苏州市三级医院专科护理门诊护理服务现状调查
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女,硕士,副主任护师,护理部秘书

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The current status of services in nurse-led clinics of tertiary hospitals in Suzhou
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    摘要:

    目的 了解苏州市三级医院专科护理门诊护理服务开展现状,为进一步完善管理提供参考。方法 自制调查问卷对苏州市14 所三级医院的43个专科护理门诊进行调查。结果 专科护理门诊中开展最多的是 PICC/静疗门诊(14个,32.6%)、糖尿病护理门 诊(9个,20.9%)和围生期保健护理门诊(9个,20.9%);9个(20.9%)门诊开设时间≥10年;出诊护士岗位性质以兼职为主(22 个,51.2%);每周开诊时间0.5~7.0d;7个(16.3%)护理门诊免费。服务内涵包括健康咨询、专科护理技术、专科疑难病例处 理、并发症筛查等。工作量以 PICC/静疗门诊最多,其次为伤口造口门诊。结论 苏州市三级医院专科护理门诊服务模式日趋成 熟,服务内涵丰富,患者需求量大。但专科护理门诊的质量评价体系和门诊管理机制还需进一步完善。

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    Objective To investigate the current status of services provided by nurse-led clinics in tertiary hospitals in Suzhou, and to provide information for improving management. Methods A questionnaire survey aiming at 43 nurse-led clinics in 14 tertiary hospitals in Suzhou was conducted. Results Among the 43 nurse-led clinics, PICC/intravenous therapy enjoyed the largest share (14,32.6%), followed by diabetes mellitus care (9,20.9%) and perinatal care (9,20.9%).Nine (20.9%) clinics were run more than 10 years and 7 (16.3%) were free for patients. Attending nurses in 22 (51.2%) clinics were part-time and the weekly opening hours varied from 0.5 to 7 days. The services included consultation, specialty care, difficult case management, and complication screening, etc. PICC/intravenous therapy clinic had the most annual outpatient visits, followed by wound/stoma clinic. Conclusion The service model of nurse-led clinics in tertiary hospitals in Suzhou is gradually developed, with large service scope and high patient need. However, the quality evaluation system and management mechanism need to be further improved.

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施小青,潘红英,王海芳,眭文洁,尹如兰,韩燕霞.苏州市三级医院专科护理门诊护理服务现状调查[J].护理学杂志,2019,34(20):12-15

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  • 收稿日期:2019-05-20
  • 最后修改日期:2019-07-05
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  • 在线发布日期: 2022-08-09