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目的:探讨精细化管理制度对骨科护理床旁交接班质量的提升作用,为护理质量的提高寻找更为有效的管理方式。方法:选取2015年10~12月来解放军第98医院就诊的骨科患者100例,所有患者均行精细化管理,统计患者的并发症情况、满意度情况及护士交接班工作情况评分等,并与上季度未实施精细化管理的100例同科室患者情况进行比较。结果:与上季度情况相比,接受了精细化管理的骨科患者,其满意度显著提高(P<0.05);患者护理过程的并发症发生率也显著降低(P<0.05);护士交接班评分情况得到显著提升(P<0.05)。结论:针对骨科护理床旁交接班中所出现的缺陷,使用五精原则,实施五细改造和五化服务,可有效提高骨科护理工作中的连续性和安全性,使患者满意度提高,进而促进医院整体护理质量的提升。
OBJECTIVE: To explore the improvement effect of meticulous management system on the quality of bedside delivery of orthopedic care, and to find a more effective management mode for the improvement of nursing quality. Methods: 100 orthopedic patients who visited the 98th Hospital of People’s Liberation Army from October to December 2015 were selected. All patients underwent fine management, statistics of patient’s complication, satisfaction and score of nurses’ shift-over work, etc. The last quarter did not implement the refined management of 100 cases with the department of patients were compared. Results: Compared with the previous quarter, the satisfaction of patients who received intensive management was significantly improved (P <0.05); the incidence of complications during nursing was also significantly decreased (P <0.05); the transfer score of nurses The situation was significantly improved (P <0.05). Conclusion: According to the defects in the orthopedic care bedside transfer, the five principles and implementation of five fine reform and five services can effectively improve the continuity and safety of orthopedic nursing work, and improve the patients’ satisfaction. Promote the overall quality of care in hospitals.