CAJ | 학술논문

目的：探讨医护一体化责任制整体护理合作模式对护士床边综合护理能力的影响，使医生、护士、患者更加满意。方法制定出从入院时、住院期间、出院时一整套的医护一体化合作责任制护理模式，采用调查表，对医护人员对医护合作态度得分、床边综合能力考核结果、患者满意度、医生满意度和护士满意度进行问卷调查，同时采集护理质量及不良事件等数据，与实施医护一体化合作责任制护理模式前的调查结果进行比较。结果实施医护一体化合作责任制护理模式前，护士满意度、医生满意度及患者满意度分别为（4．06±0．39），（4．18±0．41），（4．03±0．36）分，实施后分别为（4．42±0．41），（4．38±0．26），（4．36±0．38）分，较实施前明显提高，差异有统计学意义（t值分别为7．5895，7．0062，3.5418；P＜0．01）。床边综合能力明显提高，差异具有统计学意义（ P＜0．01）；临床效果评分在病情掌握、并发症预防、理论知识、专业护理能力方面实施后分别为（4．81±0．31），（3．59±0．24），（3．92±0.44），（3．91±0．40）分，较实施前的（3．04±0．55），（2．91±0．31），（3．29±0．26），（3．67±0．47）分明显提高，差异有统计学意义（t值分别为30．711，19．000，13．503，4．260；P＜0．01）。结论实施医护一体化合作责任制护理模式，能有效提高护理质量及护士的专业护理能力，降低不良事件的发生率，充分发挥护士的优势，有效地促进医护合作，达到患者满意的目的。
목적：탐토의호일체화책임제정체호리합작모식대호사상변종합호리능력적영향，사의생、호사、환자경가만의。방법제정출종입원시、주원기간、출원시일정투적의호일체화합작책임제호리모식，채용조사표，대의호인원대의호합작태도득분、상변종합능력고핵결과、환자만의도、의생만의도화호사만의도진행문권조사，동시채집호리질량급불량사건등수거，여실시의호일체화합작책임제호리모식전적조사결과진행비교。결과실시의호일체화합작책임제호리모식전，호사만의도、의생만의도급환자만의도분별위（4．06±0．39），（4．18±0．41），（4．03±0．36）분，실시후분별위（4．42±0．41），（4．38±0．26），（4．36±0．38）분，교실시전명현제고，차이유통계학의의（t치분별위7．5895，7．0062，3.5418；P＜0．01）。상변종합능력명현제고，차이구유통계학의의（ P＜0．01）；림상효과평분재병정장악、병발증예방、이론지식、전업호리능력방면실시후분별위（4．81±0．31），（3．59±0．24），（3．92±0.44），（3．91±0．40）분，교실시전적（3．04±0．55），（2．91±0．31），（3．29±0．26），（3．67±0．47）분명현제고，차이유통계학의의（t치분별위30．711，19．000，13．503，4．260；P＜0．01）。결론실시의호일체화합작책임제호리모식，능유효제고호리질량급호사적전업호리능력，강저불량사건적발생솔，충분발휘호사적우세，유효지촉진의호합작，체도환자만의적목적。
Objective To investigate the effect of nurse-surgeon collaborative model to improve comprehensive nursing quality .Methods To develop the entire nurse-surgeon collaborative primary nursing model , the questionnaires were used to collect the cooperative attitude scores , bedside integrated ability assessment results , and patients , doctors and nurses satisfaction data .At the same time , the nursing quality and adverse events data were compared before and after implemented the new model .Results The scores of nurses satisfaction, doctors satisfaction and patients satisfaction were (4.06 ±0.39), (4.18 ±0.41), (4.03 ±0.36) before implemented the nurse-surgeon collaborative model and (4.42 ±0.41), (4.38 ±0.26), (4.36 ±0.38) after implemented the nurse-surgeon collaborative model .There were significant differences before and after implemented the model (t=7.5895,7.0062,3.5418, respectively;P<0.01).The comprehensive bedside ability was improved significantly ( P <0.01).The clinical effect scores of mastering patients'condition, complication prevention, theoretical knowledge and professional nursing ability were (3.04 ±0.55),(2.91 ± 0.31),(3.29 ±0.26),(3.67 ±0.47) before implemented the nurse-surgeon collaborative model and (4.81 ± 0.31),(3.59 ±0.24),(3.92 ±0.44),(3.91 ±0.40) after implemented the nurse-surgeon collaborative model.There were significant differences before and after implemented the model (t=30.711,19.000,13.503, 4.260, respectively;P <0.01 ).Conclusions Implementing the nurse-surgeon collaborative model can effectively improve nursing quality and the ability of professional nursing , and reduce the adverse events .The goal of patient satisfaction is thus achieved .