双职造口治疗师在专科护理实践中的管理作用  

Administrative effects of dual role enterostomal therapists on specialty nursing practice

作　　者：蒋琪霞[1] 李晓华[1] 刘云[1] 彭青[1] 周昕[1] 

机构地区：[1]南京军区南京总医院门诊伤口护理中心, 210002

出　　处：《中华现代护理杂志》2014年第7期771-775,共5页Chinese Journal of Modern Nursing

基　　金：南京军区南京总医院面上课题（2010M012）

摘　　要：目的：探讨双职造口治疗师在专科护理实践中的管理方法及其作用。方法以护教研协调发展为总目标，制定了双职造口治疗师作为专业领头人、专业护士培训者、专科护理质量改良者、专科护理研究组织者和专科护理资源管理者的5项目标管理内容。以伤口护理中心为研究平台，2006-2007年试行（第1阶段）、2008-2009年改良后再实施（第2阶段）、2010-2011年总结完善（第3阶段）。评价和比较研究期间的专科护理数、质量指标及科研和教学成效指标。结果研究期间对3222例各类伤口患者实施专科护理治疗量99872例次，伤口治愈率90．06％，平均愈合时间（31．25±2．94）d，患者满意度98．98％，不良事件发生率0．03％。第3阶段平均伤口治愈率（90．78±0．96）％，愈合时间（29．30±3．33）d，不良事件发生率0．01％，患者满意度（99．70±0．41）％，各项指标均优于第1和第2阶段，差异有统计学意义（ F分别为4．976，10．135，15．800，16．878；P＜0．05）。结论设定目标管理内容有助于提升专科护理数质量，带动护理科研和教学，降低不良事件发生和确保护理和患者安全。Objective To research the administrative methods and effects of dual role enterostomal therapists （ ETs ） on specialty nursing practice .Methods Targeting at a harmonic development for nursing care, teaching and researching , we designed “the leader of specialty , the trainer of specialty nurses , the reformer of specialty nursing quality , the organizer of specialty nursing research and the administrator of specialty nursing resources” for dual role ETs .The wound care center was regarded as a study platform .The research was divided into three steps .The first step was from 2006 to 2007; The second step was from 2008 to 2009; The third step was from 2010 to 2011 .Quantity and quality of specialty nursing care , and research and teaching achievements during the research were evaluated and compared .Results The quantity of specialty wound care was 99 872 times for 3 222 cases.The mean healing rate was 90.06%, and the mean healing time was （31.25 ±2.94） days.Satisfactory rate of patients was 98.98%, and the incidence of adverse events was 0.03%.At the third research step, the mean healing rate was （90.78 ±0.96）%, and the mean healing time was （29.30 ±3.33） days.Satisfactory rate of patients was （99.70 ±0.41）%, and the incidence of adverse events was 0.01%, the differences were significant （F=4.976, 10.135, 15.800, 16.878, respectively;P〈0.05）.Conclusions The designed components of targeting administration are benefit to enhance quantity and quality of specialty nursing care , and can improve nursing education and research , as well as reducing the incidence of adverse events and insuring patient ’s safety.

关 键 词：护理管理研究 造口治疗师 双职 专科护理 

分 类 号：R47[医药卫生—护理学]