CAJ | 학술논문

目的：探讨在介入“河南模式”下开展医护协同分层级责任制整体护理的临床效果。方法2013年11月—2014年4月，通过护理岗位层级设置和明确岗位职责，优化各班次流程，划分医护责任小组，强化医护培训，实施医护协同服务模式，与实施前半年即2013年5－10月的传统服务模式进行对比。结果实施前后的医疗护理质量、患者满意度、医护彼此工作满意度均明显提高，差异有统计学意义（P<0．01或P<0．05）。结论介入病房在多学科联合诊治的基础上，配合医护协同服务模式，能够充分调动护理人员主动性，提高医护配合默契度，提升优质服务水平，丰富护理工作内涵，促进护理专业学科发展。
목적：탐토재개입“하남모식”하개전의호협동분층급책임제정체호리적림상효과。방법2013년11월—2014년4월，통과호리강위층급설치화명학강위직책，우화각반차류정，화분의호책임소조，강화의호배훈，실시의호협동복무모식，여실시전반년즉2013년5－10월적전통복무모식진행대비。결과실시전후적의료호리질량、환자만의도、의호피차공작만의도균명현제고，차이유통계학의의（P<0．01혹P<0．05）。결론개입병방재다학과연합진치적기출상，배합의호협동복무모식，능구충분조동호리인원주동성，제고의호배합묵계도，제승우질복무수평，봉부호리공작내함，촉진호리전업학과발전。
Objective To discuss the clinical application of medical coordination and hierarchical responsibility system in interventional nursing care which is carried out based on the “Henan Province Model”. Methods From November 2003 to April 2014 at authors’ hospital, medical coordination and hierarchical responsibility system was executed through setting up a ranking system of nursing position , optimizing shift process , dividing physician-nurse medical liability groups , strengthening medical training , implementing medical coordination service mode, etc. The clinical results were compared with those of conventional nursing care that were recorded during the period from May to Oct. of 2013. Results After implementation of medical coordination and hierarchical responsibility system, the quality of medical care, the patent’s satisfaction, the cooperation satisfaction of physicians and nurses were significantly improved. Compared with those before implementation of medical coordination and hierarchical responsibility system , the differences in the above indexes were statistically significant(P<0.01 or P<0.05). Conclusion Based on multidisciplinary joint diagnosis and treatment, and combined with coordination physician-nurse service mode, the enthusiasm of nursing staff can be motivated and the tacit understanding between physicians and nurses as well as the quality of nursing service can be improved. All of the above will promote the development of nursing discipline.