糖尿病专科护理门诊工作现况调查分析  

Investigation on specialized care delivered in diabetes outpatient clinic

作　　者：程俊亚 张锦辉[1] 孟朝琳[3] 

机构地区：[1]厦门大学附属中山医院护理部,福建厦门361004 [2]厦门大学医学院 [3]厦门大学附属中山医院内分泌科,福建厦门361004

出　　处：《护理学杂志》2015年第5期26-29,共4页

基　　金：厦门市科技局资助科研立项课题(3502Z20124056)

摘　　要：目的了解糖尿病专科护理门诊现况,为优化流程提供依据。方法采用自制糖尿病专科护理门诊患者满意度问卷对在糖尿病专科护理门诊就诊的200例患者进行调查;对4名糖尿病专科护士进行现场观察与访谈了解工作现况。结果患者满意度总体均分为(4.21±0.49)分,6个维度评分(3.45±0.78)^(4.36±0.64)分;专科门诊护理内容包括健康教育、胰岛素笔使用、检测血糖等13项,每个工作日实施0~48.00次;患者等待就诊时间(14.69±8.00)min。专科护理访谈提炼出工作职责不明确、工作时间未建立预约制、门诊导诊护士配合欠佳及患者健康档案登记欠全面4个主题。结论患者对糖尿病专科护理门诊就诊流程和就诊时间等方面满意度较低,专科护士健康教育工作受到影响,应改进流程,以促进健康教育的效果,提高患者满意度。Objective To explore the specialized care delivered in diabetes outpatient clinic,to provide references for further improvement.Methods A total of 200 patients with diabetes were surveyed using a self-developed questionnaire,and 4 diabetes specialist nurses were observed and interviewed about their work.Results The average overall satisfaction score of the patients was（4.21±0.49）,with the scores of six dimensions ranging from（3.45±0.78）to（4.36±0.64）.The contents of diabetes nursing care in out patient clinic covered 13 items,such as health education,giving guidance about how to use an insulin pen,measuring blood sugar and so on.The frequency of those items conducted ranged from 0 to 48.00 times each day and patient waiting time was（14.69±8.00）min on the average.The interview found 4 problems,including ambiguity of responsibilities of specialty nurses,lack of appointment system,poor cooperation between triage and specialty nurses and incompleteness of the health data about patients.Conclusion Patients′satisfaction levels about waiting time and clinic procedure are low,which impacts the health education implementation.In order to promote patients′satisfaction and improve the health education,better clinic procedures should be explored.

关 键 词：糖尿病 专科护理门诊 健康教育 调查分析 

分 类 号：R473.5[医药卫生—护理学]