医护合作模式对肝病区护理人员专科知识及护理质量的影响

目的：探讨医护合作模式对提高肝病区护理人员专科知识及护理质量的效果。方法2012年1月-2013年12月对肝病区实施医护合作模式，并与2011年1-12月未实施医护合作模式前进行对比，分析两阶段护理人员专科知识、医护合作态度及医、护、患三方面对护理模式的满意度。结果实施医护合作模式后护士专科知识考核评分（92．36±4．62）分、实操评分（91．25±3．76）分显著高于实施前（85．78±5．02），（85．32±4．13）分，差异有统计学意义（t分别为4．323，4．116；P＜0．05）。实施医护合作后医生合作态度评分（65．36±10．46）分、护士合作态度评分（64．33±11．27）分显著高于实施前（52．36±8．28），（51．98±9．75）分，差异有统计学意义（t分别为5．986，6．023；P＜0．05）。实施后医生、护士、患者满意度分别为100．00％，93．33％，96．00％显著高于实施前55．56％，53．33％，60．00％，差异有统计学意义（χ2分别为6．986，7．129，9．442；P＜0．05）。结论对肝病区应用医护合作模式可提高医护人员专科知识，增强护理人员工作积极性，提高护理质量，提高医生及患者满意度，促进科室发展。

Effect of healthcare cooperation model on the liver disease nursing specialist knowledge and quality of care

Objective To investigate the effect of healthcare cooperation model on the liver disease nursing specialist knowledge and quality of care .Methods The patients , from January 2012 to December 2013, with liver disease were implemented with the healthcare cooperation model .The patients from January to December 2011 were treated with routine care .The specialist nursing knowledge , healthcare cooperative attitude and physician care differences in staff satisfaction were compared .Results The scores of nursing specialist knowledge and practical operation after the implementation of the healthcare cooperation model were （92.36 ± 4.62） and （91.25 ±3.76）, which were significantly higher than those of （85.78 ±5.02） and （85.32 ± 4.13） before the implementation （t=4.323, 4.116, respectively;P〈0.05）.The cooperative attitude scores of doctors and nurses were （65.36 ±10.46） and （64.33 ±11.27） after the implementation of the healthcare cooperation model, which were significantly higher than those of （52.36 ±8.28） and （51.98 ±9.75） before the implementation （t=5.986, 6.023, respectively;P〈0.05）.The rate of satisfaction of doctors, nurses and patients were 100.00%, 93.33% and 96.00% after the implementation of the healthcare cooperation model , which were significantly higher than those of 55.56%, 53.33% and 60.00% （χ2 =6.986, 7.129, 9.442, respectively;P〈0.05）.Conclusions The application of healthcare cooperation model can improve nursing specialist knowledge , and enhance nursing staff ’ s motivation and improve quality of care and satisfaction .It is worthy of promotion .