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  本文关键词：妇产科医护合作决策分级护理级别的研究，，由笔耕文化传播整理发布。

妇产科医护合作决策分级护理级别的研究

Determining of gradings of nursing care for patients in the department of obstetrics and gynecology by a joint effort of doctors and nurses

[1] [2] [3] [4]

Shi Yongli, Wang Yanxia, Meng J un fang, Li Meiying （ Department of Obstetrics and Gynecology, The Peoplels Hospital of FengXian, Fengxian 221 700, China）

徐州市丰县第一人民医院妇产科,江苏丰县221700

文章摘要：目的 探讨医护合作决策分级护理级别在妇产科临床护理工作中的应用效果.方法 将妇产科二区设为常规组,常规组按照传统的护理分级模式,由医生按照患者实际病情的轻、重、缓、急和分级护理标准决定护理级别,护士按医嘱执行；妇产科一区设为研究组,由主管医生和责任护士依据患者个体情况共同决策治疗、护理、健康教育等整体目标,明确护理级别和双方的具体任务.结果 研究组妇产科护理质量评分、患者满意率显著高于常规组（均P＜0.01）,护理级别与病情匹配率亦高于常规组.结论 妇产科应用医护合作决策护理级别,可准确界定患者护理级别,提高护理工作质量和患者满意度.

Abstr：Objective to explore the effect of doctors and nurses determining the gradings of nursing care for patients admitted to the department of obstetrics and gynecology. Methods The 2nd unit of the department of obstetrics and gynecology was assigned into the routine group, in which patientsrnursing care levels were determined according to diseases conditions and the standards of grading system of nursing care by doctors alone, while the 1st unit was assigned into the research group, in which patients＇nursing care levels were determined by doctors and nurses together. In the research group, doctors and nurses made a joint decision about the goals of therapy, nursing care, health education, identified the grades of nursing care patients should receive, and the specific tasks of the two parties. Results The quality of nursing care, and patient satisfaction in the research group were significantly higher than in the routine group（P〈0.01 for both）. The gradings of nursing care in the research group matched their diseases conditions more than in the routine group. Conclusion The collaborative effort of doctors and nurses in determining the gradings of nursing care is able to correctly identify the nursing levels patients are supposed to receive, and improve the quality of nursing care, and pa- tient satisfaction.

文章关键词：

Keyword：:department of obstetrics and gynecology grading system of nursing care physician nurse collaboration nursingcore systems satisfaction

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  本文关键词：妇产科医护合作决策分级护理级别的研究，由笔耕文化传播整理发布。