社区产后家庭访视护理质量评价指标体系的实证研究
发布时间：2019-02-20 18:16
【摘要】：目的对"社区产后家庭访视护理质量评价指标体系"进行实证研究,以了解社区产后家庭访视护理服务开展情况及存在问题,为今后完善社区产后家庭访视护理质量评价提供实用性评估工具和理论依据。方法于2016年10—12月,以3∶1的比例在银川市3个市辖区中随机抽取社区卫生服务机构18家。根据"社区产后家庭访视护理质量评价指标体系",结合社区产后家庭访视护理工作现状,设计相应评价量表和调查问卷,由科研小组成员进行实地调查和考评。其中,过程质量评价采用《社区产后家庭访视护理过程质量现场考察表》,结构质量、结果质量评价采用《社区产后家庭访视护理服务定性及定量评价指标调查表》《社区产后家庭访视护理工作人员满意度调查问卷》《产妇满意度及相关健康知识知晓程度调查表》。调查数据经标准化转换后得到各指标的标准得分,然后采用加权累加综合评分法计算各社区卫生服务机构的社区产后家庭访视护理质量得分。结果 18家社区卫生服务机构中,社区产后访视人员中的医生数均为0、社区护士数均为1,访视人员年岗位培训率、年度理论和技能考核合格率均为0;对18家社区卫生服务机构社区产后访视前准备、社区产后访视中新生儿一般情况评估、社区产后访视中产妇体格检查的实施情况评价为非常好/好的构成比分别为86.10%、85.54%、86.07%,对访视中产妇一般情况评估的实施情况评价为非常好/好的构成比为22.25%;访视人员对现有产后访视条件的平均满意度为89.86%,产妇对访视人员访视时间/次数/内容的平均满意度为73.20%。18家社区卫生服务机构的社区产后家庭访视护理质量总得分为65.45~84.13分,平均分为70.55分,分值跨度为18.68分。结论 "社区产后家庭访视护理质量评价指标体系"覆盖内容较为科学、全面,具有一定的操作适宜性和实用价值;社区产后家庭访视工作还存在人员岗位培训不到位、专科检查欠缺、产妇满意度较低等问题。
[Abstract]:Objective to make an empirical study on the evaluation index system of community postpartum home visit nursing quality in order to understand the situation and problems of community postpartum home visit nursing service. It provides a practical assessment tool and theoretical basis for improving the quality evaluation of post-natal family visit nursing in the future. Methods from October to December 2016, 18 community health service institutions were randomly selected from 3 districts of Yinchuan city at 3:1. According to the evaluation index system of community postpartum family visit nursing quality, combined with the present situation of community postpartum family visit nursing work, the corresponding evaluation scale and questionnaire were designed, and the field investigation and evaluation were carried out by the members of the scientific research group. Among them, the evaluation of process quality was based on the "Field investigation Table of Community Post-natal Family visit Nursing process", and the structural quality. Results the questionnaire of qualitative and quantitative evaluation index of community postpartum family visit nursing service was used to evaluate the quality of nursing. < questionnaire of satisfaction of community postpartum family visiting nursing staff > < questionnaire of knowledge of maternal satisfaction and related health knowledge]. The standard scores of each index were obtained after the data were standardized converted, and then the score of community postnatal home visit nursing quality was calculated by weighted cumulative comprehensive score method. Results among the 18 community health service institutions, the number of doctors and community nurses were 0 and 1 respectively. The annual post training rate and the qualified rate of annual theory and skill examination were all 0 among the 18 community health service institutions. In 18 community health service institutions, the preparation of postpartum visits, the assessment of the general situation of newborns in postnatal visits, and the implementation of physical examination of parturient women in postpartum visits in the community were evaluated to be very good / good composition ratios of 86.1010, respectively. 85.54 and 86.07, the evaluation of the implementation of the evaluation of the general situation of the pregnant women during the visit is very good / good composition ratio is 22.25; The average satisfaction of the interviewees with the existing conditions for post-natal visits was 89.86%. The average satisfaction of the time / frequency / content of the visits was 73.20.18 community health service institutions had a total score of 65.45 ~ 84.13 points, with an average score of 70.55 points. The span is 18.68. Conclusion the content of the evaluation index system of community postpartum home visit nursing quality is more scientific and comprehensive, and it has certain operational suitability and practical value. Community postpartum family visit work still exists the personnel post-training is not in place, the specialized examination is deficient, the maternal satisfaction degree is low and so on.
【作者单位】： 宁夏医科大学护理学院;
【基金】：国家自然科学基金资助项目(81160241)
【分类号】：R473.2
本文编号：2427121
[Abstract]:Objective to make an empirical study on the evaluation index system of community postpartum home visit nursing quality in order to understand the situation and problems of community postpartum home visit nursing service. It provides a practical assessment tool and theoretical basis for improving the quality evaluation of post-natal family visit nursing in the future. Methods from October to December 2016, 18 community health service institutions were randomly selected from 3 districts of Yinchuan city at 3:1. According to the evaluation index system of community postpartum family visit nursing quality, combined with the present situation of community postpartum family visit nursing work, the corresponding evaluation scale and questionnaire were designed, and the field investigation and evaluation were carried out by the members of the scientific research group. Among them, the evaluation of process quality was based on the "Field investigation Table of Community Post-natal Family visit Nursing process", and the structural quality. Results the questionnaire of qualitative and quantitative evaluation index of community postpartum family visit nursing service was used to evaluate the quality of nursing. < questionnaire of satisfaction of community postpartum family visiting nursing staff > < questionnaire of knowledge of maternal satisfaction and related health knowledge]. The standard scores of each index were obtained after the data were standardized converted, and then the score of community postnatal home visit nursing quality was calculated by weighted cumulative comprehensive score method. Results among the 18 community health service institutions, the number of doctors and community nurses were 0 and 1 respectively. The annual post training rate and the qualified rate of annual theory and skill examination were all 0 among the 18 community health service institutions. In 18 community health service institutions, the preparation of postpartum visits, the assessment of the general situation of newborns in postnatal visits, and the implementation of physical examination of parturient women in postpartum visits in the community were evaluated to be very good / good composition ratios of 86.1010, respectively. 85.54 and 86.07, the evaluation of the implementation of the evaluation of the general situation of the pregnant women during the visit is very good / good composition ratio is 22.25; The average satisfaction of the interviewees with the existing conditions for post-natal visits was 89.86%. The average satisfaction of the time / frequency / content of the visits was 73.20.18 community health service institutions had a total score of 65.45 ~ 84.13 points, with an average score of 70.55 points. The span is 18.68. Conclusion the content of the evaluation index system of community postpartum home visit nursing quality is more scientific and comprehensive, and it has certain operational suitability and practical value. Community postpartum family visit work still exists the personnel post-training is not in place, the specialized examination is deficient, the maternal satisfaction degree is low and so on.
【作者单位】： 宁夏医科大学护理学院;
【基金】：国家自然科学基金资助项目(81160241)
【分类号】：R473.2
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