河北医科大学学报

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老年髋部骨折患者多学科护理团队的建设及评价

  

  1. 1.河北医科大学第三医院呼吸内科,河北 石家庄 050051;2.河北医科大学第三医院创伤老年骨科,河北 石家庄 050051;
    3.河北医科大学第三医院骨科培训基地,河北 石家庄 050051;4.河北医科大学第三医院护理部,河北 石家庄 050051
  • 出版日期:2016-12-25 发布日期:2016-12-29
  • 作者简介:董运芳( 1971- ),女,河北晋州人,河北医科大学第三医院主管护师,医学学士,从事临床护理学研究。

Construction and evaluation of multidisciplinary nursing team in elderly patients with hip fracture

  1. 1.Department of  Respiratory, the Third Hospital of Hebei Medical University, Shijiazhuang
    050051, China; 2.Department of Geriatric Orthopedics, the Third Hospital of Hebei
    Medical University, Shijiazhuang 050051, China; 3.Department of Rthopedic
    Training, the Third Hospital of Hebei Medical University, Shijiazhuang
    050051, China; 4.Department of Nursing, the Third Hospital of
    Hebei Medical University, Shijiazhuang 050051, China
  • Online:2016-12-25 Published:2016-12-29

摘要: [摘要] 目的 探讨多学科医护合作模式下,老年髋部骨折患者多学科护理团队的组建、管理及效果。方法
组建由骨科、呼吸内科、心血管内科和内分泌科护士组成的多学科护理团队,从多学科医护合作模式相适应的护理
排班、职责分工、团队护理工作流程和护理品质促进 4 个方面进行管理;评价多学科护理团队组建前后,老年髋部
骨折患者对护理工作的满意度、护理缺陷发生率以及护士综合理论知识和技能考核成绩。结果 团队组建后与组
建前相比:护理缺陷发生率下降,差异有统计学意义( P <0.05 );患者对护理工作满意度提高,差异有统计学意义
( P <0.05 );护士综合理论知识和技能考核成绩合格率均提高,差异有统计学意义( P <0.05 )。结论 多学科护理
团队是适应多学科医护合作模式和老年髋部骨折患者整体康复的新型护理工作模式。

关键词: 髋骨折, 老年人, 护理管理人员

Abstract: [ Abstract ] Objective To explore the establishment , management and effect of
multidisciplinarycareteamintheelderlypatientswithhipfractureinthemultidisciplinemedical
cooperationmode.Methods Amultidisciplinarynursingteamincludedepartmentoforthopedics ,
respiration , cardiology , endocrinologywassetup.Divisionofresponsibilities , workflow , nurse
schedulingand quality according to the multidisciplinary medicalcooperation mode were
managed.Thepatient'ssatisfaction , caredefectsandtheoreticalknowledgeandtechnicallevel
were evaluated and compared between before and after organization of multidisciplinary
cooperationteam.Results Comparing withbeforeorganizationof multidisciplinarynursing
team , thepatient'ssatisfaction ( P <0.05 ), thescoresoftheoreticalknowledge ( P <0.05 ),
technicalqualifiedrate ( P <0.05 ) weresignificantlyimprovedandthecaredefectswasreduced
(
P <0.05 ) .Conclusion Multidisciplinarycareteamisanewnursingmodetoadapttothemulti
disciplinehealthcarecooperationmodeandanewtypeofnursingcareforelderlypatientswith hipfracture.

Key words: ipfractures , aged , nurseadministrators