張娟

[摘要] 目的 在兒科門(mén)診注射室當(dāng)中實(shí)施走動(dòng)式管理模式，分析其對(duì)護(hù)理質(zhì)量的影響。方法 選擇2018年1—12月在該院接受兒科門(mén)診注射室治療的小兒患者120例納入研究，按照其接受的兒科門(mén)診注射室管理模式的差異分為對(duì)照組和研究組，對(duì)照組接受的管理模式為常規(guī)性質(zhì)的，研究組則在常規(guī)護(hù)理的基礎(chǔ)上加以走動(dòng)式管理，將兩組在完成診治后護(hù)理滿意度進(jìn)行調(diào)查，并評(píng)估兩組護(hù)理質(zhì)量（醫(yī)院溝通、技術(shù)操作、服務(wù)態(tài)度、醫(yī)院環(huán)境）。結(jié)果 調(diào)查以及評(píng)估結(jié)果表示，研究組護(hù)理滿意度優(yōu)于對(duì)照組，且研究組在各項(xiàng)護(hù)理質(zhì)量項(xiàng)目中得分高于對(duì)照組（P<0.05）。結(jié)論 針對(duì)兒科門(mén)診注射室的小兒患者可以實(shí)施走動(dòng)式管理模式，其有利于優(yōu)化整體服務(wù)質(zhì)量，為小兒患者提供全面的管理，加快診療效率，提升小兒家屬對(duì)醫(yī)院服務(wù)的滿意度。

[關(guān)鍵詞] 走動(dòng)式管理;兒科門(mén)診注射室;病區(qū);護(hù)理質(zhì)量;護(hù)理管理

[中圖分類號(hào)] R47 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2020）01（a）-0039-03

[Abstract] Objective To implement a walking management mode in the injection room of a pediatric clinic and analyze its impact on the quality of care. Methods A total of 120 pediatric patients who were treated in our hospital's pediatric outpatient injection room during the period from January to December 2018 were selected. All of them were included in the study and managed according to the pediatric outpatient injection room they received. The differences in the models are divided into the control group and the research group. The management mode accepted by the control group was of a conventional nature. The research group was based on routine care added ambulatory management. The satisfaction of the two groups after the diagnosis and treatment was investigated， and the quality of care between the two groups （hospital communication， technical operations， service attitude， hospital environment） was assessed. Results The survey and evaluation results showed that the nursing satisfaction of the study group was better than that of the control group， and the study group scored higher than the control group in various nursing quality items（P<0.05）. Conclusion The pediatric patients in the pediatric outpatient injection room can implement the ambulatory management mode， which is conducive to optimizing the overall service quality， providing comprehensive management for pediatric patients， accelerating the efficiency of diagnosis and treatment， and improving the satisfaction of pediatric families to hospital services.

[Key words] Walking management; Pediatric outpatient injection room; Ward; Nursing quality; Nursing management

兒科門(mén)診注射室中的小兒患者大都是發(fā)病突然、病情發(fā)展迅速、病情變化多樣等，需要接受及時(shí)的診治，但是兒科門(mén)診注射室患兒數(shù)量比較多，且家屬因?yàn)榛純旱牟∏榇嬖诮箲]的心理，對(duì)就診過(guò)程中的護(hù)理具有較高要求，醫(yī)院針對(duì)兒科門(mén)診注射室實(shí)施管理措施存在一定的難度。以往對(duì)兒科門(mén)診注射室實(shí)施的常規(guī)護(hù)理管理措施往往達(dá)不到患兒家屬的要求[1]，無(wú)法提高診療效率，容易引起護(hù)患糾紛，因此臨床針對(duì)兒科門(mén)診注射室的特點(diǎn)，近幾年逐漸應(yīng)用走動(dòng)式管理模式，為兒科門(mén)診注射室小兒患者提供全面護(hù)理，提高護(hù)理質(zhì)量。該研究選擇2018年1—12月在該院接受兒科門(mén)診注射室的小兒患者120例為研究對(duì)象評(píng)價(jià)該院兒科門(mén)診注射室實(shí)施走動(dòng)式管理措施的效果，現(xiàn)報(bào)道如下。

1? 資料與方法

1.1? 一般資料

該研究取選擇在該院兒科門(mén)診注射室接受治療的小兒患者共120例，將其全部納入研究當(dāng)中，在納入研究之前所有患兒家屬對(duì)該研究知情并同意參與其中，均為第1次到兒科門(mén)診注射室就診，按照其接受的兒科門(mén)診注射室管理模式的差異分為對(duì)照組和研究組。對(duì)照組：男患兒32例、女患兒28例;年齡分布區(qū)間為1～10歲，年齡中值為（5.2±1.6）歲;研究組：男患兒34例、女患兒26例;年齡分布區(qū)間為1～11歲，年齡中值為（5.8±1.2）歲。將兩組患兒年齡、性別進(jìn)行比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。