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多专业协作护理模式在颅内动脉瘤性蛛网膜下腔出血患者中的应用。

Application of inter-professional care model in patients with aneurysmal subarachnoid haemorrhage.

机构信息

Shanxi People's Hospital, Taiyuan, China.

Graduate School of Shanxi, University of Traditional Chinese Medicine, Taiyuan, China.

出版信息

J Nurs Manag. 2020 May;28(4):797-803. doi: 10.1111/jonm.12993. Epub 2020 Apr 20.

Abstract

OBJECTIVE

To explore the feasibility and effect of the inter-professional care model in patients with aneurysmal subarachnoid haemorrhage.

METHODS

A convenient sampling method was used to recruit inpatients of a hospital as subjects from July 2016 to July 2018. According to the even/odd attribute of admission number, subjects were divided into a control group and an observation group. The number of recruited subjects was 311: the control group comprised 135 participants and the observation group 176. The average length of hospital stay, hospital fees, quality of life, and satisfaction with the quality of nursing were compared between the two groups. SPIRIT checklist was completed (see File S1).

RESULTS

After intervention, patients in the observation group had shorter average hospital stay (15.98 ± 2.7), lower hospital fees (81,018 ± 1.3), higher satisfaction with the quality of nursing (98.3%), lower incidence of complications (19.89%), improved ability to perform activities of daily living, and lower rate of disease outcome and re-admission, with statistically significant differences from the control group (p < .05).

CONCLUSION

The application of inter-professional care model in single disease patients with aneurysmal subarachnoid haemorrhage can shorten the average hospital stay, reduce hospital fees, improve the quality of life of patients, and increase patients' satisfaction with the quality of nursing, which is worthy of clinical promotion and application.

IMPLICATIONS FOR NURSING MANAGEMENT SECTION

Nursing managers can use this model to improve the ability to ensure coordination between medical professionals and integrate the ability of nursing problems, the ability to make rational distribution of nursing human resources, and the ability of critical thinking. It can be used as reference to improve the nursing management of all kinds of single diseases.

摘要

目的

探讨医护团队合作模式在颅内动脉瘤性蛛网膜下腔出血患者中的应用效果。

方法

采用便利抽样法,选取 2016 年 7 月至 2018 年 7 月某医院住院患者为研究对象。根据住院号单双号将患者分为对照组和观察组,每组各 135 例和 176 例。比较两组患者平均住院日、住院费用、生活质量及护理质量满意度。采用 SPIRIT 清单(见 File S1)完成报告。

结果

观察组患者平均住院日(15.98±2.7)、住院费用(81018±1.3)低于对照组,护理质量满意度(98.3%)高于对照组,并发症发生率(19.89%)、日常生活活动能力评分及疾病结局和再入院率均低于对照组,差异均有统计学意义(P<0.05)。

结论

将医护团队合作模式应用于颅内动脉瘤性蛛网膜下腔出血单病种患者,可缩短平均住院日,降低住院费用,提高患者生活质量,增加患者对护理质量的满意度,值得临床推广应用。

启示

护理管理者可应用该模式提高协调医护团队能力,整合护理问题能力,合理分配护理人力资源能力,以及批判性思维能力,可作为各类单病种护理管理的参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0027/7328734/e52089baa855/JONM-28-797-g001.jpg

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