麻醉护理学专科建设实践与总结  

Practice and summary in specialized subject construction of anesthesia nursing

作　　者：侯晓旭[1] 张卫[1] 

机构地区：[1]郑州大学第一附属医院麻醉科,450000

出　　处：《国际麻醉学与复苏杂志》2015年第12期1148-1150,I0001,共4页International Journal of Anesthesiology and Resuscitation

摘　　要：目的探索适合中国国情的麻醉护理单元，建立麻醉护理学专科体系。方法设立麻醉护理工作岗位，将麻醉护理工作划分为：临床麻醉护理、麻醉恢复期护理、疼痛诊疗护理、麻醉术后随访、自体血回输、药品管理、感染管理、设备与信息化管理8个麻醉护理学专科组。各专科组设立负责人并建立学科梯队。确立麻醉护士工作职责，建立并实施麻醉护理工作制度28项、工作流程30个、专科手术麻醉护理工作流程18个、应急预案16个及麻醉护理质量控制体系，并在工作中不断完善。建立规范化麻醉专科护士培训，采取多种形式开展毕业后继续教育。结果培训了具有专业麻醉护理能力的麻醉护士67人，明确了各岗位麻醉护理人员职责，充分调动了护理人员的工作积极性，在麻醉工作中真正实现了护理岗位的价值，提升了患者、医师、护士满意度。提出麻醉护理学专科体系构建方法并进行实践，完善了麻醉护理管理体系、麻醉安全保障体系，促进了麻醉学科与护理学科协同发展，为麻醉护理学科建设奠定了基础。结论通过临床实践验证，本研究提出的麻醉护理学专科体系构建方法符合我国麻醉护理发展需求。麻醉护理学科发展处于形成期，学科基地建设、学科队伍、研究平台、研究资源等有待进一步发展与提高。Objective To investigate the anesthesia nursing to fullfill the practice for anesthesia nursing in China,and construct the specialized subject system for anesthesia nursing. Methods The system of anesthesia nursing were established as eight subspecialties, including clinical anesthesia care, post-anesthesia recovery care, pain care, post-anesthesia visiting, cell salvage, drug administration, infection management, equipment and information administration. All subspecialties have team leader and predefined echelon. The responsibility of anesthesia nurses was defined. Twenty eight working systems, thirty protocols, eighteen algorithms for special surgery, sixteen emergency plans and quality control system for anesthesia nursing were established, developed and improved during daily practice. Standardization protocol was established for training anesthetic nurses. Various forms of continuing post-graduation medical education were developed. Results Sixty seven anesthetic nurses completed the structured training and managed skill of anesthesia care. The responsibility of anesthesia nursing staff was clarified and the enthusiasm of staff was aroused. The value of anesthesia nursing was thoroughly realized in clinical anesthesia. The satisfaction of patients, doctors and nurses increased. We proposed the methods for constructing anesthesia nursing subspeciahy system, also improved the anesthesia administration and anesthesia safety guarantee system, which will promote the development of both anesthesiology and anesthesia nursing and provide base for constructing anesthesia nursing subject. Conclusions It is demonstrated that the methods for constructing anesthesia nursing proposed in the present study is consistent with the requirement of nursing development in China. Furthermore, the development of anesthesia nursing is in its initial phase, and subject basement construction, specialized team, research platform and resources need further improvements.

关 键 词：麻醉护理 学科建设 麻醉专科护士 高级护理实践 信息化管理 

分 类 号：G642.3[文化科学—高等教育学] R47-4[文化科学—教育学]