刘丽玲 范月容

【摘要】 目的：探討康复科应用责任制整体护理模式进行管理对提高医护患三方护理满意度及护理质量的价值。方法：选取2018年1-12月笔者所在医院康复科收治的50例患者设为观察组，采用责任制整体护理模式，选取2017年1-12月采用常规护理的50例患者设为对照组，比较两组医护患三方护理满意度、护理质量评分、心理状况评分、护理风险事件发生率。结果：护理后，观察组医、护、患三方护理满意度均高于对照组，差异有统计学意义（P<0.05）。观察组护理记录、基础护理、护理安全、物品管理、环境管理评分均高于对照组，差异有统计学意义（P<0.05）。护理前，两组SAS、SDS评分比较，差异均无统计学意义（P>0.05）;护理后，两组SAS、SDS评分均低于护理前，且观察组均低于对照组，差异有统计学意义（P<0.05）。观察组坠床、跌倒等风险事件发生率为2%，对照组风险事件发生率为14%，两组比较差异有统计学意义（P<0.05）。结论：针对康复科患者，积极开展责任制整体护理干预，可有效提高医护患三方护理满意度，增强护理管理质量，保障患者临床安全，具有非常重要的实施价值。

【关键词】 康复科; 责任制整体护理; 满意度; 护理质量; 心理状况; 风险事件

doi：10.14033/j.cnki.cfmr.2019.27.043 文献标识码 B 文章编号 1674-6805（2019）27-00-03

Analysis of Satisfaction of Responsibility System Holistic Nursing in Clinical Nursing of Rehabilitation Department/LIU Liling，FAN Yuerong.//Chinese and Foreign Medical Research，2019，17（27）：-101

【Abstract】 Objective：To explore the value of applying the responsibility system holistic nursing in rehabilitation department to improve the satisfaction of doctors，nurses and patients with tripartite nursing and the quality of nursing.Method：Fifty patients admitted in the rehabilitation department of our hospital from January to December 2018 were selected as the observation group，and the responsibility system holistic nursing was adopted.Fifty patients who received routine nursing from January to December 2017 were selected as the control group.The tripartite nursing satisfaction of doctors，nurses and patients，nursing quality score，psychological status score，and the incidence of nursing risk events were compared between the two groups.Result：After nursing，the tripartite nursing satisfaction of doctors，nurses and patients of the observation group were higher than those of the control group，the difference was statistically significant（P<0.05）.The scores of nursing records，basic nursing，nursing safety，goods management and environmental management in the observation group were higher than those in the control group，and the differences were statistically significant（P<0.05）.Before nursing，there were no significant differences in SAS and SDS scores between the two groups（P>0.05）.After nursing，SAS and SDS scores of the two groups were lower than those before nursing，and the observation group was lower than that of the control group，the differences were statistically significant（P<0.05）.The incidence of risk events such as falling in bed and falling in the observation group was 2%，and that in the control group was 14%，the difference was statistically significant（P<0.05）.Conclusion：For patients in rehabilitation department，actively carrying out holistic nursing intervention of responsibility system can effectively improve the satisfaction of tripartite nursing of doctors，nurses and patients，enhance the quality of nursing management，and ensure the clinical safety of patients，which has very important implementation value.

【Key words】 Rehabilitation department; Responsibility system holistic nursing; Satisfaction; Nursing quality; Psychological condition; Risk events

First-authors address：Dabu County Hospital of Traditional Chinese Medicine，Dabu 514299，China

近年来，我国医疗体制改革不断完善，明显提高了对护理安全问题的重视力度，护理安全及质量管理已成為各级医院开展护理管理的重要内容[1-2]。康复科是促进慢病恢复的重点科室，但因所收治的患者年龄普遍偏大，多合并有基础疾病，加之器官功能衰退，护理风险事件发生率更高[3-4]。责任制整体护理为一项新型“以患者为中心”的临床护理制度，其在具体实施时以病房为单位，对护理人员进行责任制分工，每位责任护理人员对一定数量患者负责，向其提供全程、连续的护理服务，以发挥增强护理质量，降低风险事件发生率的作用[5-6]。本次研究针对2018年1-12月笔者所在医院康复科收治的50例患者，应用责任制整体护理实施干预，取得了理想效果，现总结报告如下。……