Construction and application of the structured 3C diseases observation form for patients undergoing spinal surgery
10.3760/cma.j.cn115682-20190923-03448
- VernacularTitle:脊柱手术患者结构化3C病情观察表格的构建及应用
- Author:
Li ZHANG
1
;
Yaping CHEN
;
Bingdu TONG
Author Information
1. 中国医学科学院 北京协和医院骨科一病房 100730
- Keywords:
Hospital, orthopedics;
Spinal surgery;
Structured;
Disease observation;
Form;
Work efficiency
- From:
Chinese Journal of Modern Nursing
2020;26(12):1610-1614
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a structured 3C dynamic disease observation form for patients undergoing spinal surgery and to explore its application effect in clinical work.Methods:Based on the literature evidence, a structured 3C disease observation form was formed through focus group interviews. Before the application of the form (from June 2018 to August 2018) , the related situations where responsible nurses used a traditional form to prepare information about the patients' conditions were collected 100 times. After the application of the form (from September 2018 to November 2018) , the related situations where responsible nurses used a structured 3C dynamic disease observation form to prepare information about the patients' conditions were collected 100 times. Before and after the application, the nurses' mastery rate of the patients' conditions, the time for the nurses to master the patients' conditions and the nurses' satisfaction with the form were compared.Results:After application of the structured 3C disease observation form, the average rate of nurses' mastery of patients' conditions increased from 88.2% to 95.1%, and the difference was statistically significant (χ 2=39.826, P<0.01) . The time spent for nurses to master the patients' conditions was shortened from (7.61±1.67) min before the implementation to (5.34±1.33) min after the implementation, and the difference was statistically significant ( t=10.654, P<0.01) . The satisfaction score of the nurses on the traditional form was (28.50±2.20) points and the satisfaction score of the structured 3C disease observation form was (35.80±3.15) points, and the difference was statistically significant ( t=-8.097, P<0.01) . Conclusions:The application of structured 3C disease observation form can significantly improve the nurses' mastery rate of patients' conditions, improve work efficiency and increases nurses' satisfaction with their own nursing work, which is helpful to improve the quality of nursing management.
