细化分级护理在无陪护病房中应用效果.docVIP

细化分级护理在无陪护病房中应用效果 　　[摘要] 目的 探讨细化分级护理在无陪护病房中的应用效果。 方法 选取2014年7月～2015年9月我院无陪护病房的120例老年患者，按照随机数字表法分为研究组（n=62例）与对照组（n=58例），对照组患者采用传统分级护理的方式进行临床护理，研究组采用细化分级护理临床路径进行护理，观察两组患者入院前后焦虑、抑郁自评量表评分，各项护理的满意度及护理总满意度，并进行分析比较。 结果 出院时，两组患者的SAS评分与SDS评分与入院时比较，均有所下降（P0.05），但研究组患者的SAS评分与SDS评分明显低于对照组的，差异有统计学意义（P0.05）；两组患者各项护理满意度比较，差异有统计学意义（P0.05）；研究组的护理总满意度为96.77%，对照组的护理总满意度为75.86%，两组比较差异有统计学意义（P0.05）。 结论 细化分级护理方式在无陪护病房的临床应用效果显著，护理满意度较高，可以显著提高护理质量，值得在临床上应用推广。 　　[关键词] 细化分级护理；无陪护病房；临床应用 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-4721（2016）04（b）-0177-03 　　[Abstract] Objective To explore the application effects of refinement grading nursing in unattended severe wards. Methods 120 elderly patients from July 2014 to September 2015 of unattended severe wards in our hospital were selected and were divided into study group（n=62） and control group（n=58） according to random number table.Patients in control group were given traditional grading nursing and patients in study group were used refinement grading nursing clinical pathway.The anxiety and self-rating depression scale score，satisfaction of each nursing and nursing satisfaction in two groups before and after admission were recorded and compared. Results When discharged，the SAS score and SDS score in two groups decreased comparing with admission （P0.05），and the SAS score and SDS score in study group were lower than that of control group and the significance difference （P0.05）；The needed satisfy，corresponding taking care for staying in bed cannot provide for oneself，service attitude of nurses，operating skill of nursing，propaganda and education for checking the preventive care，medical care fee，often rounding ward or not and mental nursing in two groups had statistical significance （P0.05）；The satisfaction in study and control group were respectively 96.77% and 75.86%，and the difference was statistical significance （P0.05）. Conclusion Refinement grading nursing has obvious clinical application effects in unattended severe wards，which with high nursin