摘要
目的探讨设立专职访视人员及访视班次在神经外科患者出院指导中的应用效果。方法2014年3—8月，南京医科大学附属淮安第一医院神经外科共办理入组出院患者408例，按照患者首次收治病区分为对照组和观察组各204例。对照组给予常规出院指导，观察组在此基础上设立专职访视人员及访视班次进行规范出院指导，要求专职访视人员对本病区当日出院患者进行访视，告知患者或家属结账流程、相关疾病注意事项、出院后用药、饮食等内容，并了解患者住院期间护士的服务态度、护理技术及相关健康教育掌握情况等，根据患者或家属的掌握情况采取有针对性地出院指导，1个月后比较两组出院宣教内容的掌握情况及患者或家属对护理工作的满意度等。结果观察者患者对出院宣教内容的掌握程度分别为93．30％，高于对照组（73．89％），差异有统计学意义（χ2=26．1168，P〈0．05）；观察组患者或家属对护理工作的满意度分别为96．91％，高于对照组（86．78％），差异有统计学意义（χ2=11．236，P〈0．05）。结论将设立专职访视人员及访视班次应用于神经外科患者出院指导中，在患者和医护之间架起了一座桥梁，既提高了护理服务质量，又提高了医院的社会效益，赢得了良好的服务口碑。
Objective To study application effect of setting up full-time supervision nurse and shift in neurosurgery patients discharge guidance. Methods Between March and August in 2014, a total of 408 patients were discharged from Neurosurgery Department, Huai＇an First People＇s Hospital, Nanjing Medical University, who were divided into control group （204 cases ） and observation group （204 cases ） according to the first treatment ward. Patients in control group received conventional discharge guidance, whereas observation group had an extra full-time supervision on discharge guidance. Full-time supervision personnel should visit the patients discharged that day in the ward, inform the patient or family invoicing process, attention about related disease, medication and dietafter discharge, Meanwhile, full-time supervision personnel should get to know the service attitude of nurses, nursing technology andwhether relevant health education had been grasped during the patients＇ hospitalization, based which the full-time supervision personnel provided a targeted discharge guidance. One month later, we compared the two groups for mastering discharge health education and patient or family members＇ nursing satisfaction. Results Patients in observation grasped discharge health education better than those in control group （93.30% vs 73.89% ;χ2 = 26. 1168, P 〈 0. 05）. Patients or their family members in observation group were more satisfied with nursing than that in control group（96.91% vs 86.78%;χ2 = 11. 236,P 〈 0. 05）. Conclusions Full-time supervision nurse and shift used in neurosurgery patients discharge guidance,which build a bridge between patients and health care members, can not only improve the qualiti, of nursing service, but also elevate hospital＇ social efficiency with a good reoutation.
出处
《中华现代护理杂志》
2016年第10期1383-1386,共4页
Chinese Journal of Modern Nursing
基金
江苏省医学重点人才基金（RC2007029）
关键词
神经外科
专职访视
出院指导
满意度
Neurosurgery Department
Full-time supervision
Discharge guidance
Satisfaction
