建立普通科室腹透病人同质护理服务模式

目的探讨普通科室住院腹膜透析病人接受与腹膜透析专科同等、同质、安全的护理服务模式。方法医院成立腹膜透析专科护理小组，以同质服务为理念，按专科要求培训普通科室腹膜透析联络护士，内容包括腹膜透析专科知识和操作技能，并对56例普通科室住院腹膜透析病人以护理会诊及常规护理查房进行干预。比较培训及干预前后普通科室联络护士对腹膜透析操作技能和相关知识的掌握情况及住院腹膜透析病人的护理质量。结果开展同质化护理后，24个临床科室联络护士对腹膜透析操作技能及相关知识的掌握明显提高，培训前联络护士腹透操作技能及相关知识的掌握综合合格率为36．66％，培训后联络护士腹透操作技能及相关知识的掌握综合合格率为91．66％，两者比较差异具有统计学意义（P〈0．05），普通科室住院腹膜透析病人护理质量明显提升（P〈0．05）。结论同质护理服务是普通科室住院腹膜透析病人护理质量的重要保证，提高病人满意度，提升护理人员职业认同感，护患双方均共同受益。

Uniform care for patients undergoing peritoneal dialysis in non-nephrology departments

Objective To establish a nursing model of uniform care and homogeneous and safe care for patients unergoing peritoneal dialysis（PD） in non-nephrology departments. Methods A nursing team professional in PD was established in the hospital to train the liaison nurses in non-nephrology departments according to the criterion for nurses professional in PD and in term of the conception of uniform care. Essential knowledge and skills related to PD were included in the training courses. Comparisons were performed to evaluate the knowledge and skills related to PD in liaison nurses and service quality for patients undergoing PD admitted in non-nephrology departments before and after the new nursing model. Results After adapting uniform care, the nurses＇ PD knowledge and skills was significantly improved （P〈0.05）, while service qualities for patients undergoing PD were significantly enhanced （P〈0.05） in the 24 non-nephrology departments. Conclusions Uniform care is a guarantee for the quality of patient care for patients undergoning PD in non-nephrology departments. It benefits both the patients and nurses by improving patient satisfaction, as well as enhancing the professional self-identity of the nurses.