中医医院骨科护士对耳穴贴压技术的认知及应用现状的调查研究  

Survey on cognition and application status of auricular-plaster therapy among orthopedic nurses in a certain Traditional Chinese Medicine hospital

作　　者：陈惠冰[1] 杨绮云[1] 董丽娟[1] 刘迎春[1] 顾天姣[1] CHEN Huibing;YANG Qiyun;DONG Lijuan;LIU Yingchun;GU Tianjiao(Department of Nursing,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,Guangdong,528401)

机构地区：[1]广东省中山市中医院护理部

出　　处：《中西医结合护理（中英文）》2019年第12期71-74,共4页Journal of Clinical Nursing in Practice

摘　　要：目的了解骨科护士对耳穴贴压技术的认知情况以及应用现状,检验培训效果。方法 2018年8月对骨科6个病区的护士展开调查,分为发放问卷调查及现场调查2个部分。问卷调查部分,采用自行设计的中医医院骨科护士对耳穴贴压认知调查问卷对184名护士进行调查。现场调查部分,在每个病区以抽签形式选取45名护士,观察护士操作耳穴贴压的全过程,并考察45名患者对耳穴贴压宣教的掌握情况。结果回收有效问卷154份。护士对耳廓结构与分布知识回答的正确率为44.16%~71.43%,对辨证选穴知识回答的正确率为42.86%~71.43%,而耳穴定位知识回答的正确率为68.83%~83.12%。现场调查中,护士存在诸多操作环节不严谨的情况,操作不当人数占比>50%的操作环节包括未询问患者胶布过敏史(73.33%)、未询问患者疼痛耐受度(66.67%)、贴压后未询问患者局部有无酸胀感(55.56%)。现场调查中,患者对按压频率、按压手法、注意事项的掌握率分别是62.22%、66.67%、71.11%。结论护士对耳穴贴压知识的掌握程度普遍不高,对耳穴贴压操作流程掌握不到位,患者对耳穴贴压宣教内容的掌握程度不高。耳穴贴压等中医护理技术有待寻求更优质的培训策略。Objective To understand the cognition of orthopedic nurses on auricular-plaster therapy and related application status, and to evaluate the training efficacy. Methods This study consisted of two parts: A self made questionnaire was used to investigate the cognition of auricular-plaster therapy among 184 orthopedic nurses in a certain Traditional Chinese Medicine(TCM) hospital;In the field survey, 45 orthopedic nurses from 6 clinical wards participated in the practice examination, and awareness of auricular-plaster therapy was evaluated in 45 patient. Results In total, 154 valid questionnaires were collected. The correct rate of nurses’ cognition of auricle structure and distribution was 44.44%-71.11%, the correct rate of ear point location knowledge was 68.83%-83.12%, the correct rate of acupoint selection was 42.86%-74.68%. In the field examination of auricular-plaster therapy practice, weak links in practice of auricular-plaster therapy included not asking about the patient’s allergic history of adhesive tape(73.33%), not asking about the patient’s pain tolerance(66.67%), not asking about the patient’s local feeling of swelling after auricular-plaster therapy(55.56%). The proportion of patients with mastery of knowledge about pressing frequency, pressing technique and precautions was 62.22%, 66.67% and 71.11%, respectively. Conclusion Findings of the study showed a relatively low awareness and inadequate implementation of auricular-plaster therapy among orthopedic nurses More quailed training strategies should be carried to improve the practice of auricular-plaster therapy.

关 键 词：中医护理 骨科护士 耳穴贴压 护理培训 健康宣教 

分 类 号：R248.2[医药卫生—中医临床基础]