儿童癫痫专科护理门诊的构建与运行  

Construction and operation of pediatric epilepsy nurse specialist clinic

作　　者：喻筱倩 李承 胡玲[1] 代莉 蒋聪 桑竹君 唐业玲 王海勤[2] Yu Xiaoqian;Li Cheng;Hu Ling;Dai Li;Jiang Cong;Sang Zhujun;Tang Yeling;Wang Haiqin(Wuhan Children′s Hospital(Wuhan Maternal and Child Healthcare Hospital),Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430016,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院神经内科,湖北武汉430016 [2]华中科技大学同济医学院附属武汉儿童医院护理部,湖北武汉430016

出　　处：《护理学杂志》2022年第12期50-53,共4页Journal of Nursing Science

基　　金：湖北省儿童神经发育障碍临床医学研究中心建设项目(HST2020-19-8)。

摘　　要：目的探索儿童癫痫专科护理门诊的构建及运行效果,提高癫痫患儿护理质量。方法成立儿童癫痫专科护理门诊,组建以护士为主导的多学科协作团队,制订服务流程、管理制度,通过门诊服务质量评价指标体系评价运行效果。结果儿童癫痫专科护理门诊运行6个月,门诊就诊量增长5.28%,服务增长15.11%;累计为920例患儿建立病案管理档案,其中神经心理与行为健康筛查率78.48%,健康教育参与率92.72%,留治率85.00%,失联率2.83%,中断率7.06%,医疗满意度得到明显提高(P<0.05);培养专科护士3名。结论儿童癫痫专科护理门诊的建立符合癫痫患儿需求,可有效提升医疗质量及满意度;有利于医院高级护理实践人才的培养和科研发展。Objective To construct and explore the operation effect of a pediatric epilepsy nurse specialist clinic,and to improve quality of nursing care for children with epilepsy.Methods A pediatric epilepsy nurse specialist clinic was built,and a multi-disciplinary team led by nurses was established to jointly develop the service process and management system.The operation effect was evaluated through the evaluation index system for outpatient service quality.Results After 6 months of operation,the number of outpatient visits increased by 5.28%and the number of person-service times increased by 15.11%.Patient management file was created for 920 children,among whom,the screening rate of neuropsychological and behavioral health was 78.48%,the participation rate of health education was 92.72%,the retention rate was 85.00%,the rate of going out of contact was 2.83%,the discontinuation rate was 7.06%,and patient satisfaction with medical service was significantly improved from before(P<0.05).Three nurse specialist were trained.Conclusion The establishment of pediatric epilepsy nurse specialist clinic is in line with the needs of children with epilepsy,and can effectively improve the quality of medical service and patient satisfaction.It is beneficial to the cultivation of advanced nursing practice talents and the development of scientific research.

关 键 词：儿童 癫痫 专科护理门诊 专科护士 医疗满意度 

分 类 号：R473.72[医药卫生—护理学] R197.5[医药卫生—临床医学]