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目的:综合分析医护一体化分层级责任制管理对脊柱外科手术护理质量的影响。方法:选取在本院(在2014年11月-2016年11月)收治的90例脊柱外科手术患者,按照入院顺序随机分为实验组(应用析医护一体化分层级责任制管理方法,45例)与对照组(应用常规脊柱护理管理方法,45例)。采用SPSS20.0统计学软件进行统计学分析两组脊柱外科手术患者对护理工作人员的总满意率、护理风险发生率(意外坠床、肾静脉栓塞)、护理质量评分。结果:实验组患者对护理工作人员的总满意率显著高于对照组患者(P<0.05),实验组患者护理风险发生率显著低于对照组患者(P<0.05),实验组患者护理评分显著高于对照组(P<0.05)。结论:医护一体化分层级责任制管理充分调动护理工作人员的积极性和主动性,显著提高医护人员的配合度,提高优质护理服务质量。
OBJECTIVE: To comprehensively analyze the impact of the hierarchical management of responsibility for health care on the quality of spinal surgery nursing. METHODS: Ninety patients with spine surgery admitted in our hospital from November 2014 to November 2016 were randomly divided into experimental group (according to the hierarchical management of responsibility for health care system, 45 Cases) and control group (using conventional spine care management methods, 45 cases). Using SPSS 20.0 statistical software for statistical analysis of two groups of spine surgery patients satisfaction rate of nursing staff, nursing risk incidence (accidental bed fall, renal vein thrombosis), nursing quality score. Results: The total satisfaction rate of nursing staff in experimental group was significantly higher than that in control group (P <0.05). The incidence of nursing risk in experimental group was significantly lower than that in control group (P <0.05), and the nursing score of experimental group was significantly Higher than the control group (P <0.05). Conclusion: The hierarchical management of responsibility for health care system fully mobilizes the enthusiasm and initiative of nursing staff, significantly improves the coordination of medical staff and improves the quality of quality nursing service.