方法进行护理。分别于人院时、出院时评定智能状态（MMSE），调查患者住院期间护理意外事件发生情况及对服务的满意度和安全管理知识知晓率。结果出院时观察组MMSE评分、患者满意度和对安全管理知识知晓率显著高于对照组；护理意外事件发生率显著低于对照组，差异有统计学意义（P〈O．05）。结论对智能评分缺损患者应用多专科护理模式，能提高患者对安全管理知识知晓率，减少护理意外事件发生，有利于患者生活质量的提高和护患关系的改善。

Objective To explore the nursing effect of multi specialist nursing model on patients with intelli- gence score defect. Methods Totally 100 patients with intelligent score defect in our hospital from No. 1 Nerve Ward were taken as the observation group. The observation group adopted the multi specialist nursing model, i. e. the rounds of wards made by the doctors and nurses together. The department director, head nurse, doctor in charge, nurse in charge, cognition-training nurse and safety-administrating nurse make the rounds of the wards together every day in the morning, and the evaluation for nursing was made. The personalized safe nursing measures were formulated. Doctor-nurse cooperation in the same team, early-stage cognition-function training and management for safety of nursing were implemented on patients. Another 100 patients with intelligent score defect from No. 2 Nerve Ward were chosen as the control group. The control group received the traditional nursing method of neurology department. The mental state was assessed at the time of admission and discharge. The occurrence of nursing accident during hospitalization, the satisfaction of the patients and the awareness rate of safety management knowledge of the patients were investiga- ted. Results The MMSE scores, patients＂ satisfaction and the awareness rate of knowledge on safety management of the observation group after discharge was significantly higher than that of the control group. Nursing accident rate of the ob- servation group was significantly lower than that of the control group, and the difference was statistically significant （P〈 0.05） . Conclusions The implementation of multi specialist nursing model on patients with intelligence score defect can improve patients＂ awareness of safety management knowledge, reduce the occurrence of nursing accidents, and im- prove the quality of life of patients and improve the relationship between nurses and patients.