'一专四化'护理管理模式在前列腺穿刺活检术中的应用

Application of the systematic nursing management of 'one specialty with four kinds of standardizations' in transrectal ultrasound guided prostate biopsy

目的 探讨'一专四化'的护理管理模式在经直肠前列腺穿刺活检中的应用.方法 通过对2014年9月至2015年2月行前列腺穿刺活检的患者实施'一专四化'护理管理,即设立前列腺穿刺专职管理护士以及穿刺审核规范化、穿刺预约流程标准化、穿刺工作安排合理化、穿刺后续事项完善化的管理模式,探讨'一专四化'护理管理模式的应用效果.结果 '一专四化'的护理管理模式简化并明确了穿刺活检流程,减少了患者预约穿刺的时间,降低了穿刺相关并发症发生率,提高了患者满意度,有助于更加明确实施穿刺的医护人员的工作职责,合理分配医疗资源,提高医疗工作效率,并且在最大程度上保证了患者的健康权益和穿刺工作的医疗安全.结论 '一专四化'的护理管理模式使前列腺穿刺活检术的预约流程简便、操作安全有效.

Objective To discuss the application of the systematic nursing management of 'one specialty with four standardizations' in transrectal ultrasound guided prostate Biopsy. Methods We have set up the 'one specialty with four standardizations' method and accomplished the systematic nursing management in the management of transrectal ultrasound guided prostate biopsy in Changhai Hospital from September 2014 to February 2015. One specialty means to set up the prostate biopsy full-time nurses and the four standardizations means the standardization of selecting criteria, appointment procedures, working process and the post-biopsy work.Results The whole procedure of prostate biopsy has been simplified and clarified. This management helped to shorten the time for making the appointment, reduce the incidences of postoperative complications significantly and increase the patients satisfaction. It helped to build a well-defined responsibility for all the medical staff in prostate biopsy and make sure the reasonable medical resource distribution and the efficiency of medical work. It also maximized the health rights of the patients and medical safety. During the period when the 'one specialty with four standardizations' nursing management was in effect, no biopsy related adverse event, disputes or protests occurred. Both the patients and the relatives satisfaction degree have been raised significantly.Conclusions The 'one specialty with four standardizations' nursing management in prostate biopsy helps to simplify the appointment procedure and this management turned out to be safe and effect. It has achieved preferable results in clinical application and worth further spreading.