CAJ | 학술논문

目的探讨责任制护理在门诊候诊区(以下称诊区)患者中的应用效果.方法按照卫生部关于开展“优质护理服务示范工程”和“三好一满意”活动方案的要求,从2011年1-6月成立诊区责任制护理小组,对诊区患者实施责任制护理,并与2010年同期比较患者对护理工作的满意度和护理服务质控检查结果.结果与实施责任制护理前比较,实施后患者对护理工作的总体满意度明显升高,由(93.7±2.13)％上升至(96.5±2.46)％,差异有统计学意义(t=7.134,P＜0.05);实施后护理服务质控检查结果比较,虽然检查总次数有一定减少,但问题数减少更明显,一级质控检查问题次数由121次减少至79次,差异具有统计学意义(x2 =4.27,P＜0.05),二级质控检查问题次数由79次减少至75次,差异具有统计学意义(x2 =3.98,P＜0.05),三级质控检查问题次数由103次减少至71次,差异具有统计学意义(x2 =4.51,P＜0.05).结论实施诊区责任制护理增强了医护团队的服务意识、责任心和工作进取心,促进了和谐护患关系的建立,提升了患者的满意度.
목적 탐토책임제호리재문진후진구(이하칭진구)환자중적응용효과.방법 안조위생부관우개전“우질호리복무시범공정”화“삼호일만의”활동방안적요구,종2011년1-6월성립진구책임제호리소조,대진구환자실시책임제호리,병여2010년동기비교환자대호리공작적만의도화호리복무질공검사결과.결과 여실시책임제호리전비교,실시후환자대호리공작적총체만의도명현승고,유(93.7±2.13)％상승지(96.5±2.46)％,차이유통계학의의(t=7.134,P＜0.05);실시후호리복무질공검사결과비교,수연검사총차수유일정감소,단문제수감소경명현,일급질공검사문제차수유121차감소지79차,차이구유통계학의의(x2 =4.27,P＜0.05),이급질공검사문제차수유79차감소지75차,차이구유통계학의의(x2 =3.98,P＜0.05),삼급질공검사문제차수유103차감소지71차,차이구유통계학의의(x2 =4.51,P＜0.05).결론 실시진구책임제호리증강료의호단대적복무의식、책임심화공작진취심,촉진료화해호환관계적건립,제승료환자적만의도.
Objective To study the effect of responsibility nursing for patients in the outpatient waiting area.Methods In response to the ministry of health's demonstration project of excellent nursing service and the three perfection and one satisfaction movement ( perfection of service,quality and medical ethnics and mass satisfaction),responsibility nursing groups in the outpatient waiting area were established and implemented in our hospital from January to June in 2011.Degree of patients' satisfaction and results of nursing service quality control checking were compared with the same period in 2010.Results After implementation of responsibility nursing,degree of patients' satisfaction was significantly improved [ from (93.7 ±2.13 ) ％ in 2010 to (96.50 ±2.46 ) ％ for 2011; t =7.134,P ＜ 0.05 ].Although checking of nursing service quality control was less frequent in 2011,even less problems were found.Problems in all three levels of quality control decreased significantly (from 121to 79,x2 =4.27,P＜0.05 in level 1; from 79 to 75,x2 =3.89,P ＜0.05 in level 2; from 103 to 71x2 =4.51,P ＜0.05 in level 3).Conclusions The implementation of responsibility nursing can enhance the service consciousness,sense of responsibility and working initiative of medical teams,promote the harmonious relationship between nurses and patients,and improve degree of patients' satisfaction.