摘要
目的探讨OEC模式在无痛病房无痛康复护理中的应用效果。方法将无痛病房收治的576例需手术治疗的骨科患者,评估其一般情况及生活质量指标后,采用随机数字表法分为观察组和对照组各288例。对照组采用骨科无痛病房护理模式进行围手术期的镇痛护理干预;观察组在骨科无痛病房护理模式下开展OEC模式,建立护理工作的检查体系、责任体系和考评体系,落实护理工作的考核机制。比较两组患者疼痛评分平均值、平均住院日、护理工作满意度,临床护理路径落实率和患者对无痛病房满意度。结果术后观察组疼痛评分与对照组比较,干预主效应P<0.05。观察组患者对护理工作满意率、疼痛护理落实率和患者对无痛病房满意率显著高于对照组,平均住院日显著短于对照组(均P<0.05)。结论采用OEC管理模式,可有效提高无痛康复护理质量,提升护理工作效率,提高护理服务满意度。
Objective To study the application of OEC mode in rehabilitation nursing in orthopedics painless ward.Methods A total of 576 cases treated in the orthopedics painless ward were evaluated about general condition and life quality after admission,and divided into an observation and a control group according to the random number table,both of 288 cases.The control group were given peri-operative analgesia care according to the orthopedics painless nursing mode,while the observation group were cared additionally using OEC mode with detailed nursing inspection,a responsibility and evaluation system,and work performance appraisal mechanism.Then,the pain score,average hospitalization days,patient satisfaction with nursing,clinical nursing path implementation rate and patient satisfaction with the painless ward between the two groups were compared.Results After operation,the intervention effect in the pain scores of the two groups was of significant difference （P＜0.05）.Besides,the clinical nursing pathway implementation rate,patient satisfaction with nursing and the painless ward in the observation group were significantly higher than the control group （P＜0.05 for all）.What＇s more,the average hospitalization days of the former was significantly shorter than the latter （P＜0.05）.Conclusion The implementation of OEC management mode can effectively improve the quality of nursing care in pain control,the effect and efficiency of nursing work,as well as patients＇ satisfaction with nursing service.
关键词
骨科患者
无痛康复
骨科无痛病房
OEC管理模式
护理管理
orthopedics patients
painless recovery
orthopedics painless ward
OEC management mode
nursing management
