我国6省市专科护士配备及卧床患者常见并发症护理管理现况调查

发布时间：2018-02-24 14:05

本文关键词： 卧床并发症护理管理　出处：《中国护理管理》2016年08期 　论文类型：期刊论文

【摘要】：目的:调查我国卧床患者常见并发症科室层面的护理管理现况及其相应专科护士配备情况。方法:采用自行设计的问卷对我国6个省市的158个三级医院科室、61个二级医院科室和21个一级医院科室护士长进行调查。结果:只有35.80%的科室开展了4种常见并发症的风险评估;84.58%的科室开展了出院患者随访管理;55.00%的科室配备了专科护士,专科护士人数占护士总数的12.93%。三级医院科室专科护士的配备情况及并发症护理措施实施率高于一、二级医院科室(P0.05);一级医院科室专科护士数少于二、三级医院科室(P0.05)。结论:科室对卧床患者常见并发症的护理管理尚有进一步提升空间,应重视专科护士的培养与使用并加强人员培训,制订以循证为基础的完善、细化的卧床患者常见并发症护理规范并促进其在各级医院的有效落实,完善常见并发症的随访管理。
[Abstract]:Objective: to investigate the present situation of nursing management at the department level of common complications of bedridden patients in China. Methods: a self-designed questionnaire was used to investigate 158 departments of tertiary hospitals in 6 provinces and cities of China. Results: only 35.80% departments carried out the risk assessment of four common complications. 84.58% of the departments carried out follow-up management of discharged patients. 55.00% of the departments were equipped with specialized nurses. The number of specialized nurses accounted for 12.93% of the total number of nurses. The implementation rate of the special nurses and complications nursing measures in the departments of the tertiary hospitals was higher than that in the second class hospitals (P 0.05), and the number of specialized nurses in the departments of the first class hospitals was less than two. Conclusion: there is still room for further improvement in nursing management of common complications of bedridden patients. We should pay attention to the training and use of specialized nurses, strengthen the training of personnel, and formulate the improvement based on evidence. The detailed nursing standard of common complications of bedridden patients and the effective implementation of them in hospitals at all levels were promoted, and the follow-up management of common complications was improved.
【作者单位】：中国医学科学院北京协和医院护理部;
【基金】：2015年国家卫生和计划生育委员会公益性行业科研专项项目(201502017)
【分类号】：R47

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