摘要
目的探讨医护一体化模式在腹股沟疝手术患者护理当中的应用效果,为临床护理工作提供科学及有效的方案。方法选择我科2015年1月~2016年12月收治的符合纳入条件的腹股沟疝行无张力修补术患者100例为观察对象,以随机数字表法为设计分组依据,分为观察组与对照组,各50例。对照组患者给予常规诊疗护理干预,观察组在对照组基础上予以医护一体化模式进行干预,采用视觉模拟评分法(VAS)评估患者的疼痛程度,应用匹兹堡睡眠质量指数量表(PSOI)判定患者的睡眠质量,比较两组患者VAS、PSOI评分、住院时间、患者的护理满意度。结果护理前,两组患者VAS、PSOI评分结果比较,差异均无统计学意义(P>0.05);护理后两组患者的以上指标评分均有所降低,与护理前比较,差异有统计学意义(P<0.01);观察组两指标评分均低于对照组,差异有统计学意义(P<0.01)。观察组住院时间短于对照组,护理满意度高于对照组,差异有统计学意义(P<0.01)。结论通过医护一体化模式干预,减轻了患者疼痛、缩短了住院时间、睡眠质量提高,且提高了患者满意度。
Objective To explore the application effect of integrated care model in the nursing of patients with inguinal hernia surgery,and to provide scientific and effective solutions for clinical nursing work.Methods 100 patients with inguinal hernia received tension-free hernioplasty in our department from January 2015 to December 2016 were selected as the research objects and were divided into the control group and the observation group according to the random number table method.Patients in the control group （n=50） were given routine nursing intervention,while patients in the observation group （n=50） were given nursing intervention on the basis of the control group.The visual analogue scale （VAS） was used to assess the degree of pain,the Pittsburgh sleep quality index （PSOI） was used to determine the sleep quality of the patients.The VAS score,PSOI score,length of hospital stay and nursing satisfaction were compared between two groups. Results Before nursing,there were no significant differences between the scores of VAS and PSOI in two groups （P〉0.05）; after nursing, the scores of VAS and PSOI in ＂two groups were all decreased,and compared with those before nursing,the differences were statistically significant （P〈0.01）.And those in the observation group were lower than those in the control group,and the differences were statistically significant （P〈0.01）.The length of hospital stay in the observation group were shorter than that in the control group,the nursing satisfaction was higher than that in the control group,and the differences were statistically significant （P〈0.01）.Conclusion Through the integration of medical and nursing intervention, the patients＇ pain is reduced, the hospitalization time is shortened, the sleep quality is improved, and the patient satisfaction is improved.
出处
《中国当代医药》
2017年第19期190-193,共4页
China Modern Medicine
关键词
医护一体化模式
腹股沟疝手术
护理
满意度
Integrated medical care model
Inguinal hernia surgery
Nursing
Satisfaction
