河南省儿科区域医疗联合体成员单位儿童慢病延续性护理的开展现况调查  

Current status investigation of transitional nursing for children with chronic diseases in member units of pediatric regional medical consortium in Henan Province

作　　者：贺秋平 刘婷婷[1] 古建平 王建丽[3] 石彩晓 He Qiuping;Liu Tingting;Gu Jianping;Wang Jianli;Shi Caixiao(Department of Neurology,Children's Hospital Affiliated to Zhengzhou University(Henan Children's Hospital/Zhengzhou Children's Hospital),Zhengzhou 450018,China;Department of Endocrinology and Metabolism,Children's Hospital Affiliated to Zhengzhou University(Henan Children's Hospital/Zhengzhou Children's Hospital),Zhengzhou 450018,China;Nursing Department,Children's Hospital Affiliated to Zhengzhou University(Henan Children's Hospital/Zhengzhou Children's Hospital),Zhengzhou 450018,China)

机构地区：[1]郑州大学附属儿童医院(河南省儿童医院/郑州儿童医院)神经内科,郑州450018 [2]郑州大学附属儿童医院(河南省儿童医院/郑州儿童医院)内分泌遗传代谢科,郑州450018 [3]郑州大学附属儿童医院(河南省儿童医院/郑州儿童医院)护理部,郑州450018

出　　处：《中华现代护理杂志》2020年第21期2848-2852,共5页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关(联合共建项目)(2018020645)。

摘　　要：目的了解河南省儿科区域医疗联合体(简称医联体)成员单位开展儿童慢病延续性护理的现状,发现存在的问题,为构建系统的儿童慢病延续性护理模式提供参考。方法采用便利抽样的方法,于2018年12月—2019年4月,采用自制一般资料调查问卷和儿童慢病延续性护理的开展现况调查问卷对河南省儿科医联体76家成员单位儿童慢病延续性护理的开展现况进行调查。共回收调查问卷158份,有效问卷144份,有效率为91.14%。结果144名调查对象中,38.89%(56/144)表示了解儿童慢病延续性护理,95.83%(138/144)表示愿意主动参与到儿童慢病延续性护理中,26.39%(38/144)表示领导重视、支持儿童慢病延续性护理。儿童慢病延续性护理内容包括:居家用药指导占81.58%,连续性照护指导占77.63%,康复指导占73.68%。主要途径为电话访视和建立慢病患儿健康档案。结论儿童慢病延续性护理在河南儿科医联体成员单位中已初步开展,应进一步充实内容,丰富途径,探索规范化体系,构建有效的符合河南儿科医联体成员单位特色的儿童慢病延续性护理模式。Objective To understand the current status of transitional nursing for children with chronic diseases in member units of pediatric regional medical consortium(referred to as medical consortium)in Henan Province and find out the existing problems to provide references for the construction of a systematic transitional nursing mode for children with chronic diseases.Methods From December 2018 to April 2019,a selfmade General Data Questionnaire and the Questionnaire on Current Status of Transitional Nursing for Children with chronic diseases were used to investigate current status of transitional nursing for children with chronic diseases among 76 member units of pediatric regional medical consortium in Henan Province by the convenient sampling method.A total of 158 questionnaires were recovered,and 144 valid questionnaires were collected,with an effective rate of 91.14%.Results In the 144 respondents,38.89%(56/144)of them indicated that they knew about the transitional nursing for children with chronic diseases,95.83%(138/144)of them were willing to take the initiative to participate in the transitional nursing for children with chronic diseases and 26.39%(38/144)of them indicated that leadership attached importance to and supported the transitional nursing for children with chronic diseases.The content of transitional nursing for children with chronic diseases included home medicine guidance(81.58%),continuous care guidance(77.63%)and rehabilitation guidance(73.68%).The main approaches were telephone visits and the establishment of health records for children with chronic diseases.Conclusions Transitional nursing for children with chronic diseases has been initially carried out in the member units of pediatric medical consortium in Henan Province.It is necessary to further enrich the content,enrich the approaches,explore the standardized system and construct an effective transitional nursing mode for children with chronic diseases that conforms to characteristics of the member units of pediatric medical consortium

关 键 词：儿童 慢性病 延续性护理 儿科医联体 现况调查 

分 类 号：R473.72[医药卫生—护理学]