医护合作模式在腰椎间盘突出症患者健康教育中的应用

刘秀梅张华黎婷王崇伟

摘要目的:探讨医护合作模式在腰椎间盘突出症患者健康教育中的应用效果。 方法:将我科2012年7月~2013年7月收治的100例腰椎间盘突出症患者随机等分为试验组和对照组，对照组实施常规治疗护理及健康教育，试验组在对照组的基础上采用医护合作模式。比较两组患者对健康教育的满意度、腰椎功能以及术后生存质量。结果:试验组患者满意度、腰椎功能及术后生存质量均优于对照组，差异有统计学意义(P<0.05)。结论:医护合作模式健康教育能提高患者的遵医行为及依从性，提高护士的专业素质，促进医护合作，提高健康教育的效果及患者满意度。

关键词医护合作模式；腰椎间盘突出症；健康教育；生存质量doi:10.3969/j.issn.1672-9676.2015.08.025

收稿日期：(2014-07-31)

收稿日期：(2014-08-11)

The application of doctor-nurse cooperation mode on health education in patients with lumbar disc herniation

LIU Xiu-mei，ZHANG Hua,LI Ting，et al(Beijing Army General Hospital,Beijing100700)

AbstractObjective:To explore the application and effectiveness of doctor-and-nurse cooperation mode in health education of patients with lumbar disc herniation.Methods:A total of 100 patients were randomly divided into two groups.The control group were given routine care and health education，while the experimental group received care and health education through the doctor-and-nurse cooperation mode.The effectiveness of two groups was compared by questionnaires on the patients satisfaction, the function of lumbar and the quality of life.Results:The scores in the patients satisfaction，lumbar function and quality of life in experimental group were higher than those in control group(P<0.05).Conclusion:The application of doctor-and-nurse cooperation mode in health education can not only ensure compliance behavior of patients but also improve the professional quality of nurses and promote the cooperation of doctors and nurses,and even enhance the effect of health education and the patient satisfaction.

Key wordsDoctor-nurse cooperation mode;Lumbar disc herniation;Health education;Quality of life

医护合作是指医师和护士一起工作, 分担为患者解决问题的责任, 共同决定和施行患者的治疗和护理的过程[1]。良好的医护合作是提高医疗、护理水平，消除疾患，促进患者康复的重要保证[2]。同时随着医学模式的转变和医院服务功能的扩大，健康教育已成为医院整体护理的一个重要组成部分[3]。健康教育作为一种治疗和预防疾病的重要手段，在临床上也已得到广泛应用。基于上述先进理念，我科开展了医护合作模式，每位患者从入院到出院均由固定的医师和护士共同实施个性化、全程、整体治疗及护理。在这种工作模式下，科室制定相应健康教育制度，其健康教育工作由主管医师和责任护士共同完成，取得良好效果，现报道如下。

作者单位：100700北京市北京军区总医院总医院脊柱外科