经皮冠脉介入术后医院社区联动延续护理的质性研究
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女,硕士在读,学生

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上海市卫生和计划生育委员会科研项目(201740315);2018年度浦东新区医学学科建设立项项目(PWYgy2018-03)


Transition from the hospital to community settings for patients after percutaneous coronary intervention:a qualitative study
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    摘要:

    目的 了解社区卫生服务中心对经皮冠状动脉介入(PCI)术后医院-社区-患者联动延续心脏康复护理现况。方法 采用 质性研究中的现象学研究方法,对10名社区卫生服务中心的护理管理者进行半结构式访谈,对访谈结果用 Colaizzi7步分析法 提炼主题。结果 提炼出3个主题,即三维联动延续心脏康复护理效果肯定,但需要二、三级医院的支持;政府引导促进三维联 动延续心脏康复护理发展;三维联动延续心脏康复护理面临挑战,其中主题3析出无统一的信息联动平台,社区医疗资源有 限,社区护士知识欠缺及缺少激励机制,中医心脏康复护理知识薄弱4个次级主题。结论 医院-社区-患者延续心脏康复护 理实施过程存在诸多阻滞因素,应整合现有医疗资源,同时对社区护士加强培训,以促进医院-社区-患者延续心脏康复护理 的切实落实。

    Abstract:

    Objective To explore the status of cardiac rehabilitation during transitions from the hospital to community settings for patients after PCI. Methods Semistructured interviews were conducted on 10 managers of the community health care centers, then data were analyzed using Colaizzi′s descriptive phenomenological method. Results Three themes were identified: positive effect of hospitalcommunitypatient collaborated cardiac rehabilitation, but requiring support from secondary and tertiary hospitals; active role of the government in developing hospitalcommunitypatient collaborated cardiac rehabilitation; and challenges of hospitalcommunitypatient collaborated cardiac rehabilitation including lack of unified information platform, limited community medical resources, inadequate knowledge of community nurses and lack of motivation mechanism, and shortage of TCMbased cardiac rehabilitation knowledge. Conclusion Many barriers hinder the implementation of hospitalcommunitypatient collaborated cardiac rehabilitation. We should integrate the existing medical resources and strengthen training for community nurses to promote the development of hospitalcommunitypatient collaborated cardiac rehabilitation.

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魏甜,田蓓,刘薇群,汤培凤,吴燕,马创.经皮冠脉介入术后医院社区联动延续护理的质性研究[J].护理学杂志,2019,34(12):13-16

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  • 收稿日期:2019-01-10
  • 最后修改日期:2019-03-05
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  • 在线发布日期: 2022-08-08