CAJ | 학술논문

[目的]进一步深化优质护理内涵，提高骨科病人和护士双方的满意率。[方法]将2013年1月—12月收治的骨科病人作为观察组，采用医护合作形式，依据病人日常生活活动能力(ADL)采用 Barthel 指数进行评分，根据评分值和病情细化分级护理等级，同时细化不同等级护理病人的基础护理项目和基础护理执行人及执行时间，并制定质量检查标准，将护士参加基础护理的数量、质量与优质护理专项奖励基金挂钩；将2012年同期收治的骨科病人作为对照组，遵医嘱按常规实施等级护理。[结果]两组基础护理合格率、病人满意率、护士满意度、护理不良事件发生率比较差异有统计学意义(P <0.05)。[结论]医护合作依据病情和 ADL 评分细化骨科分级护理等级，落实基础护理，可进一步深入、持久、扎实地推进优质护理工作。
[목적]진일보심화우질호리내함，제고골과병인화호사쌍방적만의솔。[방법]장2013년1월—12월수치적골과병인작위관찰조，채용의호합작형식，의거병인일상생활활동능력(ADL)채용 Barthel 지수진행평분，근거평분치화병정세화분급호리등급，동시세화불동등급호리병인적기출호리항목화기출호리집행인급집행시간，병제정질량검사표준，장호사삼가기출호리적수량、질량여우질호리전항장려기금괘구；장2012년동기수치적골과병인작위대조조，준의촉안상규실시등급호리。[결과]량조기출호리합격솔、병인만의솔、호사만의도、호리불량사건발생솔비교차이유통계학의의(P <0.05)。[결론]의호합작의거병정화 ADL 평분세화골과분급호리등급，락실기출호리，가진일보심입、지구、찰실지추진우질호리공작。
Objective:To further deepen the connotation of quality nursing care,improve the satisfaction rate on both sides of patient and nurse in department of orthopedics.Methods:Patients in department of orthopedics in 2013 January December were as the observation group,with forms of medical cooperation,based on daily life activities ability of patients(ADL),using the Barthel index score,based on the score value and the illness refine-ment of grading nursing level,and refining basic nursing project,and basic nursing execution and execution time of different grades patient care,and formulates quality inspection standards,and the quantity,the quality of basic nursing nurse joined hook with nursing quality special incentive fund;patients in Department of orthopedics in 2012 the same period admitted as the control group,Follow the doctor’s advice,according to the conventional implementation of grading nursing.Results:Compare the qualified rate of two groups of basic nursing,satisfac-tion of patients and their families,satisfaction of nurses,occurrence rate of nursing adverse events,the differ-ence have statistical significance(P <0.05).Conclusion:The medical cooperation based on the illness and ADL score refinement of department of orthopedics grading nursing level and implementation of basic nursing,can further in depth,lasting,solidly to promote the quality of nursing work.