泛血管疾病患者融合病房多学科协作护理管理模式的构建与实践

doi:10.3761/j.issn.0254-1769.2024.13.002

摘要/Abstract

摘要：

目的构建“组织-培训-应急-联合-质控”五位一体的泛血管疾病患者融合病房多学科协作护理管理模式，并探讨其实践效果。方法在文献研究及专家会议的基础上，形成泛血管疾病患者融合病房多学科协作护理管理模式，包括实施精准、动态、智能化的全院床位统筹调配；制订多学科培训方案；建立急危重症病例救治保障机制；构建多学科护理团队联合管理的规范化路径；建立智能化及同质化的护理质量控制链。于2022年7月—2023年12月在浙江省某三级甲等医院心脑血管病院区应用该管理模式，收集泛血管疾病出院患者平均住院日、治愈好转率及心肺复苏成功率等指标，并调查患者满意度。结果应用泛血管疾病患者融合病房多学科协作护理管理模式期间，收治泛血管疾病患者5 416例，平均住院日为（6.11±0.73） d，治愈好转率为98.06%（5 311/5 416），心肺复苏成功率为94.12%，无不良事件发生。泛血管疾病患者总体满意度得分从2022年第4季度的（92.74±1.68）分提升至2023年第4季度的（98.21±0.55）分（P<0.001）。结论泛血管疾病患者融合病房多学科协作护理管理模式的应用为医院培养跨专业护理人才、促进资源有效整合、优化健康管理方式探索了一条新路径，切实提升了医院现有资源的利用率和患者就医体验感。

关键词: 泛血管疾病, 融合病房, 多学科协作, 护理管理研究, 就医体验

Abstract:

Objective To explore the construction and practical effects of a multidisciplinary collaborative nursing management model of “organization-training-emergency response-integration-quality control” for pan-vascular disease patients in integrated wards. Methods On the basis of literature research and expert meetings，a multidisciplinary collaborative nursing management model for patients with pan-vascular disease in intergrated wards has been formed. It includes the implementation of accurate dynamic and intelligent overall allocation of beds in the hospital，the formulation of multidisciplinary training programs，the establishment of an emergency and critical case treatment guarantee mechanism，the construction of a standardized path for the joint management of multidisciplinary nursing teams，and the establishment of an intelligent and homogeneous nursing quality control chain. From July 2022 to December 2023，the program was implemented in the cardio-cerebrovascular ward of a tertiary A hospital in Zhejiang province，and indicators such as the average length of stay，cure and improvement rate，and cardiopulmonary resuscitation success rate were collected，and the satisfaction of patients with pan-vascular disease was investigated. Results During the application of multidisciplinary collaborative nursing management model for patients with pan-vascular disease，5416 patients were admitted，with an average length of stay of 6.11±0.73 days，a cure and improvement rate of 98.06%（5 311/5 416），a cardiopulmonary resuscitation success rate of 94.12%，and no adverse events. The overall satisfaction score of patients improved from 92.74±1.68 points in the 4th quarter of 2022 to 98.21±0.55 points in the 4th quarter of 2023（P<0.001）. Conclusion The construction of the multidisciplinary collaborative nursing management model in the integrated pan-vascular ward has explored a new path for the hospital to cultivate cross-professional nursing personnel，promoted effective resource integration，and optimized the health management path，effectively improved the utilization rate of existing resources in the hospital and patients’ medical experience.

Key words: Pan-Vascular Disease, Integrated Ward, Multidisciplinary Team, Nursing Administration Research, Medical Experience

鲍向英, 冯佳, 赵华, 兰美娟. 泛血管疾病患者融合病房多学科协作护理管理模式的构建与实践[J]. 中华护理杂志, 2024, 59(13): 1548-1554.

BAO Xiangying, FENG Jia, ZHAO Hua, LAN Meijuan. Construction and practice of a multidisciplinary collaborative nursing management model in the integrated ward for pan-vascular disease patients[J]. Chinese Journal of Nursing, 2024, 59(13): 1548-1554.

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