摘要
Abstract
A total of 60 patients whose self-care abilities were severe or moderate dependent and stayed at the Thoracic Medicine Department of Qingdao Chest Hospital from November 2014 to October 2016 were involved in the study as the observation group,and the stratified nursing management based on the Barthel index score were provided to those patients.Sixty-five patients who stayed at the same ward in Qingdao Chest Hospital from November 2014 to October 2015 were selected as the control group and the routine nursing services were provided to those patients.In the observation group,the incidence of complications (3.33％,2/60),the rate of the disputes between nurses and patients (5.00％,3/60),the incidence of nursing risk events (6.67％,4/60),were lower than those in the control group (13.85％ (9/65),18.46％ (12/65),20.00％ (13/65)),and the differences were statistically significant (x2 =4.30,5.35,4.72,P＜0.05).In the the observation group,the satisfaction scores of the patients or their family members to the nursing quality were as follows:health education (3.85±0.45),psychological nursing (3.79±0.53),service attitude (3.65±0.78),basic nursing (3.38±0.56),operation nursing,(3.49±0.29),and they were all higher than the scores in the control group ((1.23 ± 0.23),(1.14 ± 0.22),(1.05 ± 0.36),(1.16±0.42),(1.34 ± 0.26)),the differences were statistically significant (t =40.82,36.36,23.80,24.97,43.47,P＜0.01).It is concluded that by implementing the stratified management based on the Barthel index rating scale in the clinical nursing practice in the tuberculosis ward,the human resources can be more rationally and effec tively allocated in the ward,the quality of nursing services can be improved,the nursing risk events happened in the patients can be reduced,and the satisfaction degree of the patients or their family members can be improved.关键词
结核/医院专科病房/护理管理研究/病人满意度/对比研究/Barthel指数评定量表Key words
Tuberculosis/Specific ward in hospital/Nursing administration research/Patient satisfaction/Comparative study/Barthel index rating scale
