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目的:探讨医护合作决策分级护理级别在产科护理中的应用效果。方法:将孕产妇分为观察组和对照组。观察组采用医护合作共同制订护理级别,对照组采用现行标准由医生根据孕产妇的病情决定护理级别,护士执行医嘱。比较两组产科护理质量、护理级别与病情匹配率及孕产妇满意度。结果:两组在产科护理质量、护理级别与病情匹配率和孕产妇满意度上具有显著性差异,观察组产科护理质量评分显著高于对照组(P<0.01),护理级别与病情匹配率高于对照组(P<0.05),且孕产妇满意率显著高于对照组(P<0.05)。结论:产科孕产妇的需求具有个体化特征,医护合作决策护理级别有助于准确界定孕产妇的护理级别,提高护理工作效率,提高护理质量和孕产妇满意度。
Objective: To explore the effect of the level of nursing care cooperative decision-making grading nursing in obstetrics and nursing. Methods: The pregnant women were divided into observation group and control group. The observation group used the medical cooperation to jointly develop the nursing level, while the control group used the current standard to determine the nursing level according to the condition of the pregnant woman and the nurse performed the doctor’s advice. The quality of obstetric care, the level of care and the condition matching and maternal satisfaction were compared between the two groups. Results: There were significant differences in obstetrics nursing quality, nursing level and disease matching rate and maternal satisfaction between the two groups. Obstetrics and nursing quality scores in the observation group were significantly higher than those in the control group (P <0.01), and the matching rate of nursing grade and illness was high In the control group (P <0.05), and the satisfaction rate of pregnant women was significantly higher than that of the control group (P <0.05). Conclusion: The demand of obstetric maternity has individual characteristics. The level of care decision-making in medical cooperation helps to define the level of care of pregnant women accurately, improve the efficiency of nursing work, improve the quality of nursing and the satisfaction of pregnant women.