Discussion on the effect of detail nursing on improving nursing satisfaction of emergency internal medicine patients
细节护理对提高急诊内科患者护理满意度的探讨

摘要

目的 探讨细节护理在急诊内科患者护理中的应用效果，分析其对提高患者护理满意度的作用。方法 选取2023年6月 - 2024年12月期间于我院急诊内科就诊的200例患者作为研究对象，采用随机数字表法将其分为对照组和观察组，每组各100例。对照组实施常规护理，观察组在常规护理基础上开展细节护理，包括优化就诊环境、加强心理护理、细化病情观察、规范护理操作、注重沟通细节等措施。比较两组患者的护理满意度、急诊抢救时间、住院时间以及并发症发生率。结果 观察组患者护理满意度为96.00%，显著高于对照组的82.00%（P＜0.05）；观察组急诊抢救时间为（35.21±5.67）min，住院时间为（5.34±1.23）d，均短于对照组的（48.56±7.89）min、（7.65±1.89）d（P＜0.05）；观察组并发症发生率为4.00%，低于对照组的15.00%（P＜0.05）。结论 在急诊内科患者护理中实施细节护理，可有效提高患者护理满意度，缩短急诊抢救时间和住院时间，降低并发症发生率，值得在临床护理工作中推广应用。

Abstract

Objective To explore the application effect of detail nursing in emergency internal medicine patients and analyze its role in improving patient nursing satisfaction.
Methods A total of 200 patients who visited the emergency internal medicine department of our hospital from June 2023 to December 2024 were selected as the research subjects. They were divided into control group and observation group by random number table method, with 100 cases in each group. The control group received routine nursing, while the observation group carried out detail nursing on the basis of routine nursing, including optimizing the treatment environment, strengthening psychological nursing, refining disease observation, standardizing nursing operations, and focusing on communication details. The nursing satisfaction, emergency rescue time, hospitalization time, and complication rate were compared between the two groups.
Results The nursing satisfaction rate of the observation group was 96.00%, significantly higher than 82.00% of the control group (P<0.05). The emergency rescue time of the observation group was (35.21±5.67) min, and the hospitalization time was (5.34±1.23) d, both shorter than (48.56±7.89) min and (7.65±1.89) d of the control group (P<0.05). The complication rate of the observation group was 4.00%, lower than 15.00% of the control group (P<0.05).
Conclusion   Implementing detail nursing in emergency internal medicine patient care can effectively improve patient nursing satisfaction, shorten emergency rescue time and hospitalization time, and reduce complication rates, which is worthy of promotion and application in clinical nursing work.