pp21何国平中英对照中澳老年痴呆社区护理的现状与展望.pptVIP

社区护理实践发展关键问题 1.落实“双向转诊”制度 首先要解决好四大瓶颈问题： 瓶颈一，社保规定成拦路虎，因社保的区域性非常强，转诊住院报销受影响； 瓶颈二，患者就医观念存在误区，对社区医护人员不信任，担心影响治疗效果； 瓶颈三，化验检查结果难互认，重复检查，多花钱，伤身体； 瓶颈四，就医逐利，医院、社区各有说法 28 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 以老年痴呆疾病为例，近年来，其发病率呈逐年上升趋势，护理好患有老年痴呆的老人，不仅能减轻子女的担忧，进而能促进社会的和谐稳定。社区作为目前我国居民生活的基本组织形式，在护理老年痴呆患者上所起到的作用不容忽视。 有调查发现75.4%的照顾者缺乏老年痴呆病人的护理知识与技能,93.8%的陪护者希望医务人员来完成。护士在社区老年痴呆护理中的作用显得尤为重要。 现 状 12 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. For example, In recent years, the dementia s incidence rates showed an increasing trend. Caring the elderly people with dementia can not only alleviate the concerns of children, and thus can promote social harmony and stability. Community, as the basic organizational form of living, plays an important role in caring patients with dementia. ?? ?The survey finds that 75.4 percent of the caregivers lack the knowledge and skills about dementia patient care. 93.8% of the accompanies hope that the medical personnel to complete the care. The nurses’ role is particularly important in community-based dementia care. The Status : 12 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 蒋瑞辉等调查发现，医护人员对该症的一般了解和一般关注程度分别为65.2% /55.6%和64.6% /60.7% , 提示医护人员对该症的了解和关注还很不够。研究还发现医生对该症的诊断知识认知率（70.4%）高于护士（46.7%）, 而护士对护理知识的认识（ 46.7% ）要高于医生（33.5%）。 社区护士在痴呆照护方面存在的问题 蒋瑞辉：北京解放军总医院，中国临床保健杂志，2009 ，12（02）：194-195 13 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Jiang Ruihui found that the general understanding and the general degree of concern about the disease between the doctors and nurses were 65.2% / 55.6% and 64.6% / 60.7%, suggesting that the understanding and concern of the medical staff about the disease are not enough. The study also found that doct