何佳孟

[摘要] 目的 探究護(hù)士分層管理對(duì)消化內(nèi)科護(hù)理質(zhì)量的影響。方法 選取該院消化內(nèi)科2017年12月—2018年12月期間收治的住院患者106例，其中53例采用傳統(tǒng)護(hù)理管理，為對(duì)照組;另外53例采用護(hù)士分層管理，為觀察組。比較分析兩組的護(hù)理質(zhì)量評(píng)分、護(hù)士行為評(píng)分、患者健康教育知曉度、患者遵醫(yī)行為、患者投訴率和護(hù)理服務(wù)滿意度。結(jié)果 與對(duì)照組相比，觀察組護(hù)理質(zhì)量評(píng)分、護(hù)士行為評(píng)分、患者的健康教育知曉度、患者遵醫(yī)行為以及護(hù)理滿意率較高，其患者投訴率較低，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 在消化內(nèi)科護(hù)理管理中采用護(hù)士分層管理能改善患者的健康教育知曉度、患者遵醫(yī)行為、提升護(hù)理滿意度，減少患者投訴，值得臨床進(jìn)一步推廣使用。

[關(guān)鍵詞] 護(hù)士;分層管理;消化內(nèi)科;護(hù)理質(zhì)量;遵醫(yī)囑行為;護(hù)理滿意度

[中圖分類號(hào)] R473 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2019）10（b）-0016-03

Effect of Stratified Management of Nurses on the Quality of Digestive Medicine Nursing

HE Jia-meng

Department of Gastroenterology， Yilong County People's Hospital， Nanchong， Sichuan Province， 637000 China

[Abstract] Objective To explore the effect of stratified management of nurses on the quality of digestive medicine nursing. Methods A total of 106 inpatients admitted to our Department of Gastroenterology from December 2017 to December 2018 were enrolled. Of these， 53 cases were treated with traditional nursing management， and the other 53 cases were managed by nurses. The nursing quality score， nurse behavior score， patient health education awareness， patient compliance behavior， patient complaint rate and nursing service satisfaction were compared and analyzed. Results Compared with the control group， the observation group's nursing quality score， nurse behavior score， patient's health education awareness， patient compliance behavior and nursing satisfaction rate were higher， and the patient complaint rate was lower， the difference was statistically significant（P<0.05）. Conclusion The use of stratified management of nurses in the management of digestive medicine can improve the health education awareness， patient compliance behavior， improve nursing satisfaction， and reduce patient complaints. It is worth further clinical promotion.

[Key words] Nurse; Stratified management; Gastroenterology; Quality of care; Compliance with doctor's behavior; Nursing satisfaction

消化內(nèi)科的診療范圍主要是針對(duì)發(fā)生于食管、胃、肝、膽、胰腺、大腸、小腸等部位的疾病，該科室的疾病種類較多，涉及到很多方面的醫(yī)學(xué)知識(shí)。在疾病治療中，護(hù)理操作流程復(fù)雜繁瑣，需要患者主動(dòng)配合治療，才能促進(jìn)其病情的早日康復(fù)[1]。因此，對(duì)于消化內(nèi)科患者，護(hù)理干預(yù)的作用十分重要，需要對(duì)其進(jìn)一步加強(qiáng)管理。護(hù)士分層管理是一種新型的護(hù)理管理模式，其通過對(duì)護(hù)士人力資源進(jìn)行合理配置以提高護(hù)理質(zhì)量，在臨床很多科室護(hù)理中均具有良好效果[2]。為此，該文以該院消化內(nèi)科2017年12月—2018年12月期間收治的106例患者為研究對(duì)象，分析護(hù)士分層管理對(duì)護(hù)理質(zhì)量的影響，現(xiàn)報(bào)道如下。

1 ?資料與方法

1.1 ?一般資料

在該院消化內(nèi)科收治的患者中抽取106例，分為對(duì)照組和觀察組，各53例。對(duì)照組男28例，女25例;年齡為20～65歲不等，平均年齡為（43.76±6.27）歲;上消化道出血20例，黃疸14例，肝硬化14例，其他5例。觀察組男30例，女23例;年齡為21～62歲不等，平均年齡為（44.28±6.39）歲;上消化道出血21例，黃疸13例，肝硬化15例，其他4例。所有患者或其家屬均具有知情權(quán)，且自愿加入該研究，排除認(rèn)知功能障礙、精神類疾病以及臨床資料不完整患者。兩組患者在年齡、疾病類型以及性別等一般資料上差異無統(tǒng)計(jì)學(xué)意義（P>0.05），具有可比性。