消化内镜护理门诊的建立与实践  

The establishment and practice of outpatient nursing clinic for digestive endoscopy

作　　者：刘奉[1] 宋文红[2] 蔡颖 李鸣 袁一超 王萍[1] 董玲玲[2] Liu Feng;Song Wenhong;Cai Ying;Li Ming;Yuan Yichao;Wang Ping;Dong Lingling(Digestive Endoscopy Center,Weihai Municipal Hospital,Weihai 264200,China)

机构地区：[1]威海市立医院消化内镜中心,山东威海264200 [2]威海市立医院护理部,山东威海264200 [3]青岛大学附属威海市立第二医院 [4]延边大学护理学院

出　　处：《护理学杂志》2022年第3期53-56,共4页Journal of Nursing Science

基　　金：山东省重点研发计划项目(2019GSF108190);威海市科技发展计划项目(2017GNS11)。

摘　　要：目的提高消化内镜诊疗效率及肿瘤高风险患者内镜筛查、复查率,为早期治疗提供依据。方法我院于2018年11月建立消化内镜护理门诊,制定工作制度和流程,开展内镜诊疗前预约、消化道疾病风险评估、个性化用药指导和诊疗后智能化随访等工作,同时实施三级质量控制。结果内镜护理门诊开设3年来,预约胃肠镜25 016例次、消化道肿瘤高风险筛查12 560例次、C^(13)呼气试验9 960例次、诊疗后随访9 435例次,患者复查依从性逐年增高,患者及医生满意度逐年提高。结论消化内镜护理门诊量、内镜检查复诊率及医患满意度逐年提升,优化了患者就诊体验,同时扩大了专科护理影响力。Objective To improve the efficiency of digestive endoscopy and the rate of screening and follow-up in patients at high risk of cancer,and to provide reference for early treatment.Methods We established an outpatient nursing clinic for digestive endoscopy in November 2018 and formulated rules and work process.Tasks of the nursing clinic included making appointment before endoscopy,risk assessment of digestive tract diseases,personalized medication guidance and follow-ups after diagnosis and treatment,and implementation of three-level quality control.Results Since running the nursing clinic for 3 years,we made 25,016 appointments for digestive tract endoscopy,performed 12,560 high-risk cancer screenings,9,960 Carbon 13 breath tests and 9,435 follow-ups.Patients′ compliance with reexamination and their satisfaction,as well as doctors′ satisfaction have increased year by year.Conclusion Running outpatient nursing clinic for digestive endoscopy enhances outpatient volume,follow-up re-examination of endoscopy,patients′ and doctors′ satisfaction year by year.It optimizes patients′ experience of attendance at outpatient clinic and expands the impact of specialty nursing.

关 键 词：消化道疾病 内镜 护理门诊 肿瘤 高风险 筛查 专科护理 复查 满意度 

分 类 号：R473.5[医药卫生—护理学]