CAJ | 학술논문

目的探讨“优质护理示范岗”创建中实施床边护嘱的应用效果.方法采取分组负责制,设立责任组长,由责任组长下达护嘱,公示于患者床头,责任护士及助理护士按照护嘱要求执行落实,比较实施前(2009年11月至2010年9月)及实施后(2010年10月至2011年8月)护理措施与病情符合率、健康教育知晓人数、护理缺陷及患者满意度,并对护士的专科知识的应用能力进行考核.结果与实施前比较,实施床边护嘱后护理措施与病情的符合率、健康教育知晓人数(1 501比1 390,1511比1131)均较实施前明显改善,实施前后比较,差异有统计学意义(x2分别为21.849,133.150;P＜0.01)；实施床边护嘱后患者满意度由实施前的87.9％提高到实施后的93.3％,实施前后比较,差异有统计学意义(x2=25.036,P＜0.01)；执行护嘱制度前年轻护士掌握运用专科知识的能力考核成绩分别为:优秀34名,合格51名,不合格2名；实施护嘱制度后,能力考核成绩分别为优秀66名,合格28名,不合格1名,实施前后比较,差异有统计学意义(x2=16.951,P＜0.01).结论建立床边护嘱制度令护理人力资源的使用更科学合理,并有利于护理服务和护理质量的提高.
목적 탐토“우질호리시범강”창건중실시상변호촉적응용효과.방법 채취분조부책제,설립책임조장,유책임조장하체호촉,공시우환자상두,책임호사급조리호사안조호촉요구집행락실,비교실시전(2009년11월지2010년9월)급실시후(2010년10월지2011년8월)호리조시여병정부합솔、건강교육지효인수、호리결함급환자만의도,병대호사적전과지식적응용능력진행고핵.결과 여실시전비교,실시상변호촉후호리조시여병정적부합솔、건강교육지효인수(1 501비1 390,1511비1131)균교실시전명현개선,실시전후비교,차이유통계학의의(x2분별위21.849,133.150;P＜0.01)；실시상변호촉후환자만의도유실시전적87.9％제고도실시후적93.3％,실시전후비교,차이유통계학의의(x2=25.036,P＜0.01)；집행호촉제도전년경호사장악운용전과지식적능력고핵성적분별위:우수34명,합격51명,불합격2명；실시호촉제도후,능력고핵성적분별위우수66명,합격28명,불합격1명,실시전후비교,차이유통계학의의(x2=16.951,P＜0.01).결론 건립상변호촉제도령호리인력자원적사용경과학합리,병유리우호리복무화호리질량적제고.
Objective To explore the feasibility of implementing bedside nursing order in establishing excellent nursing model post.Methods Organization practices project taking charge by group,nursing order were assigned by responsible team leader.All orders was publicity at patients' bedside and were performed by responsible nurses and assistant nurses.The coincidence case in state of illness and nursing mesures,awareness in health education,nursing quality defective and patients' s satisfaction before and after implement were compared and the application ability in specialized knowledge were evaluated.Results The coincidence rate in state of illness and nursing mesures (1 501 vs 1 390),awareness in health education (1 511 vs 1 131) after implementation of nursing order was significantly higher than before implementation,there was statistics difference (x2 =21.849,133.150,respectively; P ＜ 0.01).The patients' s satisfaction showed a significant rise from 87.9％ to 93.3％ after implementation of bedside nursing order (x2 =25.036,P ＜ 0.01).Before implementation in nursing bedside order,the score of application ability in specialized knowledge among nurse were excellence (12),qualified nurses (51) and unqualified nurses (2) while the number was improved in excellence (66),qualified nurses (28) and unqualified nurses (1) respectively after implementation.There was statistics difference between before and after implementation (x2=16.951,P ＜ 0.01).Conclusions The implementation of bedside nursing order optimizes the utilization of the nursing human resource and contributes to the improvement of the quality of nursing service.