摘要目的 了解设置妇产科专职健康教育护士的效果。方法 将2010年9—11月入院的797名患者设为实验组，在常规责任护士负责健康教育的基础上，由专职健康教育护士进行系统健康教育，将6-8月入院的805名患者设为对照组，按常规由责任护士负责健康教育；比较两组患者满意度、医生对护理工作的满意度、不良事件投诉及纠纷数量进行统计比较。结果 两组患者满意度及不良事件投诉、纠纷数量上，差异有统计学意义（U=2.02，289.4;P ＜0.05）；两组医生的满意度差异无统计学意义(U=1.54，P＞0.05)。结论 设置妇产科专职健康教育护士利于患者心理疾病的早期干预，有效缓解医患冲突，提高患者满意度，一定程度上融洽了医护关系，拓展了护理专业建设与学科发展、护士职业规划。

abstractsObjective To investigate the effects of establishing the full time health education nurses in the department of gynaecology and obstetrics. Methods 797 patients who were admitted in our hospital from September to November in 2010 were separated into the treatment group. These patients were educated by usual health care nurses, besides that, these cases were systematically taken care of by the full time health education nurses. 805 patients who were admitted in our hospital from June to August in 2010 were separated into the control group, they were taken care of by routine nurses as usual. Patients' degree of satisfaction, doctors'degree of satisfaction with nursing work, incidence of patients' complaints and amount of medical disputes were compared between the two groups. Results There were statistically significant differences in patients' degree of satisfaction, incidence of patients' complaints and amount of medical disputes between the two groups ( U =2.02,289.4;P ＜0. 05), but there was no significantly different in the doctors' degree of satisfaction with nursing work ( U =1.54, P ＞ 0. 05 ). Conclusions It is very helpful to establish full time health educationnurses in the department of gynaecology and obstetrics, which can intervene patients' mental illness in the early stage, efficiently mitigate medical disputes between doctors and patients, improve the degree of patients'satisfaction, barmonize relationships of doctors and patients to some degree, and expand the disciplinary horizonin nursing and develop nurses' vocational planning.