摘要
目的了解社区医务人员对居家脑卒中患者分级护理的体验。方法对郑州市中原区3个社区的15名医务人员进行半结构式访谈,并用Colaizzi 7步法分析资料。结果提炼出3个主题,主题1:家庭照护为主,专业照护为辅,专业化照护需求参差不齐,照护现状不容乐观;主题2:科学分级,有效照护;主题3:分级之路,任重道远。其中主题3包括4个次主题:分级护理符合我国深化医药卫生体制改革要求,但缺乏有效政策支持;缺乏相应的分级护理评估工具;社区医疗资源不足,医务人员核心能力需提高;缺乏连续信息平台,无法做到医院-社区-家庭的连续照护。结论整合医疗资源,合理界定分级,规范分级照护内容,提升医务人员的核心能力,保证居家照护效果,完善共享信息平台,实现管理监督是居家脑卒中患者分级护理继续发展的主要任务。
Objective To understand the experience with grading nursing of stroke patients at home in community medical staff.Methods A semi-structured interview was conducted in 15 medical staffs in 3 communities of Zhongyuan District in Zhengzhou,and the data were analyzed by using Colaizzi method.Results Three themes were extracted.1)Family care supplemented by specialized care played the leading role;the demand for specialized care was different but the current specialized care is not satisfactory.2)Scientific grading nursing,with effective care.3)Grading nursing was full of challenges and it consisted of four sub-themes:in line with the requirement of medical and health reform in China,but lack of effective policy support;shortage of corresponding grading nursing evaluation tools;shortage of community medical resources and the improvement of core competence of medical staff;lack of continuous information platform for the continuous care of hospital-community-family.Conclusion It is important to integrate medical resources,define the classification rationally,standardize the content of grading care,improve the ability of medical staff,ensure the effect of home care,complete the information platform and perform management supervision.
作者
丁春戈
林蓓蕾
张振香
DING Chun-ge;LIN Bei-lei;ZHANG Zhen-xiang(School of Nursing,Zhengzhou University,Zhengzhou 450001,China)
出处
《护理学报》
2019年第4期5-9,共5页
Journal of Nursing（China）
基金
河南省教育厅人文社会科学研究一般项目(2018-ZZJH-547)
河南省卫生和计划生育委员会省部共建项目(SBGJ2018052)
关键词
社区医务人员
脑卒中
分级护理
质性研究
district medical staff
stroke
grading nursing
qualitative research
