BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improv...BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of nursing.AIM To explore the effect analysis of applying high-quality service model to surgical nursing.METHODS We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective communication.Another group of patients received traditional care as a control group.We compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two groups.Inferential statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention measures.RESULTS Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±6.2.In terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±1.2.In terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications.In addition,the average hospital stay of patients in the quality service model group was shortened from 6.8±1.5 d to 5.2±1.3 d,and the hospitalization cost was also reduced from 2800±600 yuan to 2500±500 yuan.CONCLUSION Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes,including faster recovery,less pain,greater satisfaction,and reduced complication rates.展开更多
目的研究以专科护士为主导的“1+1+X”协同管理模式对稳定型心绞痛患者病情、自我管理能力的影响。方法方便选取2021年3月—2023年3月聊城市第二人民医院心血管内科收治的86例稳定型心绞痛患者为研究对象,根据不同护理方法分为常规组和...目的研究以专科护士为主导的“1+1+X”协同管理模式对稳定型心绞痛患者病情、自我管理能力的影响。方法方便选取2021年3月—2023年3月聊城市第二人民医院心血管内科收治的86例稳定型心绞痛患者为研究对象,根据不同护理方法分为常规组和协同管理组,各43例。常规组采用常规护理,协同管理组采用以专科护士为主导的“1+1+X”协同管理模式护理,两组均持续护理1个月。观察对比两组患者护理前后生活质量[健康调查简表(MOS Item Short Form Health Survey,SF-36)]、焦虑抑郁心理状况、自我管理能力[冠心病自我管理行为量表(Coronary Artery Disease Self-management Scale,CSMS)]。结果护理后,协同管理组SF-36量表评分高于常规组,差异有统计学意义(P<0.05);协同管理组焦虑自评量表(38.18±3.52)分、抑郁自评量表(39.21±3.24)分均优于常规组的(43.23±3.61)分、(45.03±3.69)分,差异有统计学意义(t=6.568、7.772,P均<0.05);协同管理组CSMS评分高于常规组,差异有统计学意义(P均<0.05)。结论以专科护士为主导的“1+1+X”协同管理模式应用于稳定型心绞痛患者护理可有效提升生活质量,改善不良心理状态,提高自我管理能力。展开更多
文摘BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of nursing.AIM To explore the effect analysis of applying high-quality service model to surgical nursing.METHODS We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective communication.Another group of patients received traditional care as a control group.We compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two groups.Inferential statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention measures.RESULTS Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±6.2.In terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±1.2.In terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications.In addition,the average hospital stay of patients in the quality service model group was shortened from 6.8±1.5 d to 5.2±1.3 d,and the hospitalization cost was also reduced from 2800±600 yuan to 2500±500 yuan.CONCLUSION Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes,including faster recovery,less pain,greater satisfaction,and reduced complication rates.
文摘目的研究以专科护士为主导的“1+1+X”协同管理模式对稳定型心绞痛患者病情、自我管理能力的影响。方法方便选取2021年3月—2023年3月聊城市第二人民医院心血管内科收治的86例稳定型心绞痛患者为研究对象,根据不同护理方法分为常规组和协同管理组,各43例。常规组采用常规护理,协同管理组采用以专科护士为主导的“1+1+X”协同管理模式护理,两组均持续护理1个月。观察对比两组患者护理前后生活质量[健康调查简表(MOS Item Short Form Health Survey,SF-36)]、焦虑抑郁心理状况、自我管理能力[冠心病自我管理行为量表(Coronary Artery Disease Self-management Scale,CSMS)]。结果护理后,协同管理组SF-36量表评分高于常规组,差异有统计学意义(P<0.05);协同管理组焦虑自评量表(38.18±3.52)分、抑郁自评量表(39.21±3.24)分均优于常规组的(43.23±3.61)分、(45.03±3.69)分,差异有统计学意义(t=6.568、7.772,P均<0.05);协同管理组CSMS评分高于常规组,差异有统计学意义(P均<0.05)。结论以专科护士为主导的“1+1+X”协同管理模式应用于稳定型心绞痛患者护理可有效提升生活质量,改善不良心理状态,提高自我管理能力。
