早交班模式的改良在胸外科临床护理管理中的应用效果

Application effect of morning shift mode in clinical nursing management of thoracic surgery department

目的探讨早交班模式的改良在胸外科临床护理管理中的应用效果。方法根据胸外科工作特点,成立早交班改良小组,通过小组讨论、查阅文献、专家咨询等方法,改良传统交接班模式。按患者入院时间随机选取2021年1月和2022年3月江苏省肿瘤医院胸外科术后患者共100例为研究对象,其中2021年1月患者50例为对照组,2022年3月患者50例为观察组。对照组采用常规交接班模式,观察组采用改良后的早交班模式。观察两组患者手术前后焦虑评分、术后24 h内下床活动率及患者满意度情况,改良实施后护士满意度及交接班时长、护士对患者病情知晓率,分别观察1个月。结果术后,两组焦虑评分低于术前,且观察组低于对照组(P<0.05);观察组患者术后24 h内下床活动率高于对照组(P<0.05);观察组患者满意度高于对照组(P<0.05);改良实施后的护士满意度高于实施前(P<0.05);观察组交接班时长短于对照组(P<0.05);两组护士对患者病情知晓率比较,差异无统计学意义(P>0.05)。结论改良后的早交班模式的应用可以降低患者术后焦虑程度,提高患者术后24 h下床活动率、患者及护士的满意度,缩短夜班拖班时间,提高交接班效率。

Objective To explore application effect of morning shift mode in clinical nursing management of thoracic surgery department.Methods Based on the characteristics of thoracic surgery department,set up morning shift improvement group,then improve the traditional shift mode through methods such as group discussion,literature review,and expert consultation.A total of 100 patients after thoracic surgery in Jiangsu Cancer Hospital in January 2021 and March 2022 were randomly selected as the study objects according to the admission time of patients,including 50 patients in January 2021 as the control group,and 50 patients in March 2022 as the observation group.The control group adopted the conventional shift pattern,and the observation group adopted the improved morning shift pattern.The anxiety scores before and after surgery,the rate of getting out of bed within 24 h after surgery and patient satisfaction were observed,and after the implementation of the improvement,nurses’satisfaction,shift duration,and nurses’awareness of patients’condition were observed for one month.Results After surgery,the anxiety scores of the two groups were lower than those before sugery,and that of the observation group was lower than that of the control group(P<0.05).The rate of getting out of bed within 24 h after surgery in observation group was higher than that in control group(P<0.05).The satisfaction of patients of observation group was higher than that of control group(P<0.05).Nurses’satisfaction after the implementation of the improvement was higher than that before the implementation of the improvement(P<0.05).The shift time of observation group was longer than that of control group(P<0.05).There was no significant difference in the awareness rate of nurses between two groups(P>0.05).Conclusion The application of the improved early shift mode can reduce the degree of postoperative anxiety of patients,improve the activity rate of patients and the satisfaction of patients and nurses 24 h after surgery,shorten the night shift delay time,and improve shift efficiency.