中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2015年
15期
1118-1121
,共4页
病房%护理质量%患者满意度%层级管理
病房%護理質量%患者滿意度%層級管理
병방%호리질량%환자만의도%층급관리
Patient's room%Quality of nursing care%Patient satisfaction%Hierarchical management
目的 探讨层级护理管理模式在心理卫生科的应用效果,为医院管理者提供理论参考依据.方法 2012年1月开始在西安市精神卫生中心和西安交通大学心理卫生病房开展层级护理管理,采用EPIDATE 3.0和SPSS16.0社会科学统计软件包对层级管理前后的护士综合能力、患者家属的满意度、患者外逃数及护理工作质量进行比较.结果 层级护理管理模式实施前调查护理人员388名,向陪人和探视家属发放问卷2 612份;层级管理模式实施后,调查护理人员390名,向陪人和探视家属发放问卷2 628份.采用层级护理管理模式后,临床护士的综合能力明显提高,其中临床护理能力、科研能力和教学能力均提高,差异有统计学意义,P＜ 0.05;患者家属的满意度明显改善,由层级管理前后的9119％(2 382/2 612)上升到层级管理后的96.77％(2 543/2 628),x2=107.66,P＜0.05,差异有统计学意义;患者外逃率降低到零,差异有统计学意义,P＜0.05;护理工作质量评分明显改善,各个维度的得分比较差异均有统计学意义,P＜0.05.结论 层级护理管理模式能够提高心理卫生科护士的综合素质和临床能力,增加患者家属的满意度,降低患者外逃率,提升心理卫生科的服务质量,层级护理管理模式可广泛应用在心理卫生科的日常护理工作中.
目的 探討層級護理管理模式在心理衛生科的應用效果,為醫院管理者提供理論參攷依據.方法 2012年1月開始在西安市精神衛生中心和西安交通大學心理衛生病房開展層級護理管理,採用EPIDATE 3.0和SPSS16.0社會科學統計軟件包對層級管理前後的護士綜閤能力、患者傢屬的滿意度、患者外逃數及護理工作質量進行比較.結果 層級護理管理模式實施前調查護理人員388名,嚮陪人和探視傢屬髮放問捲2 612份;層級管理模式實施後,調查護理人員390名,嚮陪人和探視傢屬髮放問捲2 628份.採用層級護理管理模式後,臨床護士的綜閤能力明顯提高,其中臨床護理能力、科研能力和教學能力均提高,差異有統計學意義,P＜ 0.05;患者傢屬的滿意度明顯改善,由層級管理前後的9119％(2 382/2 612)上升到層級管理後的96.77％(2 543/2 628),x2=107.66,P＜0.05,差異有統計學意義;患者外逃率降低到零,差異有統計學意義,P＜0.05;護理工作質量評分明顯改善,各箇維度的得分比較差異均有統計學意義,P＜0.05.結論 層級護理管理模式能夠提高心理衛生科護士的綜閤素質和臨床能力,增加患者傢屬的滿意度,降低患者外逃率,提升心理衛生科的服務質量,層級護理管理模式可廣汎應用在心理衛生科的日常護理工作中.
목적 탐토층급호리관리모식재심리위생과적응용효과,위의원관리자제공이론삼고의거.방법 2012년1월개시재서안시정신위생중심화서안교통대학심리위생병방개전층급호리관리,채용EPIDATE 3.0화SPSS16.0사회과학통계연건포대층급관리전후적호사종합능력、환자가속적만의도、환자외도수급호리공작질량진행비교.결과 층급호리관리모식실시전조사호리인원388명,향배인화탐시가속발방문권2 612빈;층급관리모식실시후,조사호리인원390명,향배인화탐시가속발방문권2 628빈.채용층급호리관리모식후,림상호사적종합능력명현제고,기중림상호리능력、과연능력화교학능력균제고,차이유통계학의의,P＜ 0.05;환자가속적만의도명현개선,유층급관리전후적9119％(2 382/2 612)상승도층급관리후적96.77％(2 543/2 628),x2=107.66,P＜0.05,차이유통계학의의;환자외도솔강저도령,차이유통계학의의,P＜0.05;호리공작질량평분명현개선,각개유도적득분비교차이균유통계학의의,P＜0.05.결론 층급호리관리모식능구제고심리위생과호사적종합소질화림상능력,증가환자가속적만의도,강저환자외도솔,제승심리위생과적복무질량,층급호리관리모식가엄범응용재심리위생과적일상호리공작중.
Objective To know the effects of using hierarchical management for psychiatric nursing in psychiatric ward,and then to offer some rationales and theoretical support for hospital management.Methods The fine hierarchical management was implemented from Janurary 2012 in Xi'an Mental Health Center and the metal hygiene clinics of Xi'an Jiaotong University.Before and after the hierarchical management carried out,the nursing care quality was assessed among the family members of hospitalized patients by using satisfaction survey questionnaires,flight rate of patients was evaluated,and at the same time,nursing care quality and the nurse comprehensive ability was inspected.And then,the EPIDATE 3.0 and SPSS16.0 software was used to analyze and compare the satisfaction scores.The nurse comprehensive ability,and nursing care quality scores before and after implementation.Results The nurse comprehensive ability were improved.The satisfaction scores of family members of hospitalized patients was higher than that before implementation after the fine management implementation,which had statistical difference,P＜ 0.05.The satisfaction rate of patients' family member was 96.77％(2 543/2 628) after the fine management implementation,which was significant higher than that of before implementation,91.19％(2 382/2 612),x2=107.66,P＜0.05.Flight rate of patients was reduced after the hierarchical management,which was significantly lower than that of in before,P＜0.05.Nursing care quality scores were higher than those of in before,which has a statistical difference respectively,P＜0.05.Conclusions The hierarchical management could improve the satisfaction of family numbers,reduce the flight rate of patients,enhance nursing care quality and improve the nurse comprehensive ability.It would reduce the incidence of medical malpractice.The fine hierarchical management is worth to be applied and generalized in nursing care of psychiatric nursing in psychiatric ward.
