医护一体化模式在骨科康复护理中的影响

Influence of medical and nursing integration model on rehabilitation nursing in department of orthopedics

目的探讨医护一体化模式在骨科康复护理中的影响。方法选取2014年6月~2015年12月于我院骨科收治的骨折患者150例,依据随机数字表法将其分为对照组和观察组,每组各75例。对照组仅接受常规模式护理,主要是按医嘱开展护理;观察组则在此基础上给予医护一体化模式护理。记录两组患者术前等待日、术后不良事件(下肢静脉血栓、呼吸衰竭、心力衰竭以及泌尿系感染等)和住院时间,以评价医护一体化护理的护理质量;通过我院自制调查问卷了解患者的护理满意度,从而进一步完善医护一体化护理模式。结果护理后,观察组相比对照组护理不良事件发生率显著更低,术后等待时间及住院时间更短,两组比较差异有统计学意义(P<0.05);就护理满意度指标而言,观察组显著高于对照组,两组比较差异有统计学意义(P<0.05)。结论医护一体化护理模式在骨科患者护理中的应用,可缓解患者的痛苦,缩短平均住院日,减轻患者经济负担。医护之间的无缝衔接合作对医院的护理质量以及患者的生活质量、护理满意度有着良好的提升作用,深化护理工作内涵,促进护理专业化进程的发展,值得临床广泛推广运用。

Objective To explore the influence of medical and nursing integration model on rehabilitation nursing in department of orthopedics.Methods From June 2014 to December 2015,150 patients with fractures admitted to our hospital were divided into control group and observation group with 75 cases in each group according to random number table method.The control group only accepted the conventional mode of nursing care,which was mainly carried out according to doctor's orders.The observation group was given medical and nursing integration model on the basis of this.Preoperative waiting time,postoperative adverse events(venous thrombosis of lower extremities,respiratory failure,heart failure and urinary tract infection)and hospital stay were recorded in order to evaluate the quality of nursing care.Through the self-made questionnaire in our hospital,the patient's nursing satisfaction were understanded,and further improve the medical and nursing integration model.Results After nursing,the incidence of adverse events in the observation group was significantly lower than that in the control group,the postoperative waiting time and hospitalization time were shorter,and the data were statistically significant(P<0.05).The indicators of nursing satisfaction of observation group was significantly higher than that of control group,and the difference of the data was statistically significant(P<0.05).Conclusion The application of medical and nursing integration model in the nursing of orthopedic patients can alleviate the suffering of patients,shorten the average length of stay and reduce the financial burden on patients.The seamless cooperation between medical and nursing care has a good effect on the quality of the hospital nursing,the quality of life and the satisfaction of the patients,deepening the connotation of nursing and promoting the development of the process of nursing specialization,which is worthy of extensive application in clinical practice.