摘要
目的了解我国脑卒中连续性护理实施现状、存在的问题,并收集解决这些问题的相关建议。方法采用专题小组访谈法,于2018年4月26—29日对分布于全国24个城市的36名神经内科或康复科护理管理人员及护理骨干进行专题小组访谈。由访谈小组人员主持会议,专人录音和记录,访谈结束后及时对访谈结果进行归纳和整理。结果目前,大部分综合医院在完成急性期的救治后,都在尽自己的努力通过不同的形式为出院患者继续进行护理支持,但同时也面临着护理人力资源不足、各医疗机构间护理服务出现分层断裂,以至于脑卒中护理服务内容单一、存在碎片化的问题。结论脑卒中护理从业人员正在积极开展连续性护理服务的尝试,但也面临一些问题。连续性照护是建立及完善科学合理的分级诊疗制度的重要一环。
Objective To investigate the current status and existing problems in the implementation of stroke care continuity in China, and to collect relevant suggestions for solving these problems. Methods Focus group interviews were used, to survey thirty-six nursing managers and senior nurses in neurology departments or rehabilitation programs in 24 cities of 13 provinces. The interview team members presided over the meetings, with full-time staff taking notes and recordings, and the results of the interviews were summarized and organized in a timely manner after the interview. Results At present, most of the general hospitals surveyed are doing their best to continue supporting nursing care for patients discharged from hospitals in different forms following their rescue of the acute phase. However, they are faced with such challenges as insufficient nursing manpower, and discontinuity between different medical institutions, which result in oversimplified nursing care and fragmented care. Conclusions Stroke nursing practitioners are working on continuous nursing care, with quite some challenges as well. Nursing care continuity is an important step towards establishing and improving a scientific and rational grading nursing care system.
作者
赵洁
常红
乔雨晨
刘凤春
王佳妹
王蕊
芦文博
阮征
苗云
丁卫军
Zhao Jie;Chang Hong;Qiao Yuchen;Liu Fengchun;WangRuan Zheng;Miao Yun;Ding Weijun Jiamei;Wang Rui;La Wenbo(Capital Medical University Xuanwu Hospital,National Clinical Research Center for Geriatric Medicine,Beijing 100053,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2018年第12期1039-1043,共5页
Chinese Journal of Hospital Administration
基金
北京市卫生和计划生育委员会项目(PXM2017_026283_000002)
北京市医院管理局市属医院职工科技创新工场培育团队项目(2017).
关键词
卒中
集中研讨小组
连续性护理
定性研究
Stroke
Focus groups
Nursing care continuity
Qualitative research
