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老年慢性病家庭病房开展实践与效果 被引量:10

Practice and effects of family ward of elderly chronic patients
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摘要 目的干休所建立家庭病房,探索老年慢性病连续护理的有效工作模式与效果。方法确立家庭病房设立原则及要求,严格筛选收治对象,评估家庭环境,按照家庭病房运行流程实施管理,制订家庭病房查房制度及个性化连续护理方案。结果开设家庭病房11年中共收治患者857例,其中经治疗和护理病情稳定349例,病情好转66例,发生病情变化转院353例,转院后死亡89例。医护人员共出诊、会诊983例次,双向转诊1 714例次,处理突发事件69起。开展家庭病房11年来未发生医疗、护理差错及医患纠纷,患者及家属对医护人员的满意度为100.00%。结论在干休所建立家庭病房,方便了高龄、多病、行动不便患者的医疗需求,缓解了患者住院难及医院床位压力,是一种有效的慢性病连续护理方式。 Objective To explore the working mode and effects of continuous nursing of the elderly and chronic patients by setting up family ward in cadre's sanitarium. Methods Established set - up principles and requirements of family ward, strictly screened treated object, assessed family environment, man- aged according to family ward running process, made family ward round system and personalized care programs. Results Family ward had treated 857 patients for 11 years, among which 349 were in a stable condition after treatment and nursing ,66 cases improved ,353 cases transferred after condition change, 89 cases died after transfer. Visits and consultation of medical staffs were up to 983 times, and two -way referral 1 714 times, dealing with emergencies 69 times. Medical and nursing errors and doctor - patient dispute had not occurred in 11 years, the patient and family satisfaction were 100.00%. Conclusion Setting up family ward in cadre g sanitarium is convenient for the elderly, sick, disabled patients" medical needs, alleviate their pressure of the hospitalization and hospital beds.
出处 《护理管理杂志》 2014年第10期704-705,共2页 Journal of Nursing Administration
基金 全军"十二五"面上课题(CWS11L215)
关键词 老年 慢性病 家庭病房 管理 连续护理 the elderly chronic disease family ward managemnt continuous nursing
作者简介 通讯作者:陈海花,E-mail:pennyl98828@sohu.com
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