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目的探讨出院计划模式在呼吸内科应用。方法构建呼吸内科出院计划模式,通过评估、计划、实施、追踪流程对呼吸内科住院患者进行规范管理,让患者在住院全程得到全面的康复治疗方案。将出院计划模式实施前(2014年1月-3月)的716例出院患者设为对照组,出院计划模式实施后(2014年4月-6月)的739例出院患者设为观察组。对比实施前后的医生计划出院安排率、平均住院时间、出院患者滞留率、护士力量薄弱时间段新入院患者收治及医嘱处置数、出院患者满意度。结果实施出院计划模式后,医生计划出院安排率明显提高、病房平均住院时间缩短、出院患者上午10:00后滞留率明显下降,中班及夜间护士力量薄弱时间段新入院患者收治和医嘱处置数下降、出院患者满意度明显提高,差异有统计学意义(P<0.05)。结论实施出院计划模式,可以有效促进医护合作,计划性对出院患者实施健康指导,为患者回归社会、家庭提前准备,提高患者满意度,实现以患者为中心的优质护理目标,同时通过缩短平均住院时间,减少力量薄弱时间段医嘱,既保证病房医疗指标完成,又有利于护士排班管理。
Objective To investigate the application of discharge planning model in respiratory medicine. Methods Constructing respiratory hospital discharge planning model, through the evaluation, planning, implementation and follow-up procedures, we conducted standardized management of inpatients in respiratory medicine so that patients could receive comprehensive rehabilitation programs throughout the hospital stay. A total of 716 discharged patients prior to the discharge planning mode (January-March 2014) were selected as control group, and 739 discharged patients after discharge planning mode was implemented (April-June 2014) as observation group. Before and after the implementation of the planned discharge rate of doctors scheduled hospitalization, the average length of stay, discharged patients retention rate, nurses in the weak period of time the number of new patients admitted to hospital and the number of orders, discharged patients satisfaction. Results After the implementation of the discharge planning model, the doctor planned discharge rate was significantly increased, the average hospital ward shorten the discharge rate of discharged patients after 10:00 am decreased significantly, midwives and night nurses in the weak period of treatment of new hospitalization and medical treatment number Decreased, the satisfaction of patients discharged significantly increased, the difference was statistically significant (P <0.05). Conclusion The implementation of the discharge planning model can effectively promote the cooperation between doctors and patients, plan the implementation of health guidance for the discharged patients, advance the return of patients to the community, advance family preparation, improve patient satisfaction and achieve patient-centered quality nursing goals. At the same time, shorten the average hospitalization Time and reduce the power of weakness during the doctor’s order, not only to ensure the completion of wards medical indicators, but also conducive to nurse scheduling management.