层级式责任制管理在支气管肺炎患儿中的应用效果

Application effects of hierarchical responsibility system management in children with bronchopneumonia

目的:观察层级式责任制管理在支气管肺炎患儿中的应用效果。方法:选取2020年1月至2022年3月该院收治的82例支气管肺炎患儿进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各41例。对照组实施常规护理,观察组在对照组基础上实施层级式责任制护理。比较两组护理质量评分、家长满意度及护理不良事件发生率。结果:观察组专科护理、护理记录、病房环境、基础护理、危重急救护理评分均高于对照组,差异有统计学意义(P<0.05);观察组病区环境、健康教育、服务态度、护理技术、责任心等家长满意度评分均高于对照组,差异有统计学意义(P<0.05);观察组护理不良事件发生率为7.32%(3/41),低于对照组的26.83%(11/41),差异有统计学意义(P<0.05)。结论:在常规护理基础上实施层级式责任制管理可提高支气管肺炎患儿护理质量评分和家长满意度,以及降低护理不良事件发生率的效果优于单纯常规护理效果。

Objective:To observe application effects of hierarchical responsibility system management in children with bronchopneumonia.Methods:A prospective study was conducted on 82 children with bronchopneumonia admitted to the hospital from January 2020 to March 2022.According to the random number table method,they were divided into control group and observation group,41 cases in each group.The control group was given routine nursing,while the observation group was given the hierarchical responsibility system nursing on the basis of the control group.The nursing quality score,the parental satisfaction,and the incidence of nursing adverse events were compared between the two groups.Results:The scores of specialist nursing,the nursing records,the ward environment,the basic nursing and the critical emergency nursing in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of parental satisfaction such as ward environment,health education,service attitude,nursing technology and responsibility in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse nursing events in the observation group was 7.32%(3/41),which was lower than the control group of 26.83%(11/41),and the difference was statistically significant(P<0.05).Conclusions:The hierarchical responsibility system management on the basis of the routine nursing can improve the nursing quality scores and the parental satisfaction of the children with bronchopneumonia,and reduce the incidence of nursing adverse events.Moreover,it is superior to simple routine nursing.