综合医院吞咽障碍护理管理模式的构建与实践
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女,硕士,主任护师

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2016“中国医师协会医院科研建设项目”课题


Construction and implementation of a management program for dysphagia in general hospital
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    摘要:

    目的 探索以护士为主导的吞咽障碍护理管理模式,评价其实践效果。方法 由护理部牵头成立吞咽障碍项目管理小组,根 据管理重点下设教育培训组、指引规范组、质量控制组和科研循证组4个工作小组,制定各小组职责,对46名吞咽联络护士实施 规范化培训与管理,建立吞咽筛查与转诊流程及多学科协作模式,评价实施效果。结果 项目开始3个月后联络护士吞咽理论知 识和技能显著提升,筛查准确率显著提高(均 P<0.01);项目实施1年后,试点科室住院患者肺炎发生率显著下降(P<0.01)。 结论 实施科学规范的专科培训,对吞咽障碍进行分级管理,构建三级质控网络,协调多学科协作等,可提高护士吞咽障碍相关知 识和技能水平,改善患者结局。

    Abstract:

    Objective To establish and evaluate the effect of nurse-led multidisciplinary management program for patients with dysphagia. Methods A dysphagia management team was formed by the department of nursing, and 4 working groups of education/training, specification/instruction development, quality control, and research/evidence were set up. Responsibilities of the 4 working groups were formulated, standardized training and management were provided for 46 liaison nurses, and dysphagia screening, patient referral process, as well as multidisciplinary collaboration model were developed and implemented in practice. Results Dysphagia related knowledge and skills of the liaison nurses, as well as accurate screening rate were significantly improved after 3 months of the intervention (P<0.01 for all). The incidence rate of pneumonia in pilot departments were significantly decreased (P<0.01). Conclusion Implementation of scientific and standardized training, hierarchical management of dysphagia, three-level quality control mechanism, and multidisciplinary collaboration in clinical practice, can enhance dysphagia related knowledge and skill of nurses, resulting in improving outcome of patient.

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陈妙霞,罗媛容,安德连,李慧娟,窦祖林,黄师菊.综合医院吞咽障碍护理管理模式的构建与实践[J].护理学杂志,2019,34(18):62-64+83

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  • 收稿日期:2019-04-02
  • 最后修改日期:2019-06-13
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  • 在线发布日期: 2022-08-09