分层级护理模式在儿科病房应用的临床效果观察

Clinical effect of hierarchical care model appliedin pediatric ward

目的探讨分层级护理模式在儿科病房的应用效果,提高儿科病房护理质量。方法本院于2014年6月开始在科室内实施分层级护理模式,对实施分层护理模式前后护理质量进行评价,对护理人员工作能力进行考核,统计2组患儿意外发生率、护理差错发生率以及红臀发生率。结果采取分层级护理模式后,病区管理、护理文书、消毒隔离、重症护理、基础护理得分,护理人员基础护理理论和操作考核得分、专科护理理论和操作考核得分,均高于实施分层级护理前,实施前后比较差异有统计学意义(P<0.05)。实施分层级护理模式后,无意外事件以及护理差错事件发生,红臀发生率为1.07%,均少于实施分层级护理前,实施前后比较差异有统计学意义(P<0.05)。结论开展分层级护理模式可以有效减少护理意外事件、差错事件的发生,并有利于提高护理人员的工作能力和科室管理水平。

Objective To investigate effect of hierarchical care model applied in pediatric ward. Methods Hierarchical care model was applied from June 2015,and nursing quality before and after the implementation of hierarchical care model was compared. Accidental rate,nursing errors incidence and prevalence of red buttocks were compared. Results After hierarchical model,ward management,nursing instruments,disinfection and isolation,intensive care,primary care scores,primary care nursing theory and operation assessment score,specialist nursing theory and operation assessment scores were significantly higher than the implementation of hierarchical care before（ P〈 0. 05）. After the hierarchical model of care,no accidents and nursing errors occurred,the red buttocks rate was 1. 07 percent,which were significantly less than hierarchical care before（ P〈 0. 05）.Conclusion Hierarchical model of care can effectively reduce the occurrence of accidents care,and error events,and help to improve work ability and management level of nursing department.