摘要目的:探讨全面托管模式下优质护理资源下沉在基层医院护理质量管理中的应用效果。方法:于2017年1月通过成立护理托管帮扶小组整合优质护理资源下沉到托管的基层医院（宁波大榭开发区医院），健全护理管理制度及护理质控三级体系，加强护理质量督导及绩效考核，多元化培养护理人才等措施。比较全面托管前与托管2年后基层医院的护理质量、护士床边综合能力、护士工作满意度、职业认同感及患者满意度。结果:托管2年后基层医院的护理质量各维度得分及总分显著高于托管前，差异有统计学意义（ P<0.05）。托管2年后的护士床边综合能力、护士工作满意度均高于托管前，差异有统计学意义（χ 2值分别为16.97、40.08； P<0.01）。托管2年后的护士职业认同感各维度得分及总分高于托管前，差异有统计学意义（ P<0.01）；托管2年后的患者满意度较托管前提高，差异有统计学意义（χ 2=30.40， P<0.01）。 结论:全面托管模式下将优质护理资源下沉到基层医院，实施科学的护理管理及人才培养的革新模式，能够有效改善托管医院的护理质量，提高护士工作满意度、患者满意度，促进托管医院的可持续发展。

abstractsObjective:To explore the application effect of high quality nursing resources sinking in primary hospitals nursing quality management under the model of overall trusteeship.Methods:In January 2017, through the establishment of a nursing custody assistance team, high-quality nursing resources were integrated to sink to the primary hospitals (Ningbo Daxie Development Zone Hospital) , improving the nursing management system and nursing quality control three-level system, strengthening nursing quality supervision, performance assessment and diversified training of nursing talents. The quality of care, nurse bedside comprehensive ability, nurse job satisfaction, professional identity, and patient satisfaction before and after trusteeship for 2 years were observed and compared.Results:After 2 years of trusteeship, the scores of nursing quality in all dimensions and total score were significantly higher than those before the trusteeship, and the differences were statistically significant ( P<0.05) . After 2 years of trusteeship, nurse bedside comprehensive ability and job satisfaction of the nurses were significantly higher than those before the trusteeship (χ 2=16.97, 40.08; P<0.01) . After 2 years of trusteeship, the scores of professional identity in all dimensions and total score were higher than those before the trusteeship, and the differences were statistically significant ( P<0.01) . After 2 years of trusteeship, the patient satisfaction was higher than that before the trusteeship, and the difference was statistically significant (χ 2=30.40, P<0.01) . Conclusions:Under the overall trusteeship mode, high-quality nursing resources are sunk into primary hospitals, and scientific nursing management and talent training innovation mode are implemented, which effectively improve the nursing quality of the trusteeship hospital, improve the job satisfaction of nurses and patients' satisfaction, and promote the sustainable development of the trusteeship hospital.