摘要
目的 探讨导航指引在患者诊疗中的应用与效果,进一步规范患者诊疗流程,方便患者就医,提高服务质量.方法 采用随机抽样法选取2015年5—6月在湖南省人民医院门诊就诊的患者582例,选取同期外出做核磁共振检查的住院患者306例及124名医护人员为对照组,选取2015年7—8月门诊就诊的患者582例,选取同期外出做核磁共振检查的住院患者306例及124名医护人员为观察组,对照组患者根据分诊护士/责任护士的指导、医院指示牌、楼层索引、地标等去候诊、就诊、检查、取药等,观察组在此基础上,根据医院的实际情况,制定门诊导航指引图和住院患者诊查导航指引图给予患者指引.比较两组门诊患者就诊时间、住院患者外出做核磁共振检查所需时间及门诊患者、住院患者和医护人员对候诊时间、就诊流程以及对医院服务的满意度.结果 使用导航指引图后,门诊患者就诊时间为（63.53±32.97）min,低于实施前的（67.94±39.44）min,差异有统计学意义（P〈0.05）;住院患者外出做核磁共振时间为（30.90±12.19）min,低于对照组的（33.75±13.38）min,差异有统计学意义（P〈0.05）;观察组患者对候诊时间、就诊流程及医院服务的满意度高于对照组,两组比较,差异有统计学意义（t值分别为-3.977、-3.355、-4.843;P〈0.001）;观察组医护人员对整个医院就诊流程的满意度均值为（84.26±9.80）%,高于实施前对照组的（80.27±9.40）%,差异有统计学意义（P〈0.05）.结论 导航指引的实施使诊疗流程更加规范、清晰、具体,提高了服务水平,是一种有效的管理方法,能显著缩短患者的就诊和检查时间,提升医护患满意度.
Objective To investigate the application and effects of navigation guidance in the diagnosis and treatment of patients so as to standardize the process of medical activities,provide convenience for patients and improve the quality of clinical service. Methods A total of 582 patients from outpatient clinic,306 hospitalized patients with MRI examinations and 124 medical staff from May 2015 to June 2015 in Hu＇nan People＇s Hospital were randomly selected as control group. A number of 582 patients from outpatient clinic,306 hospitalized patients with MRI examinations and 124 medical staff from July 2015 to August 2015 were randomly selected as experimental group. Patients in control group went for waiting doctor,treatment,examination and taking medicine with the guidance of responsible nurses. Patients in experimental group were guided with additional navigation guidance which was designed depend on the hospital. Treatment time of patients from outpatient clinic,MRI examination time of hospitalized patients,satisfaction of patients and medical staff to treatment time,treatment procedure and clinical service were compared between two groups. Results After the usage of navigation guidance,treatment time of patients from outpatient clinic in experimental group （63.53±32.97） was shorter than that in control group （67.94±39.44）. The difference was statistically significant （P 〈 0.05）. MRI examination time of hospitalized patients in experimental group （30.90±12.19） was shorter than that in control group （33.75±13.38）, with significant difference （P〈0.05）. Satisfaction rates of patients to waiting time,treatment procedure and clinical service in experimental group were higher than those in control group （t=-3.977,-3.355,-4.843,P〈0.001）. Average satisfaction rate of medical staff to treatment procedure in experimental group （84.26±9.80）% was significant higher than that in control group （80.27±9.40）% （P〈0.05）. Conclusions Application of navigation guidance improves the standardization and specification of diagnosis and treatment procedure and clinical service levels. It is an effective management method which could significantly short patients＇ treatment and examination time so as to promote the satisfaction rate of medical staff and patients.
出处
《中华现代护理杂志》
2017年第8期1167-1171,共5页
Chinese Journal of Modern Nursing
关键词
导航指引
诊疗
应用
Navigation guidance
Diagnosis and treatment
Application
作者简介
通信作者：秦月兰，Email：912542420@qq．com
