CAJ | 학술논문

目的：探讨产科医护人员共同制定护理级别临床实践及效果。方法将在产科病区住院的129例产妇采用电脑产生随机数的方法分为常规组（62名）和合作组（67名），常规组采用传统方法根据医生医嘱实施护理分级，合作组应用医护合作型分级护理决策方式进行护理分级，即责任护士通过Barthel指数量表对产科住院患者进行评分，医生依据此评分，根据患者病情决定护理级别。比较两组产妇产后出血量及对护理的满意度。结果两组产妇的护理级别比较，差异有统计学意义（ uc ＝3．54，P＜0．05）。合作组产妇产后出血量为（377．5±83．9） ml，感染的并发率为2．99％；常规组产妇产后出血量为（456．9±78．3）ml，感染并发率为8．06％，两组比较差异有统计学意义（t/χ2分别为6．93，4．18；P＜0．05）。合作组患者满意度为97．01％，常规组为90．32％，两组比较差异有统计学意义（χ2＝4．20， P＜0．05）。结论分级护理的制定应全面评估患者的病情及生活自理能力，医护合作型分级护理决策模式可降低产妇并发症发生的风险，提高护理分级的科学性、合理性，提高护理质量及患者满意度。
목적：탐토산과의호인원공동제정호리급별림상실천급효과。방법장재산과병구주원적129례산부채용전뇌산생수궤수적방법분위상규조（62명）화합작조（67명），상규조채용전통방법근거의생의촉실시호리분급，합작조응용의호합작형분급호리결책방식진행호리분급，즉책임호사통과Barthel지수량표대산과주원환자진행평분，의생의거차평분，근거환자병정결정호리급별。비교량조산부산후출혈량급대호리적만의도。결과량조산부적호리급별비교，차이유통계학의의（ uc ＝3．54，P＜0．05）。합작조산부산후출혈량위（377．5±83．9） ml，감염적병발솔위2．99％；상규조산부산후출혈량위（456．9±78．3）ml，감염병발솔위8．06％，량조비교차이유통계학의의（t/χ2분별위6．93，4．18；P＜0．05）。합작조환자만의도위97．01％，상규조위90．32％，량조비교차이유통계학의의（χ2＝4．20， P＜0．05）。결론분급호리적제정응전면평고환자적병정급생활자리능력，의호합작형분급호리결책모식가강저산부병발증발생적풍험，제고호리분급적과학성、합이성，제고호리질량급환자만의도。
Objective To explore the clinical practice and effect of grading nursing jointly made by doctors and nurses in the obstetrics .Methods One hundred and twenty-nine patients hospitalized in the obstetrics were randomly divided into the conventional group (n=62) and the cooperative group (n=67).The conventional group received the traditional grading nursing according to the doctor ’ s advice, and the cooperative group received the grading nursing jointly made by doctors and nurses that is the patients hospitalized in the obstetrics were scored by the responsibility nurse through Barthel index scale , and then the doctor decided the grade of nursing according to the score and patient condition .The postpartum hemorrhage and satisfaction of nursing were compared between two groups .Results There was the difference in grade of nursing between two groups, and the difference was statistically significant (uc =3.54, P <0.05).The amount of postpartum hemorrhage was (377.5 ±83.9) ml in the cooperative group , and was (456.9 ±78.3) ml in the conventional group, and the difference was statistically significant (t=6.93, P<0.05).The incidence rate of infection was 2.99%in the cooperative group , and was 8.06%in the conventional group , and the difference was statistically significant (χ2 =4.18, P<0.05).The satisfaction of patient was 97.01% in the cooperative group, and was 90.32% in the conventional group, and the difference was statistically significant (χ2 =4.20, P<0.05). Conclusions Grading nursing should be a comprehensive assessment of the patient ’ s condition and self-care ability, the grading nursing model by physician -nurse collaboration decision-making can reduce the risk of complications , improve the scientific and reasonable of grading nursing , and increase the quality of nursing and satisfaction of patient .