目的：分析太原市三所三级甲等医院临床护士责任制整体护理思维认知及行为习惯的现状。方法：对太原市三所三级甲等医院543名临床一线护士进行问卷调查。结果：临床护士对责任制整体护理有正确的认知；部分条目实施不到位：评估：患者遵医行为（68.9%）、社会支持（63.7%）。结局评价：58.2%患者心理承受能力增强。出院追踪：各种途径中执行率普遍低于40%；92.08%的护士认为分管≤8位患者比较合理，3.6%的护士认为应根据科室、患者病情等具体情况来定分管患者人数。结论：临床护士对责任制整体护理认知正确，需针对实施过程中的薄弱环节进行加强；护理人力资源及护理服务项目收费仍是当前亟待解决的问题，建议加强对临床护士配置的管理，科学评估护理服务价值。%Objective:To analyze the cognitive thinking and behavior habits of clinical nurses towards responsibility holistic nursing in 3 a third grade A hospital in Taiyuan. Method:A total of 543 nurses in clinical wards were investigated with a self-designed questionnaire.Result:Nurses showed correct attitude towards responsibility holistic nursing; implementation of part of the entry was not in place: assess compliance behavior(68.9%), social support(63.7%).outcome assessment 58.2% patients with mental endurance enhancement. discharged tracking the implementation rate was generally lower than 40%;92.08% nurses agreed that in charge of ≤8 patients was reasonable.Conclusion:Clinical nurses has correct attitude towards responsibility holistic nursing, but should strengthen the weak link in implementation process; nursing human resources and nursing services charges are still problems to be solved, proposed to strengthen clinical nurse configuration management, and scientific assessment the value of nursing service.
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