护士3个层次结构管理对产科病区护理质量的影响分析

刘静　朱春亚　郑志琴　王琳　汪莉　仓燕蓓

[摘要] 目的 探究护士3个层次结构管理模式在产科中的临床应用效果。方法 选取该院产科2018年6月—2019年6月间收治的50例患者作为研究对象，按照入院的先后顺序分为观察组与对照组，每组25例。观察组实行护士3个层次结构管理模式，对照组采取传统责任护理管理模式，对比两组患者的满意度和护理质量。结果 观察组患者满意度（96.00%）和护理质量考核均显著高于对照组（P<0.05）。结论 护士3个层次结构管理模式可以增强护理人员的责任感，确保护理人员在规范的标准下开展护理工作。全面增强产科患者的护理满意度，提高护理的整体质量，属于一种安全性高效的护理管理模式。

[关键词] 护士;层次结构管理;护理管理;产科

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）05（b）-0093-03

Analysis of the Impact of Nurses' Three-level Structure Management on Nursing Quality in Obstetric Ward

LIU Jing， ZHU Chun-ya， ZHENG Zhi-qin， WANG Lin， WANG Li， CANG Yan-bei

Department of Obstetrics， Yangpu District Central Hospital， Shanghai， 200090 China

[Abstract] Objective To explore the clinical application of nurses' three hierarchical management models in obstetrics. Methods From June 2018 to June 2019 fifty patients admitted to the obstetrics department of our hospital were selected as research objects， and they were randomly divided into observation group and control group according to the order of admission， with 25 cases in each group. The observation group implemented a three-tier management mode of nurses， and the control group adopted the traditional responsible nursing management mode to compare the satisfaction and quality of care between the two groups of patients. Results Patients in the observation group were significantly higher in satisfaction and quality of care than those in the control group（P<0.05）. Conclusion The three-level management model of nurses can enhance the sense of responsibility of nursing staff and ensure that nursing staff carry out nursing work under standardized standards. Comprehensively enhancing the nursing satisfaction of obstetric patients and improving the overall quality of nursing is a safe and efficient nursing management model.

[Key words] Nurses; Structure management; Nursing management; Obstetrics

由于產科的工作复杂、风险较高，很容易出现临床护理方面的问题，严重影响患者的生命健康[1]。通过护士3个层次结构管理模式，将具体责任落实到个人，确保小组内明确分工，让每一位护理人员明确自身职责，提高护理的主动性，为患者提供高质量、全天候的服务，保证整体的护理质量水平显著增强。该院于2018年6月—2019年6月选取50例产科患者，分为观察组和对照组，观察组行护士3个层次结构管理模式，取得了非常良好的效果，现报道如下。

1  资料与方法

1.1  一般资料

选取该院产科收治的50例患者，按照入院的先后顺序分为观察组与对照组，每组25例。观察组年龄在24～42岁之间，平均年龄（33.72±1.32）岁;住院时间3～8 d，平均（5.64±1.36）d。对照组年龄在23～40岁之间，平均年龄（31.52±1.32）岁;住院时间3～8 d，平均住院（5.26±1.87）d。所有患者均知悉该次研究的目的和意义。两组患者年龄、住院天数等临床资料均差异无统计学意义（P>0.05），具有可比性。两组护理人员无明显变化。