以人为本理念在妇产科护理中的实施及探究

张茜

[摘要] 目的 探究妇产科护理管理中采用以人为本护理理念的实施效果。方法 回顾性分析在该院妇产科住院患者临床资料166例，临床资料时间区间2016年4月—2019年4月，其中83例妇产科患者进行常规护理为对照组，83例妇产科患者进行以人为本护理理念干预为观察组，对比两组妇产科患者SAS、SDS、MUIS-A评分;并发症发生情况;住院时间、住院费用及护理满意度评分。结果 观察组患者SAS评分、SDS评分、MUIS-A评分和对照组对比，各项评分均明显低于对照组（P<0.05）;观察组总并发症发生率为6.02%，对照组总并发症发生率为20.48%，观察组总并发症发生率明显低于对照组（χ2=12.814，P<0.05）;观察组住院时间比对照组短（t=8.013，P<0.05），住院費用比对照组少（t=8.752，P<0.05），护理满意度评分比对照组高（t=12.538，P<0.05）。结论 采用以人为本护理理念干预后患者焦虑、抑郁、不确定感明显缓解，治疗后并发症情况较少，患者病情恢复较快，住院费用较少，对护理人员护理满意度评分较高，在该院实施效果较好。

[关键词] 以人为本;妇产科;护理管理

[Abstract] Objective To explore the implementation effect of human-centered nursing concept in nursing management of obstetrics and gynecology. Methods A retrospective analysis of 166 clinical data of in-patients in the obstetrics and gynecology department of the hospital was conducted from April 2016 to April 2019. Among them， 83 patients with obstetrics and gynecology received routine nursing care as the control group and 83 patients with gynecology and obstetrics. Patients underwent human-centered nursing concept intervention as the observation group， and compared the SAS， SDS， and MUIS-A scores of the two groups of obstetrics and gynecology patients; the occurrence of complications; length of stay， hospitalization costs， and nursing satisfaction scores. Results Compared with the control group， the SAS score， SDS score， and MUIS-A score of the observation group were significantly lower than those of the control group（P<0.05）. The total complication rate in the observation group was 6.02%. The total complication rate in the group was 20.48%， and the total complication rate in the observation group was significantly lower than that in the control group （χ2=12.814， P<0.05）; the hospital stay in the observation group was shorter than that in the control group （t=8.013， P<0.05）. Hospital costs were lower than those in the control group（t=8.752， P<0.05）， and nursing satisfaction scores were higher than those in the control group （t=12.538， P<0.05）. Conclusion Patient-oriented anxiety， depression， and uncertainty are significantly relieved after intervention with the human-centered nursing concept. Patients have Fewer complications after treatment， patients recover faster， have less hospitalization costs， and are more satisfied with their nursing care. The higher the score， the better the implementation effect in our hospital.

[Key words] People-oriented; Obstetrics and gynecology; Nursing management

随着中国经济发展，人们生活水平的普遍提高，人们对医疗服务质量也提出了更高的要求，传统以“治疗为中心”的服务方式向“以人为中心”的服务方式转变。“以人为本”就是在日常护理时把服务人作为护理的核心，在护理过程中切实贯彻满足人、理解人、尊重人的护理理念，达到实现“以人为本”管理理念的目的[1]。妇产科是该院重要科室之一，里面住院的妇产科患者一般病情特殊、私密性较强，另外住院产妇的情况较复杂、情绪容易紧张，是易发医患矛盾及护患矛盾的主要科室[2]。以该院在2016年4月—2019年4月期间收治的166例妇产科患者为研究对象，研究“以人为本”护理理念在该院妇产科的护理效果，现报道如下。

1  资料与方法

1.1  一般资料

回顾性分析在该院妇产科住院患者临床资料166例，其中83例妇产科患者进行常规护理为对照组，83例妇产科患者进行以人为本护理理念干预为观察组，两组妇产科患者一般资料见表1。……