摘要目的：分析以需求为导向的优质护理在风湿科住院患者中的应用效果。方法：选取2018年9月至2019年9月山东大学齐鲁医院风湿科住院的患者82例作为研究对象，按照入院顺序号分为单数组与双数组，每组41例。单数组进行常规形式的临床护理，双数组则进行以需求为导向的优质护理。比较2组的临床护理效果（并发症发生率、依从性及护患纠纷发生率）、护理服务满意度及睡眠质量[匹兹堡睡眠质量指数（PSQI）]评分。结果：双数组的临床护理效果显著优于单数组，护理服务满意度显著高于单数组，PSQI评分显著低于单数组，差异有统计学意义（P<005）。结论：以需求为导向的优质护理在风湿科住院患者中的临床护理效果较好，且可改善患者的睡眠质量，患者对其满意度更高，值得在临床护理中运用。

关键词风湿科;住院患者;需求为导向的优质护理;应用效果

Analysis on the Application Effect of Highquality Nursing Guided by Demand in Inpatients in Department of Rheumatism

ZHANG Wenjie

（Qilu Hospital of Shandong University，Ji′nan 250000，China）

AbstractObjective：To analyze the effect of highquality nursing guided by demand in inpatients in Department of RheumatismMethods：A total of 82 inpatients in Department of Rheumatism from September 2018 to September 2019 were were divided into singular group and even group by number tableThe singular group were with conventional clinical nursing，the even group were with highquality nursing guided by demandThen the clinical nursing effect（complications rates，compliance and dispute between nursing staff and patients rates），satisfaction of nursing and sleep quality[Pittsburgh sleep quality index（PSQI scale）] of two groups were comparedResults：The clinical nursing effect of even group were significantly better than those of singular group，the satisfaction of nursing was significantly higher than that of singular group，the PSQI score was significantly lower than that of control group，there were statistically significant differences（P<005）Conclusion：The clinical nursing effect of highquality nursing guided by demand in inpatients in Department of Rheumatism is better，and it can improve the sleep quality of patients，the satisfaction of patients is higher，so it is worth applying in clinical nursing.

KeywordsRheumatology;Inpatients;Highquality care;Highquality nursing guided by demand;Application effect

中图分类号：R33863;R4735文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.002

健康意識的加强让人们对临床护理工作提出更高层面的质量要求，人们更加关注护理人员是否能根据自己的需求进行临床护理服务，是否可以给自己或者是家属提供优质的护理服务。这样就要求护理人员关注到科室患者的实际需求，从患者角度对护理工作进行分析和认知，思考患者在临床治疗对护理服务提出的要求，重视对患者实施更优质的临床护理服务。以需求为导向的优质护理可以更好地关注到患者实际需求，根据患者需求对他们开展高水准的护理服务[13]。本研究对风湿科住院患者进行分组研究，分析在对风湿科住院患者进行临床护理服务中运用以需求为导向的优质护理效果与应用价值，现报道如下。……