摘要目的 探讨临床专科护理指引在护理管理中应用的效果.方法 创新制订临床专科护理指引,各专科按照专科特点及需求制定本专科指引,指引主要分为两部分:疾病常规护理指引和症状护理指引.随机抽取呼吸内科、神经外科、肿瘤内科、骨外科、肿瘤放射治疗科5个护理单元为研究对象,实施指引前后进行对比.结果 以神经外科为代表科室,实施指引前基础护理质量得分为(2.223±0.315)分,满意度得分为(41.26±3.25)分,实施指引后基础护理质量得分为(3.122±0.214)分,满意度得分为(46.12±5.26)分,两者比较差异有统计学意义(t分别为21.833,12.740;P ＜0.05或P＜0.01).结论 应用临床专科护理指引,能规范临床护理行为；为临床一线护士,尤其是专科不熟悉的进修、新毕业、新转科等临床高危护士,提供科学、准确、专业、实用的专科护理指引,以提高工作效率,保证工作质量,减少护理风险,确保护理安全.

abstractsObjective To explore the effect of clinic professional nursing guidelines in nursing admini stration.Methods Clinic professional nursing guidelines were formulated according the specific condition in different apartment,the content includes two parts: routine disease care and symptom nursing guideline.Five departments of respiratory medicine,neurosurgery,oncology,orthopedic surgery and oncology radiation were randomly selected as studying subjects and the data was compared before and after guidelines.Results Neurosurgery was selected as a representation,basic nursing quality as(2.223 ±0.315),satisfaction degree was(41.26 ±3.25)before guideline and(3.122 ±0.214)and(46.12 ±5.26)after guideline respectively.The differences were statistically significant (t =21.833,12.740; P＜0.05 or ＜0.01).Conclusions Application of clinic professional nursing guidelines could standardize the nursing behavior and provide scientific,accurate,professional and practical nursing guidelines for first-line nurses,especially for those on further training,new graduate and new to switch department nurses,and raise the work effect and guarantee the work quality,reduce the nursing risk and ensure the nursing safe for them.