我国医院-社区-家庭护理模式应用现状的文献分析  

Literature review of the status quo of hospital-community-family nursing model in China

作　　者：韩婷婷[1] 关红[1] 张来军[1] 李娜[1] 马晓欢[2] 

机构地区：[1]大连医科大学附属第二医院护理部,大连116027 [2]大连市第二人民医院ICU,大连116000

出　　处：《中华现代护理杂志》2017年第16期2087-2091,共5页Chinese Journal of Modern Nursing

基　　金：辽宁省教育科学“十二五”规划2015年度课题（JG15DB110）;2016年大连市医学科学研究计划项目（大卫办发[2016]111号）

摘　　要：目的 分析我国医院-社区-家庭护理模式的应用现状,为护理人员进行相关研究提供参考依据.方法 检索从数据库建立到2016年6月收录在知网、万方、维普和中国生物医学文献数据库中关于国内医院-社区-家庭护理干预的文献,采用文献计量法和内容分析法进行分析.结果 共检索到符合标准的文献56篇,首篇发表于2005年,从2012年文献数量开始增多;仅有35.7%的相关文献发表在护理核心期刊;基金项目和文献分布一致,主要来源于东部地区;研究对象以慢性病、维持性治疗的患者为主;大多数文献对实验随机化、样本量计算、干预时间确定、伦理问题及研究工具的信效度没有具体描述;多学科团队缺乏考核培训;随访措施单一,主要是制定出院计划、电话随访和家庭随访.结论 我国医院-社区-家庭护理模式的应用尚属于探索阶段,文献质量有待提高,建立多学科团队培训考核体系、对患者信息实行统一管理、应用智能手机APP网络平台、对团队进行薪酬奖励,可以提高延续护理质量.Objective To analyze the status quo of hospital-community-family nursing model in China, and provide reference for nursing staff to carry out relevant research.Methods The literatures concerning hospital-community-family nursing intervention in China included in databases such as CNKI, Wanfang, VIP and SinoMed since they were created until June 2016 were retrieved and analyzed using bibliometrics and content analysis.Results Totally 56 literatures were found up to standard. The first one was published in 2005, and the number of such literatures began to increase since 2012. Only 35.7% of them were published in core journals of nursing. Fund programs and literatures were consistently distributed, mainly from the eastern part of China. These literatures focused on patients with chronic diseases and those receiving maintenance treatment, most of which had no specific description of experiment randomization, sample size, intervention time, ethical issues and reliability and validity of research tools. There was a lack of assessment and training for multidisciplinary teams. Follow-up measures were single, mainly to develop discharge plans, telephone follow-up and family follow-up.Conclusions The application of the hospital-community-family nursing model in China is still in the middle of exploration. High-quality literatures, multidisciplinary team training and assessment systems, unified management of patient information, smart phone APPs as well as team rewards are badly needed to improve the quality of continued nursing.

关 键 词：医院-社区-家庭 护理模式 文献分析 

分 类 号：G353.1[文化科学—情报学] R473.2[医药卫生—护理学]