中国药业
中國藥業
중국약업
CHINA PHARMACEUTICALS
2015年
7期
4-5,6
,共3页
医护协同管理%妇科癌根治手术%复合麻醉%医疗质量
醫護協同管理%婦科癌根治手術%複閤痳醉%醫療質量
의호협동관리%부과암근치수술%복합마취%의료질량
doctor - nurse collaborative management%gynecological cancer radical surgery%compound anesthesia%mecical service quality
目的：探讨医护协同管理在七氟醚复合瑞芬太尼静－吸复合麻醉下妇科癌根治手术患者的应用效果。方法选取2011年1月至2014年1月收治的200例患者，随机分为观察组和对照组，各100例。观察组采用医护协同管理模式进行护理管理，对照组采用传统护理模式进行护理管理，比较两组患者手术时间、平均动脉压(MAP)、心率（HR）、血氧饱和度（SpO2）、苏醒时间、拔气管时间以及医、护、患满意度和医疗服务质量。结果观察组患者 MAP 波动、HR 波动、苏醒时间、手术时间、拔气管时间均显著小于对照组( P ﹤0.05)，医、护、患满意度均明显高于对照组( P ﹤0.05)，病房医疗服务质量评分优于对照组( P ﹤0.05)。结论医护协同管理模式可提升护士的“临床判断力”，实现人力资源的合理配置，促进麻醉科与护理部之间紧密交流与合作，有力改善了医护患三者的关系，提高了临床护理质量。
目的：探討醫護協同管理在七氟醚複閤瑞芬太尼靜－吸複閤痳醉下婦科癌根治手術患者的應用效果。方法選取2011年1月至2014年1月收治的200例患者，隨機分為觀察組和對照組，各100例。觀察組採用醫護協同管理模式進行護理管理，對照組採用傳統護理模式進行護理管理，比較兩組患者手術時間、平均動脈壓(MAP)、心率（HR）、血氧飽和度（SpO2）、囌醒時間、拔氣管時間以及醫、護、患滿意度和醫療服務質量。結果觀察組患者 MAP 波動、HR 波動、囌醒時間、手術時間、拔氣管時間均顯著小于對照組( P ﹤0.05)，醫、護、患滿意度均明顯高于對照組( P ﹤0.05)，病房醫療服務質量評分優于對照組( P ﹤0.05)。結論醫護協同管理模式可提升護士的“臨床判斷力”，實現人力資源的閤理配置，促進痳醉科與護理部之間緊密交流與閤作，有力改善瞭醫護患三者的關繫，提高瞭臨床護理質量。
목적：탐토의호협동관리재칠불미복합서분태니정－흡복합마취하부과암근치수술환자적응용효과。방법선취2011년1월지2014년1월수치적200례환자，수궤분위관찰조화대조조，각100례。관찰조채용의호협동관리모식진행호리관리，대조조채용전통호리모식진행호리관리，비교량조환자수술시간、평균동맥압(MAP)、심솔（HR）、혈양포화도（SpO2）、소성시간、발기관시간이급의、호、환만의도화의료복무질량。결과관찰조환자 MAP 파동、HR 파동、소성시간、수술시간、발기관시간균현저소우대조조( P ﹤0.05)，의、호、환만의도균명현고우대조조( P ﹤0.05)，병방의료복무질량평분우우대조조( P ﹤0.05)。결론의호협동관리모식가제승호사적“림상판단력”，실현인력자원적합리배치，촉진마취과여호리부지간긴밀교류여합작，유력개선료의호환삼자적관계，제고료림상호리질량。
Objective To explore the application effect of the doctor - nurse cooperative management in the patients with gynecologic cancer radical surgery under the vain - inhalation compound anesthesia of sevoflurane and remifentanyl. Methods 200 cases of pationt from January 2011 to January 2014 were selected as the research subjects and randomly divided into the observation group and the control group, 100 cases in each group. The observation group adopted the doctor - nurse cooperative management mode for conducting the nursing management, while the control group adopted the conventional nursing mode. The operation time, MAP, HR, SpO2, awakening time, extubation time, satisfaction degrees of doctors, nurses and patients and medical service quality were compared between the two groups. Results The fluctuations of MAP and HR, awakening time, operation time, extubation time in the observation group were signifi-cantly less than those in the control group ( P ﹤ 0. 05); the satisfaction degrees of doctors, nurses and patients in the observation group were significantly higher than those in the control group( P ﹤ 0. 05); the ward medical service evaluation scores in the observation group were superior to those in the control group( P ﹤ 0. 05) . Conclusion The doctor - nurse cooperative management mode greatly elevates the nurses“clinical judgment”, strengthens the reasonable allocation of human resources, promotes the close exchanges and cooperation between the anaesthesia department with the nursing department, effectively improves the relationship among doctors, nurses and patients and increases the quality of clinical care.
