摘要
目的探讨加速康复理念下医护协作型妇科护理门诊的实施效果。方法于2019年9月创建医护协作型妇科护理门诊,选择符合资质的妇科专科护士坐诊,制订工作制度和内容,协助手术医疗组完善患者院前检查、预康复、手术排程和延续护理等,并开展协作型护理门诊质量控制。结果医护协作型妇科护理门诊开设3年共接诊患者19824例,完成院前预康复6080例,延续护理4636例。开诊后4个月患者术前待床日、平均住院日、爽约率和30 d内非计划再入院率显著低于开诊前4个月,患者和医生对护理门诊的满意度显著提高(均P<0.05)。结论设立医护协作型妇科护理门诊,能有效提高科室的运转效率及患者康复质量,并提高患者和医生满意度。
Objective To explore the practice effect of a collaborative gynecological nurse-led clinic under the concept of Enhanced Recovery After Surgery(ERAS).Methods A collaborative gynecological nurse-led clinic was constructed in September 2019.Qualified specialist nurses were selected for outpatient visits,work instruction and content were formulated,and the specialist nurses assisted gynecologists to implement pre-hospital examination,pre-rehabilitation,surgical scheduling,transitional care,etc.And the nursing quality control was also covered in the clinic.Results During the 3 years after the construction of the collaborative gynecological nurse-led clinic,19824 patients were enrolled,in which 6080 patients completed pre-hospital pre-rehabilitation,and 4636 patients completed transitional care.During the 4 months after the construction of the clinic,the patients′preoperative bed waiting days,average length of hospitalization,cancellation rate and 30-day readmission rate were significantly lower than those patients enrolled in 4 months before the construction,and the satisfaction of patients and physicians with the clinic was significantly higher(all P<0.05).Conclusion Construction of the collaborative gynecological nurse-led clinic could effectively improve the efficiency of gynecology department and the quality of patients′rehabilitation,and enhance the satisfaction of patients and physicians.
作者
陈彦丽
史元湘
吴治敏
李玲
彭静
胡绍毅
王延洲
Chen Yanli;Shi Yuanxiang;Wu Zhiming;Li Ling;Peng Jing;Hu Shaoyi;Wang Yanzhou(Gynecology and Obstetrics Department,The First Affiliated Hospital of the Army Military Medical University,Chongqing 400038,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第8期1-4,12,共5页
Journal of Nursing Science
基金
重庆市科卫联合医学科研项目(2020FYYX059)
陆军军医大学第一附属医院护理教育教学创新能力青年人才培养计划(SWH2019HLQN-02)。
关键词
妇科
医护协作
护理门诊
加速康复
院前管理
预康复
延续护理
gynecology department
collaboration between physicians and nurses
nurse-led clinic
enhanced recovery after surgery
pre-hospital management
pre-habilitation
transitional care
