医护一体化模式应用于留置改良型中长导管患者中的效果观察

Effect observation of medical and nursing integration mode in patients with indwelling modified medium and long catheter

目的探讨医护一体化模式对开展改良型中长导管置入术患者的影响。方法选取2020年1—10月在医院肿瘤科接受治疗且符合留置改良型中长导管的患者200例设为研究对象,遵循组间基本资料具有可比性的原则分为对照组和观察组,各100例。对照组实施常规护理,由责任护士全程管理;观察组采用医护一体化模式,即医护协调配合、共同参与管理的模式。比较两组患者依从性、护理满意度、携管期间并发症发生率。结果观察组患者接受改良型中长导管置入率高于对照组,差异有统计学意义(P<0.05);观察组留置改良型中长导管患者置管侧肢体功能锻炼依从性优于对照组,差异有统计学意义(P<0.05);观察组留置改良型中长导管患者护理满意率高于对照组,差异有统计学意义(P<0.05);观察组留置改良型中长导管患者相关并发症的发生率低于对照组,差异有统计学意义(P<0.05)。结论对留置改良型中长导管的患者应用医护一体化模式,能有效提高患者的依从性和满意度,降低相关并发症发生率。

Objective To explore the effect of medical-care integration mode on patients undergoing modified mid-length catheter placement.Methods A total of 200 patients who received treatment in the oncology department of the hospital from January to October 2020 and were eligible for indwelling modified medium and long catheters were selected as the research objects.According to the principle of comparability of basic data between groups,they were divided into control group and observation group,with 100 cases in each group.The control group was given routine nursing care,which was managed by the responsible nurse;the observation group adopted the medical-nursing integration model,that is,the mode of medical-nursing coordination and joint participation in management.The compliance,nursing satisfaction,and the incidence of complications during tube-carrying were compared between the two groups.Results The patients in the observation group received a higher rate of modified mid-length catheter placement than that in the control group,and the difference was statistically significant(P<0.05).The patients in the observation group with indwelling modified mediumlength catheters had better compliance with the limb function exercise on the side of the catheter than in the control group,and the difference was statistically significant(P<0.05).The patients in the observation group with indwelling modified medium-length catheters had higher nursing satisfaction rate than in the control group,and the difference was statistically significant(P<0.05).The patients in the observation group with indwelling modified medium-length catheters had lower incidence of related complications than in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of the medical-care integration model for patients with indwelling modified medium-length catheters can effectively improve patients’compliance and satisfaction,and reduce the incidence of related complications.