CAJ | 학술논문

目的探讨自行设计的耳鼻咽喉口腔科表格式护理记录单的实用性、科学性.方法将280例病人随机分为实验组(140例)和对照组(140例).实验组采用耳鼻咽喉口腔科表格式护理记录单书写护理记录;对照组采用传统的护理记录单叙述式书写护理记录,书写内容为人院后首次、术后首次护理记录.比较两组(单份病历)书写记录平均耗用时间及书写质量.结果实验组书写护理记录的平均耗用时间少于对照组(P＜0.001),实验组书写质量方面明显优于对照组(P＜0.001).结论使用耳鼻咽喉口腔科表格式护理记录单既能够缩短书写护理记录的时间,又能保证护理记录质量,提高了护理工作效率.
목적 탐토자행설계적이비인후구강과표격식호리기록단적실용성、과학성.방법 장280례병인수궤분위실험조(140례)화대조조(140례).실험조채용이비인후구강과표격식호리기록단서사호리기록;대조조채용전통적호리기록단서술식서사호리기록,서사내용위인원후수차、술후수차호리기록.비교량조(단빈병력)서사기록평균모용시간급서사질량.결과 실험조서사호리기록적평균모용시간소우대조조(P＜0.001),실험조서사질량방면명현우우대조조(P＜0.001).결론 사용이비인후구강과표격식호리기록단기능구축단서사호리기록적시간,우능보증호리기록질량,제고료호리공작효솔.
Objective To summarize the practicality and rationality of nursing recording table of the Otolaryngology and Stomatolngy Deparment,which was designed by myself.Methods There were two groups(each of which had 140 people):experimental and control groups.Two nurses who were in charge took nurses'notes by using the nursing recording table in experiment group,while the same two nurses took nurses'notes by using traditional nursing recording to narrate in control group.Results The mean time of taking notes in experimental group was leas than that of control group(P＜0.001),and the file's quality was better in experimental group(P＜0.001).Conclusions Nursing recording table could decrease the time using In taking notes,improve the file's quality,application ifine.