Influence of medical-nursing integration hierarchical responsibility management on orthopaedic nursing quality
医护一体化分层级责任制管理对骨科护理质量的影响

摘要

目的 研究分析医护一体化分层级责任制管理对骨科护理质量的影响，以此帮助护理人员改进骨科护理工作。方法 本次实验时间区间为2022年1月至2022年5月，研究人员选定骨科患者进行研究，人数共计180例。将双盲对照原则作为本次实验所选骨科患者的分组依据，研究人员在本次实验中分别采用小组责任制护理模式、医护一体化分层级责任制管理模式来完成对照组及实验组患者护理工作。记录对照组及实验组护理质量评分、护理风险事件出现情况，并加以分析比较。结果 对照组及实验组护理质量评分之间的差异是不容忽视的，两组在危重护理、基础护理、文书书写、知识宣讲方面的质量有着较大的差距，（p＜0.05）；对照组及实验组所选患者中分别22例及6例出现护理风险事件，占比分别为24.44%及6.67%，组间患者护理风度事件出现概率相关数据之间存在着不容忽视的差距，（p＜0.05）。结论 医护一体化分层级责任制管理对骨科护理质量的影响较大，其在骨科护理中的应用效果显著优于小组责任制护理模式。

Abstract

Objective To study and analyze the impact of the integrated hierarchical responsibility manage- ment of medical and nursing on the quality of orthopaedic nursing, so as to help nurses improve orthopedic nursing work.
Methods The time period of this experiment was from January 2022 to May 2022. The researchers selected orthopedic patients for research, with a total of 180 patients. Taking the double-blind control principle as the basis for the grouping of orthopedic patients selected in this experiment, the researchers used the group responsibility nursing model and the medical-nursing integrated hierarchical responsibility management model to complete the control group and experimental group patients. The nursing quality scores and the occurrence of nursing risk events in the control group and the experimental group were recorded, and analyzed and compared.
Results The differ- rence between the nursing quality scores of the control group and the experimental group cannot be ignored. There is a large gap in the quality of critical care, basic nursing, writing and knowledge dissemination between the two groups (p<0.05); the control group 22 and 6 of the selected patients in the experimental group had nursing risk events, accounting for 24.44% and 6.67%, respectively. There is a gap that cannot be ignored in the data related to the occurrence probability of patient nursing demeanor events between the groups (p<0.05).
Conclusion   The hierarchical responsibility management of integrated medical and nursing has a great influence on the quality of orthopedic nursing, and its application effect in orthopedic nursing is significantly better than that of the group res- ponsibility nursing mode.