广东医学2017，Vol.38Issue(14)：2255-2259,5.
基于患者导向服务的老年慢性病患者输液护理服务模型构建
Construction of transfusion nursing model for elderly chronic disease patients based on patient oriented service
摘要
Abstract
Objective To investigate the effect on infusion safety of nursing model base on the patient-centered medical service.Methods Self design questionnaire on elderly patients in infusion process of nursing services, including 6 first class entries, which included environment, inform, technology, observation, life assistance, and entertainment, and 28 second class entries, were constructed.Intensive care services and processes to strengthen patients′ needs were carried out.Pre discharge satisfaction, psychological status (loneliness, depression), and the incidence of transfusion adverse events were compared between before improvement (January 2016, control group) and 6 months after the improvement (July 2016, experimental group).Results The informed, technical and observation aspects were most expected in the first class entries.The second entries, demanding skilled puncture technique, information of the drug name and role, observation of needle drop, sleep, rest, drug response, periodic inspection and etc.The patient satisfactions before and after improvement were 91.88% and 98.72%, respectively.The patients in the experimental group suffered significantly lower loneliness and depression (P<0.05).The falls, drug leakage, adverse drug reaction, unplanned extubation and pipeline blockage rats were significantly lower in experimental group (P<0.05).Conclusion Applying the patient-centered medical service to elderly patients with non-transfusion oriented service concept promotes cooperation and participation in treatment, improves the infusion process comfort, and ensures the safety of transfusion.关键词
患者导向/老年/输液/模型Key words
patient-centered/elderly/infusion/model引用本文复制引用
毛惠娜,王海燕,刘敏..基于患者导向服务的老年慢性病患者输液护理服务模型构建[J].广东医学,2017,38(14):2255-2259,5.基金项目
广东省科技计划项目(编号:2014A020212208) （编号:2014A020212208）
