健康助理系统在护理质量管理中的应用

目的探讨建立健康助理系统对医院护理质量及满意度的影响。方法成立健康助理系统，设立专门办公室进行统一管理，主要职责为协助病区护士完成患者的基础护理、外出检查、标本护送、各种医疗用品的上收下送等工作。比较健康助理系统成立前后患者对护理工作的满意度、患者对健康助理员工作的满意度、医务人员对护理工作的满意度、患者基础护理质量及医院人力成本支出情况。结果健康助理系统成立后患者基础护理质量得分为（98．04±8．62）分高于成立前的（95．35±8．77）分，差异有统计学意义（t=5．1766，P〈0．01）；成立后患者对护理工作的满意度、对健康助理员工作的满意度及医生对护理工作的满意度分别为（85．3±1．2），（25．6±1．3），（22．6±1．2）分，均显著高于成立前的（83．2±1．7），（24．8±1．5），（21．9±1．6）分，差异有统计学意义（t分别为33．7741，13．4881，11．7132；P〈0．01）；成立后医院管理的月均成本为（1050．21±20．45）元低于成立前社会化管理的（1250．27±23．58）元，差异有统计学意义（t=59．0937，P〈0．01）。结论健康助理系统的成立，可以保障患者安全、有效提高护理质量，明显降低医院经费成本。

Application of health assistant system in nursing quality management

Objective To explore the influence of establishing health assistant system on the nursing quality management. Methods Health assistant system was established and a special office to unified management was set up, the main responsibility was to assist ward nurses in accomplishing essential care of patients, called out to check up, specimen transfer, medical supplies collection and distribution. Comparations were conducted before and after the health assistant system was established of these aspects in patients＇ satisfaction of care, nurses＇ satisfaction of job, doctors＇ satisfaction of nursing, patients＇ essential care quality and hospital labor cost. Results After the health assistant system was established, the patients＇ essential care quality score was（98.04±8.62） higher than（95.35±8.77） that before it established,the different was statistically significant （ t = 5. 176 6, P 〈 0.01 ）, and the patients＇ satisfaction of care （ 85.3±1.2） and the health assistant （25.6±1.3 ）, and doctors＇ satisfaction of nursing （22.6±1.2） were significantly higher than that without the aids of health assistant system[ （83.2±1.7）, （24.8±1.5）, （21.9±1.6） ,t =33. 774 1, 13.488 1,11. 713 2;P 〈0.01 ]. And the average monthly costs of hospital management was （1 050.21±20.45 ）, and that of social management was （ 1 250.27±23.58 ）, and the difference was statistically significant （ t = 59. 093 7, P 〈 0.01 ）. Conclusions The establishment of health assistant system can ensure the patients＇ safety, effectively improve the quality of care, and significantly reduce the cost of hospital expenses.