基于多学科团队协作模式的路径管理在麻醉科手术病人转运中的应用
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摘要
目的:探讨基于多学科团队协作模式的路径管理在麻醉科手术病人转运中的应用,为优化转运流程提供参考。方法:选取麻醉科2016年2-8月拟行手术病人2 046例作为观察组,2015年4-10月同类病人1 965例作为对照组。观察组病人采取基于多学科团队协作模式的安全转运路径,对照组病人采取常规院内转运方式。比较2组病人转运时间、护理缺陷发生率以及接收科室和家属满意度。结果:观察组病人转运时间明显低于对照组(P<0.01)。转运过程中,观察组护理缺陷发生率为22.58%,明显低于对照组的27.99%(P<0.01)。观察组在提前通知做好接收准备、交接时按交接单进行逐项交接、交接时介绍手术与用药率方面的接收科室满意率均高于对照组(P<0.05～P<0.01),2组在交接时管道通畅固定、协助安置病人方面差异均无统计学意义(P>0.05)。观察组家属满意度为92.99%,明显高于对照组的88.96%(P<0.01)。结论:基于多学科团队协作模式的路径管理可明显缩短麻醉科手术病人转运时间,降低护理缺陷发生率,有利于提高护理服务质量。
Objective:To investigate the application value of path management based on multidisciplinary team collaboration in the transit of patients treated with anesthesia operation,and provide the reference in optimizing the transfer process of surgical patients.Methods:Two thousand and forty-six patients scheduled by operation from February to August 2016 and 1 965 patients from April to October 2015 were divided into the observation group and control group,respectively.The observation group and control group were treated with path management based on multidisciplinary team collaboration and conventional way in the transit of hospital,respectively.The transit time,incidence of nursing deficiency and satisfaction degree of department and families were compared between two groups.Results:The transit time in observation group was significantly lower than that in control group(P<0.01).During the transportation,the rate of nursing deficiency in observation group(22.58%) was significantly lower than that in control group(27.99%)(P<0.01).The receiving department satisfaction rate(including advance notice for ready,handover by transfer orders,introducing the operation and medication) in observation group was higher than that in control group(P<0.05 to P<0.01).There was no statistical significance in the unobstructed and fixed pipeline and assist resettlement between two groups(P>0.05).The satisfaction degree of the family members in observation group(92.99%) was significantly higher than that in control group(88.96%)(P<0.01).Conclusions:The path management based on multidisciplinary team collaboration can significantly shorten the transit time of patients treated with anesthesia operation,reduce the incidence of nursing deficiency,and improve the quality of nursing care.
Objective:To investigate the application value of path management based on multidisciplinary team collaboration in the transit of patients treated with anesthesia operation,and provide the reference in optimizing the transfer process of surgical patients.Methods:Two thousand and forty-six patients scheduled by operation from February to August 2016 and 1 965 patients from April to October 2015 were divided into the observation group and control group,respectively.The observation group and control group were treated with path management based on multidisciplinary team collaboration and conventional way in the transit of hospital,respectively.The transit time,incidence of nursing deficiency and satisfaction degree of department and families were compared between two groups.Results:The transit time in observation group was significantly lower than that in control group(P<0.01).During the transportation,the rate of nursing deficiency in observation group(22.58%) was significantly lower than that in control group(27.99%)(P<0.01).The receiving department satisfaction rate(including advance notice for ready,handover by transfer orders,introducing the operation and medication) in observation group was higher than that in control group(P<0.05 to P<0.01).There was no statistical significance in the unobstructed and fixed pipeline and assist resettlement between two groups(P>0.05).The satisfaction degree of the family members in observation group(92.99%) was significantly higher than that in control group(88.96%)(P<0.01).Conclusions:The path management based on multidisciplinary team collaboration can significantly shorten the transit time of patients treated with anesthesia operation,reduce the incidence of nursing deficiency,and improve the quality of nursing care.
引文
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[2] 陈黎栋.妇产科手术病人转运途中护理风险的规避[J].江苏医药,2011,37(8):992.
[3] 张素梅,李慧君,刘海英,等.手术病人在转运过程中潜在危险因素及对策[J].疾病监测与控制,2010,4(5):320.
[4] 羊海琴,高春燕,刘晔琦,等.护士在手术病人安全转运管理中的作用[J].解放军医院管理杂志,2014,21(10):969.
[5] 黄维健,曲华.风险管理在心脏手术后转运交接病人过程中的应用[J].齐鲁护理杂志,2013,19(8):109.
[6] 车萌.心血管外科手术病人院内安全转运的护理措施[J].护理研究,2012,26(6):491.
[7] 杨华.手术病人在院内转运途中的安全护理[J].临床合理用药杂志,2011,4(20):152.
[8] 葛亚敏,江萍.心脏手术后病人转运的安全管理[J].护理与康复,2011,10(6):534.
[9] 刘家红,郑显兰.危重病人院内转运流程再造的效果评价研究[J].中国全科医学,2012,15(23):2723.
[10] ALFRED M,UBOGAYA K,CHEN X,et al.Effectiveness of culturally focused interventions in increasing the satisfaction of hospitalized Asian patients:a systematic review[J].Database System Rev Implement Rep,2016,14(8):219.
[11] DESBOROUGH J,BAGHERI N,BANFIELD M,et al.The impact of general practice nursing care on patient satisfaction and enablement in Australia:A mixed methods study[J].Int J Nurs Stud,2016,64(10):108.