摘要
目的探讨生物-心理-社会医学护理模式在普通外科病房的应用效果。方法选取2016年1月~2018年12月间收治的1641例接受传统生物医学护理模式的病人作为对照组,选取2019年1月~2021年12月间收治的1677例接受生物-心理-社会医学护理模式的病人作为观察组,比较两组的临床护理效果。普通外科生物-心理-社会医学护理模式的制定:①拟定《普通外科病房生物-心理-社会医学护理模式实行方案》,制定相关配套管理制度并组织学习;②严格按上述方案和配套管理制度操作;③对护理人员定期考核;④对病人及其家属和经治医生开展问卷调查;⑤对上述方案和配套管理制度的实施效果进行评估。结果采用生物-心理-社会医学护理模式后,观察组患者对护理效果的总满意度为95.83%,明显高于对照组的87.20%(P=0.000)。观察组患者的医疗行为配合度为92.61%,明显高于对照组的80.56%(P=0.000)。采用生物-心理-社会医学护理模式后,护理人员相关知识定期考核的通过率达99.13%,明显高于传统生物医学护理模式时期的93.23%(P=0.000)。两组患者对护理工作的投诉率比较,观察组投诉率明显低于对照组,为7.63%vs.32.72%(P=0.000)。结论通过《普通外科病房生物-心理-社会医学护理模式实行方案》的制定和配套管理制度的实施,有效提升了普通外科病房护理人员的相关知识水平,提高了护理效果和服务质量,医患关系有明显改善,病人及家属的满意度有明显提高,病人的心情有明显好转,能主动配合治疗。因此,《普通外科病房生物-心理-社会医学护理模式实行方案》的制定和配套管理制度的实施有利于病人的康复。
Objective To explore the application effects of bio-psycho-social medical nursing model in general surgical wards.Methods A total of 1641 patients with traditional biomedical nursing model admitted from January 2016 to December 2018 were selected as the control group,and 1677 patients with bio-psychology-social medical nursing model admitted from January 2019 to December 2021 were selected as the observation group.The clinical nursing effects of the two groups were compared.Formulation of the bio-psychology-social medical nursing model included:①Formulation of implementation plan of bio-psychology-social medical nursing model in general surgical ward,formulation of related supporting management system,and organization of learning;②Strictly following the scheme and supporting management system;③Regular assessment of relevant knowledge and system of nursing staff;④Questionnaire surveys on patients,their families and doctors;⑤Evaluation the implementation effects of the plan and supporting management system.Results After adopting the bio-psychology-social medical nursing model,the total satisfaction with the nursing effects in the observation group was 95.83%,which was significantly higher than 87.20%of the control group(P=0.000).The cooperation degree of medical behavior in the observation group was 92.61%,which was significantly higher than 80.56%of the control group(P=0.000).After adopting the bio-psychology-social medical nursing model,the pass rate of regular assessment of relevant knowledge of nursing staff reached 99.13%,which was significantly higher than 93.23%of the period of traditional biomedical nursing mode(P=0.000).The complaint rate of the patients in the observation group was significantly lower than that in the control group(7.63%vs.32.72%,P=0.000).Conclusions Through the formulation of the implementation plan of the bio-psychology-social medical nursing model in general surgical wards and the implementation of the supporting management system,it is effectively improved of the relevant kn
作者
郭蓉
宋才华
龚维
GUO Rong;SONG Cai-Hua;GONG Wei(Department of General Surgery,the 921 Hospital of the Joint Service Support Force of the Chinese People's Liberation Army,Changsha 410003,Hunan,China)
出处
《中国现代手术学杂志》
2022年第3期233-237,共5页
Chinese Journal of Modern Operative Surgery
关键词
生物-心理-社会医学模式
护理
普通外科
biological psychological social medical model
nursing
general surgical ward
