摘要
目的探讨医护联合门诊模式在慢病管理中的应用。方法选取2020年1月-2021年6月在东部战区总医院第四派驻门诊部就诊的慢性病患者82例,随机分为观察组和对照组两组,各41例。对照组予以常规诊疗及护理干预,观察组则实施医护联合门诊模式。两组患者对自身疾病饮食、用药、日常活动、复诊等相关知识的了解程度采用门诊部自拟的《遵医行为知晓情况调查表》进行评价和比较;比较两组患者干预6个月内因慢性疾病控制不佳而导致非计划入院的发生情况。结果实施医护联合门诊模式后,观察组患者的遵医行为知晓情况评分显著高于对照组,差异有统计学意义(P<0.05);观察组患者干预6个月内因慢性疾病控制不佳而导致非计划入院的发生率显著低于对照组,差异有统计学意义(P<0.05).结论医护联合门诊模式由医生、护士共同对慢性病患者的病史、个体情况、对疾病相关知识的掌握情况及相关检查结果进行评估,根据评估结果开具相应的医嘱,再由医护共同对患者进行健康教育,有效提高了慢性病患者的遵医行为,预防并减少了因慢性病控制不佳而导致非计划入院的发生,对提高门诊服务质量具有积极意义。
Objective To explore the application of medical care combined outpatient mode in chronic disease management.Method From January 2020 to June 2021,82 patients with chronic diseases in the outpatient department of our hospital were randomly divided into observation group and control group,with 41 cases in each group.The control group was given routine diagnosis and treatment and nursing intervention,while the observation group was given combined outpatient mode.The knowledge of diet,medication,daily activities,return visit and other related knowledge of patients in the two groups was evaluated and compared with the questionnaire of Compliance Behavior knowledge prepared by our outpatient department.The incidence of unplanned admission due to poor chronic disease control within 6 months of intervention was compared between the two groups.The satisfaction of outpatient service was compared between the two groups.Results After the implementation of the combined outpatient mode,the score of compliance behavior awareness in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The incidence of unplanned admission due to poor control of chronic diseases in observation group was significantly lower than that in control group within 6 months of intervention,the difference was statistically significant(P<0.05).Conc I us i on The model of combined outpatient service can effectively improve the compliance behavior of patients with chronic diseases,prevent and reduce the occurrence of unplanned admission due to poor control of chronic diseases,and has positive significance for improving the quality of outpatient service.
作者
严维娣
蒋明春
吴晖耘
Yan Weidi;Jiang Mingchun;Wu Huiyun(The 4th outpatient Department of the Eastern Theater Command General Hospital,Jiangsu Nanjing 210045)
出处
《首都食品与医药》
2022年第7期109-111,共3页
Capital Food Medicine
关键词
医护联合门诊模式
慢病管理
遵医行为
非计划入院
Joint outpatient model of medical care
Chronic disease management
Compliance behavior
Unplanned hospital admission
