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目的:探讨责任制整体护理模式下在外科病区开展“陪而不护”护理措施的效果情况。方法:随机选取2014年1月~2015年1月间富阳区第一人民医院某一外科病区收治的住院患者516例,施行责任制整体护理模式,选择同一病区2015年3月~2016年2月间收治的住院患者538例,施行责任制整体护理模式,并开展“陪而不护”措施,比较两组患者基础护理情况和患者护理满意度情况。结果:开展后协助下床活动、协助晨间洗脸、协助饮食等基础护理情况明显优于开展前(P<0.05);患者要求自请护工情况明显低于开展前;患者对护理的满意情况明显优于开展前(P<0.05)。结论:责任制整体护理模式下在外科病区开展“陪而不护”措施能明显调动护理工作人员的责任意识,增强基础护理工作,提升护理质量,取得了良好的效果,得到了患者的认可。
Objective: To explore the effect of “escorting without care” care measures in the surgical ward under the responsibility-based overall nursing model. Methods: A total of 516 hospitalized patients admitted to a surgical ward of First People’s Hospital of Fuyang District from January 2014 to January 2015 were selected randomly to carry out the responsibility-based holistic nursing model. The same ward was selected from March 2015 to 2016 538 cases of inpatients were admitted in February. The system implemented the responsibility-based holistic nursing model and carried out the “accompany and not care” measures to compare the basic nursing and patient care satisfaction of the two groups. Results: The basic nursing activities such as assistance to get out of bed during the morning, assisting morning washing, and assisting with diet were significantly better than before (P <0.05); patients ’request for self-care workers was significantly lower than that before they were carried out; patients’ satisfaction with nursing was obvious Better than before (P <0.05). Conclusion: Under the responsibility of the overall nursing model in the surgical ward to carry out “not care with ” measures can significantly mobilize the sense of responsibility of nursing staff, and enhance basic nursing work to improve the quality of care and achieved good results obtained by patients Recognition.