Objective: to evaluate the application effect of hospital examination flow chart in improving the quality of nursing service for elderly patients. Methods: from August 2020 to January 2021, the hospital developed a fl...Objective: to evaluate the application effect of hospital examination flow chart in improving the quality of nursing service for elderly patients. Methods: from August 2020 to January 2021, the hospital developed a flowchart of in-hospital examination for elderly patients, and included 81 elderly patients undergoing medical examination during this period into the experiment as the research object (experimental group), and then took 81 elderly patients from February 2020 to July 2020 as the reference object (control group). After obtaining the consent of the patients and their families, the clinical information was analyzed and counted, and the graph was continuously drawn during the experiment. During this period, the nursing satisfaction of patients and their families was investigated and counted, and the total examination time, waiting time and the incidence of medical disputes were compared. Results: compared with the control group, the nursing satisfaction of the experimental group was 92.59%, which was significantly better than the control group, and the difference was statistically significant (P < 0.05);The total examination time, waiting time and the incidence of medical disputes between the two groups were compared, and the values of the control group were significantly worse, with statistical significance (P < 0.05). Conclusion: drawing the hospital examination flow chart helps to improve the cooperation of elderly patients, make the examination process faster, reduce the waiting time of patients, shorten the overall examination time, significantly improve the nursing satisfaction of patients and their families, increase the tacit understanding of medical staff and reduce the occurrence of medical disputes, which is worthy of clinical promotion and practice.展开更多
目的评价并总结住院患者压力性损伤预防及护理相关证据,根据最佳证据制作住院患者压力性损伤预防及护理流程图,为临床护士提供实践依据。方法计算机检索BMJ、Up To Date、英国国家卫生与临床优化研究所、苏格兰院际指南网、美国指南网...目的评价并总结住院患者压力性损伤预防及护理相关证据,根据最佳证据制作住院患者压力性损伤预防及护理流程图,为临床护士提供实践依据。方法计算机检索BMJ、Up To Date、英国国家卫生与临床优化研究所、苏格兰院际指南网、美国指南网、澳大利亚JBI循证卫生保健数据库、加拿大安大略省注册护士协会网站、Embase、PubMed、Web of Science、Cochrane Library、中国生物医学文献数据库、医脉通、万方数据关于住院患者压力性损伤预防及护理的相关文献。检索时间为建库至2024年6月1日。对文献质量进行评价,提取整合、评审证据;根据最佳证据制作压力性损伤护理流程图。结果最终纳入12篇文献,5篇指南,6篇系统评价及Meta分析,1篇专家共识。总结包括皮肤评估、风险评估、评估工具、体位变换、营养、疼痛评估、清洗与清创、伤口敷料8个方面的内容,29条最佳证据,并制作了压力性损伤预防及护理的流程图。结论该研究总结了住院患者压力性损伤预防及护理的最佳证据,并根据最佳证据制作压力性损伤预防及护理流程图,可为临床医护人员预防及护理压力性损伤提供参考。展开更多
文摘Objective: to evaluate the application effect of hospital examination flow chart in improving the quality of nursing service for elderly patients. Methods: from August 2020 to January 2021, the hospital developed a flowchart of in-hospital examination for elderly patients, and included 81 elderly patients undergoing medical examination during this period into the experiment as the research object (experimental group), and then took 81 elderly patients from February 2020 to July 2020 as the reference object (control group). After obtaining the consent of the patients and their families, the clinical information was analyzed and counted, and the graph was continuously drawn during the experiment. During this period, the nursing satisfaction of patients and their families was investigated and counted, and the total examination time, waiting time and the incidence of medical disputes were compared. Results: compared with the control group, the nursing satisfaction of the experimental group was 92.59%, which was significantly better than the control group, and the difference was statistically significant (P < 0.05);The total examination time, waiting time and the incidence of medical disputes between the two groups were compared, and the values of the control group were significantly worse, with statistical significance (P < 0.05). Conclusion: drawing the hospital examination flow chart helps to improve the cooperation of elderly patients, make the examination process faster, reduce the waiting time of patients, shorten the overall examination time, significantly improve the nursing satisfaction of patients and their families, increase the tacit understanding of medical staff and reduce the occurrence of medical disputes, which is worthy of clinical promotion and practice.
文摘目的评价并总结住院患者压力性损伤预防及护理相关证据,根据最佳证据制作住院患者压力性损伤预防及护理流程图,为临床护士提供实践依据。方法计算机检索BMJ、Up To Date、英国国家卫生与临床优化研究所、苏格兰院际指南网、美国指南网、澳大利亚JBI循证卫生保健数据库、加拿大安大略省注册护士协会网站、Embase、PubMed、Web of Science、Cochrane Library、中国生物医学文献数据库、医脉通、万方数据关于住院患者压力性损伤预防及护理的相关文献。检索时间为建库至2024年6月1日。对文献质量进行评价,提取整合、评审证据;根据最佳证据制作压力性损伤护理流程图。结果最终纳入12篇文献,5篇指南,6篇系统评价及Meta分析,1篇专家共识。总结包括皮肤评估、风险评估、评估工具、体位变换、营养、疼痛评估、清洗与清创、伤口敷料8个方面的内容,29条最佳证据,并制作了压力性损伤预防及护理的流程图。结论该研究总结了住院患者压力性损伤预防及护理的最佳证据,并根据最佳证据制作压力性损伤预防及护理流程图,可为临床医护人员预防及护理压力性损伤提供参考。
