Application of six thinking hats thinking mode in nursing at support center

doi:10.3760/cma.j.issn.1007-1245.2023.10.028

Abstract

Abstract:

Objective　To explore the application effect of the six thinking hats thinking mode in nursing at support center. Methods　Three hundred and seventy-six patients admitted to Support Center, Hubei Third People's Hospital Affiliated to Jianghan University from January 2020 to February 2022 were selected as the research objects. They were divided into a control group (186 cases) and an observation group (190 cases) by the random number table method. In the control group, there were 101 males and 85 females; they were (45.26±4.96) years old; 56 patients had junior high school or lower diplomas, 80 high-school diplomas, and 50 junior college or higher diplomas. In the observation group, there were 110 males and 80 females; they were (45.61±4.85) years old; 60 patients had junior high school or lower diplomas, 75 high-school diplomas, and 55 junior college or higher diplomas. The control group received routine nursing. The observation received six thinking hats thinking mode of nursing. The success rates of auxiliary examination, compliance rates, the incidences of adverse events, and nursing satisfaction were compared between the two groups. The count data and measurement data were processed by χ² and t test. Results　The success rate and compliance rate of auxiliary examination in the observation group were higher than those in the control group [90.53% (172/190) vs. 80.65% (150/186) and 94.74% (180/190) vs. 76.34% (142/186)], with statistical differences (both P<0.05). The incidence of adverse nursing events in the observation group was significantly lower than that in control group [2.64% (5/190) vs. 8.06% (15/186)], and nursing satisfaction rate was higher than that in control group [92.11% (175/190) vs. 78.49% (146/186)], with statistical differences (both P<0.05). Conclusion　The application of six thinking hats thinking mode in nursing at support center can improve the success rate and compliance rate of auxiliary examination, reduce adverse events, and improve nursing satisfaction.

Key words:

Support center, Six thinking hats thinking mode, Adverse events, Nursing satisfaction

摘要：

目的　探究“六顶思考帽”思维模式在支助中心护理中的应用效果。方法　选取湖北省第三人民医院支助中心2020年1月至2022年2月期间收治的376例患者为研究对象，按照随机数字表法将患者分为对照组（186例）和观察组（190例）。对照组男、女分别为101例、85例，年龄（45.26±4.96）岁，初中及以下、高中、大专及以上分别有56例、80例、50例，给予常规护理；观察组男、女分别为110例、80例，年龄（45.61±4.85）岁，初中及以下、高中、大专及以上分别有60例、75例、55例，在常规护理的基础运用“六顶思考帽”思维模式。比较两组患者辅助检查成功率、依从率，以及不良事件发生率、护理满意度。计数资料、计量资料分别采用χ²、t检验。结果　观察组辅助检查成功率、依从率分别为90.53%（172/190）、94.74%（180/190），均高于对照组［80.65%（150/186）、76.34%（142/186）］，差异均有统计学意义（均P<0.05）。观察组护理不良事件发生率［2.64%（5/190）］低于对照组［8.06%（15/190）］，患者护理满意度［92.11%（175/190）］高于对照组［78.49%（146/186）］，差异均有统计学意义（均P<0.05）。结论　支助中心护理中应用“六顶思考帽”思维模式，可提高辅助检查成功率、依从率，减少不良事件的发生，促进护理满意度提高。

关键词:

支助中心, “六顶思考帽”思维模式, 不良事件, 护理满意度

Cheng Yuanzhen, Xiang Lin.

Application of six thinking hats thinking mode in nursing at support center [J]. International Medicine and Health Guidance News, 2023, 29(10): 1459-1462.

程院珍项琳.

“六顶思考帽”思维模式在支助中心护理中的应用 [J]. 国际医药卫生导报, 2023, 29(10): 1459-1462.

References

[1] 胡换平.支助中心在优质护理中的作用[J].时珍国医国药,2013,24(2):510.DOI:10.3969/j.issn.1008-0805. 2013.02.134.
[2] 王法丽.护理层级管理在提高呼吸内科临床护理服务质量中的应用探讨[J].国际医药卫生导报,2020,26(3):437-439.DOI:10.3760/cma.j.issn.1007-1245.2020.03.047.
[3] DeVore AD, Granger BB, Fonarow GC, et al. Effect of a hospital and postdischarge quality improvement intervention on clinical outcomes and quality of care for patients with heart failure with reduced ejection fraction: the CONNECT-HF randomized clinical trial[J]. JAMA, 2021,326(4):314-323. DOI: 10.1001/jama.2021.8844.
[4] 侯学峰,王爱爱,牛瑞红."六顶思考帽"思维模式在护理管理中的应用及启示[J].护理研究,2017,31(36):4724-4726.DOI:10.3969/j.issn.1009-6493.2017.36.045.
[5] 潘莹霞,蒋鹏,何平,等.基于六顶思考帽思维模式干预应用于ICU患者中的效果观察[J].临床护理杂志,2022,21(4):16-19.DOI:10.3969/j.issn.1671-8933.2022.04.005.
[6] 许玉荣.六顶思考帽思维模式在降低ICU患者呼吸机相关性肺炎中的应用效果[J].护理实践与研究,2021,18(13):1954-1957.DOI:10.3969/j.issn.1672-9676.2021.13.016.
[7] 郭彩铃,林惠萍,雷华冰."六顶思考帽"结合思维导图教学法在心血管内科护生岗位能力培养中的临床应用[J].中外医学研究,2022,20(9):117-120.DOI:10.14033/j.cnki.cfmr.2022.09.033.
[8] 张继娜,赵姜楠,周燕,等.互联网+康复护理服务和延续性护理对骨质疏松性腰椎压缩骨折患者术后康复的作用[J].中华创伤杂志,2021,37(3):261-266.DOI:10.3760/cma.j.cn501098-20201110-00668.
[9] 邓小宁,叶爱霞,沈碧强.精细化管理在输送陪检服务的应用[J].国际护理学杂志,2019,38(9):1305-1308.DOI:10.3760/cma.j.issn.1673-4351.2019.09.050.
[10] 李瑶,李芬,喻姣花,等.基于DEMATEL法对医院支助中心不良事件的影响因素分析[J].护理学报,2018,25(19):16-19.DOI:10.16460/j.issn1008-9969.2018.19.016.
[11] 丛波,任秋桦,于向英."六顶思考帽"思维模式在护理疑难病例讨论中的应用[J].齐鲁护理杂志,2021,27(15):158-160.DOI:10.3969/j.issn.1006-7256.2021.15.059. 2021.15.059.
[12] 王红霞,薛彩云,徐慧."六顶思考帽"在肝移植术后随访宣教中的应用研究[J].吉林医学,2019,40(4):884-886.DOI:10.3969/j.issn.1004-0412.2019.04.116.
[13] 杨玉凤,杨晓平,岑翠莲,等.急性心肌梗死患者简化绿色通道下的护理配合分析[J].中国医药科学,2020,10(7):131-133.DOI:10.3969/j.issn.2095-0616.2020.07.036.
[14] 黄敏,宋琳,肖靖,等.急诊患者护理服务满意度影响因素分析[J].中国急救复苏与灾害医学杂志,2019,14(1):67-70.DOI:10.3969/j.issn.1673-6966.2019.01.021.
[15] 王元,李岩.全程陪检在老年住院患者辅助检查中的应用效果评价[J].国际护理学杂志,2019,38(12):1846-1848.DOI:10.3760/cma.j.issn.1673-4351.2019.12.038.
[16] 范小庆,吕雯雯,俞香花."六顶思考帽"思维模式用于甲乳外科护理的效果[J].中医药管理杂志,2021,29(7):76-78. DOI:10.16690/j.cnki.1007-9203.2021.07.037.
[17] 朱玉霞,石婷婷.运用"六顶思考帽"思维模式优化体检护理流程[J].中西医结合护理(中英文),2019,5(9):20-24.DOI:10.11997/nitcwm.201909005.
[18] 李玉峰,陈云,黄立坤.六顶思考帽思维模式在护理讨论会中的应用[J].中国药物与临床,2018,18(2):311-312.DOI:10.11655/zgywylc2018.02.071.
[19] 李蓉,佘娅玲,王莉,等."六顶思考帽"联合思维导图在疑难护理病例讨论中的应用[J].当代护士(中旬刊),2021,28(12):167-170.DOI:10.19793/j.cnki.1006-6411.2021.35.058.
[20] 余爽."六顶思考帽"在提高感染儿科患儿家属手卫生知晓率的应用[J].检验医学与临床,2019,16(2):245-247.DOI:10.3969/j.issn.1672-9455.2019.02.034.
[21] 郭源,杨学会,卞盼盼."六顶思考帽"在冠状动脉介入围术期患者护理记录单中的应用[J].贵州医药,2019,43(9):1507-1508.DOI:10.3969/j.issn.1000-744X.2019.09.072.
[22] 程贤敏,侯松燕,陈克琼,等.肿瘤科护士应用分层团队管理模式对护理工作质量的影响[J].国际护理学杂志,2019,38(3):291-293,302.DOI:10.3760/cma.j.issn.1673-4351. 2019.03.002.
[23] 杨静,蔡纯雁,王泽伟.结构化团队护理模式对提高急诊抢救时效性及抢救质量的影响[J].蚌埠医学院学报,2020,45(5):680-682.DOI:10.13898/j.cnki.issn.1000-2200. 2020.05.032.
[24] 嵇加佳,金晓薇,陈姝,等.基于六顶思考帽思维改良护士排班[J].护理学杂志,2018,33(15):49-51.DOI:10.3870/j.issn.1001-4152.2018.15.049.
[25] 陈华玉,褚敏娟,谌路.应用六顶思考帽思维模式降低ICU患者呼吸机相关性肺炎发生率[J].护理学报,2017,24(18):17-20.DOI:10.16460/j.issn1008-9969.2017.18.017.
[26] 钱正,万盟,娄晟."六顶思考帽"思维模式在智能针剂发药架研发中的应用[J].中国医院,2021,25(4):77-79.DOI:10.19660/j.issn.1671-0592.2021.4.24.
[27] 赵晓明,徐宁,杜英东,等."六顶思考帽"思维模式在乳腺癌PICC带管患者随访教育中的应用[J].国际护理学杂志,2020,39(22):4058-4061.DOI:10.3760/cma.j.cn221370- 20190920-01241.
[28] 兰大华,吴承萍,石丽娟,等.六顶思考帽思维模式在血液科护理实习生教学查房中的应用[J].现代医药卫生,2021,37(14):2478-2480.DOI:10.3969/j.issn.1009-5519. 2021.14.039.
[29] 史超雄,王素英. "六顶思考帽"思维模式在移动护理信息化系统推行中的应用[J]. 当代护士(上旬刊),2019,26(10):171-173.DOI:10.3969/j.issn.1006-6411.2019.10.081.
[30] 王玲,丁霞芬,吕小林.六顶思考帽思维模式在提高病区出院患者满意度中的应用[J].中国医药指南,2018,16(8):297-298.DOI:10.15912/j.cnki.gocm.2018.08.252.