摘要
目的观察医护一体化管理模式对肾内科住院患者的效果及对预防医院感染的作用。方法选择2020年6月—2021年6月接诊的120例肾内科住院患者,随机分为观察组(纳入60例,采用医护一体化管理模式)、对照组(纳入60例,采用常规医护管理模式),评价组间感染情况、健康调查简表(36-itemshort-form,SF-36)、患者满意度、患者依从程度、住院时间。结果①在感染发生率方面,观察组(6.67%)低于对照组(20.00%),差异有统计学意义(P<0.05);②干预前,组间SF-36评分差异无统计学意义(P>0.05);干预后,观察组SF-36评分更高,差异有统计学意义(P<0.05);③观察组操作技能(22.65±1.05)分、服务态度(22.80±1.31)分、安全管理(22.98±1.26)分、责任意识评分(23.12±1.14)分均高于对照组(19.23±1.78)分、(19.16±1.42)分、(18.52±1.37)分、(18.04±1.70)分,差异有统计学意义(P<0.05);④观察组患者依从率(91.67%)高于对照组(76.67%),且住院时间(12.69±1.72)d少于对照组(16.55±1.45)d,差异有统计学意义(P<0.05)。结论对肾内科住院患者采用医护一体化管理模式,能够提高依从程度,降低医院感染发生率,缩短住院时间,提升满意度、生活质量,值得推广。
Objective To observe the effect of the integrated management model of medical care on inpatients in the nephrology department and the effect on the prevention of nosocomial infections.Methods A total of 120 inpatient nephrology inpatients admitted from June 2020 to June 2021 were selected and randomly divided into observation group(60 cases included,using integrated medical care management mode)and control group(60 cases included,using routine medical care management mode).Evaluated the infection status between groups,health survey short form(36-itemshort-form,SF-36),patient satisfaction,patient compliance,and length of stay in hospital.Results 1.In terms of infection incidence,the observation group(6.67%)was lower than the control group(20.00%),and the difference was statistically significant(P<0.05).2.Before the intervention,there was no statistically significant difference in the SF-36 score between the groups(P>0.05);after the intervention,the SF-36 score in the observation group was higher,and the difference was statistically significant(P<0.05).3.The observation group's operating skills(22.65±1.05)points,service attitude(22.80±1.31)points,safety management(22.98±1.26)points,and responsibility awareness scores(23.12±1.14)points were all higher than those of the control group(19.23±1.78)points,(19.16±1.42)points,(18.52±1.37)points,(18.04±1.70)points,and the difference was statistically significant(P<0.05).4.The compliance rate of patients in the observation group(91.67%)was higher than that of the control group(76.67%),and the hospital stay(12.69±1.72)d was less than that of the control group(16.55±1.45)d,and the difference was statistically significant(P<0.05).Conclusion The use of an integrated medical and nursing management model for inpatients in the nephrology department can improve compliance,reduce the incidence of nosocomial infections,shorten the length of hospitalization,and improve satisfaction and quality of life.It is worthy of promotion.
作者
刘龙波
李梅
LIU Longbo;LI Mei(Department of Nephrology,Jingshan Renhe Hospital,Jingshan,Hubei Province,431800 China;Department of Respiratory Medicine,Jingshan Renhe Hospital,Jingshan,Hubei Province,431800 China)
出处
《中国卫生产业》
2021年第30期65-68,共4页
China Health Industry
关键词
医护一体化管理模式
肾内科
住院
医院感染
Integrated medical care management model
Nephrology
Hospitalization
Nosocomial infection
