北京市市属医院门诊专科护理服务开展情况及患者服务需求调查.docVIP

北京市市属医院门诊专科护理服务幵展 情况及患者服务需求调查 骆金铠张杰董思鑫谷水 首都医科大学附属北京友谊医院护理部首都医科大 学附属北京友谊医院急诊科北京市医院管理局 目的：调查北京市市属眹院门诊专科护理服务开展情况及患者的服务需求。方 法：釆用自设调查表，对22家北京市市属医院护理部进行门诊专科护理服务开 展情况调查。应用关键词检索，调取出院患者病案首页及住院费用信息，确定服 务需求量。结果：共提供55项门诊专科护理服务，其屮静脉管路治疗、维护及 咨询，伤口造口专科护理和糖尿病健康教育咨询三类占比最高，占63. 64%。就 诊程序分为医护一体化合作及护士直接提供健康教育咨询两种形式。出诊护士的 基木资质以同时具备专科护士、中级及以上职称、从事专科护理工作10年以上 三个条件为主，占72. 22%，医院取得专科护士资质人数由多至少依次为静脉治 疗专业、糖尿病专业和伤门造门专业。门诊专科护理服务出诊天数每周最少0.5 天，最多7天，2016年度总体工作量为214 832人次，其中伤口造口专科护理 工作量最大，预估测算未来1年内门诊专科护理服务新增诊疗需求76 234人次。 结论：门诊专科护理服务初具规模，患者需求广泛，但尚处于萌芽和探索状态， 出诊人员资质和规范要求、工作模式和管理办法、法律法规和政策保障仍须进一 步完善。 关键词： 门诊;专科护理;专科护上;患者需求; 骆金铠，主管护师，硕士，护理部主任， :jinkai1023@163. com 谷水，硕士，处长， : gushui@bjhb. gov. cn 2017-09-04 The development and needs of specialized nursing service for outpatients in Beijing Municipal Hospital LUO Jinkai ZHANG Jie DONG Sixin GU Shui Nusing Department，Beijing Friendship Hospital， Capital Medical University; Abstract： Objective: To investigate the development and needs of specialized nursing service for outpatients in Beijing municipal hospitals. Methods: a self-designed questionnaire was applied to investigate the specialized nursing service for outpatients in 22 municipal hospitals. Results: A total of 55 specialized nursing services were provided to outpatients. The IV care, ostomy wound care and diabetes health education accounted for 63. 64%. Two forms of nursing services were identified: working with the physicians or working independently. About 72.22% of the nurses had the specialized nurse qualification, or intermediate professional titles, or at least 10 years work experiences. The number of visits was between 0. 5 days to 7 days each week. The overall visits were 214 832 in 2016， and in the next year, 76 234 new vists would be added. Conclusion: The specialized nursing services are becoming very demanding for outpatients. It is expected to improve the qualification requirements of the nurses, complete the standards of services, and establish the regulations for the speciali