中医适宜技术在综合医疗机构非中医科开展情况及阻滞因素分析  

Analysis on Promotion and Promotion Barriers of Appropriate TCM Techniques in Non-TCM Departments of General Medical Institutions

作　　者：孙晓[1] 张琳[1] 杨欣 张瑾[1] SUN Xiao;ZHANG Lin;YANG Xin;ZHANG Jin(Tenth People's Hospital of Tongji University,Shanghai 200072)

机构地区：[1]同济大学附属第十人民医院,上海200072

出　　处：《上海护理》2022年第10期30-34,共5页Shanghai Nursing

摘　　要：目的 了解中医适宜技术在综合性医疗机构非中医科临床实践现况与阻滞因素。方法 2020年10-11月,采用自行编制的问卷对上海市16家综合性医疗机构的181名非中医科临床护士进行调查,调查内容包括中医适宜技术在综合性医疗机构非中医科的开展现状及推广阻滞因素。结果 50.83%的调查对象所在科室开展了中医适宜技术,以穴位敷贴(64.13%)、耳穴埋豆(32.61%)、穴位注射(29.35%)等为主,主要用于改善患者的疼痛、恶心呕吐、失眠、腹胀等症状。被调查护士大都愿意接受中医技术相关培训、愿意积极配合科室开展中医技术,认为中医适宜技术能够有效改善患者症状、在临床工作中广泛推广中医技术非常必要,并支持自己的亲友寻求中医技术治疗(均分均>3分)。被调查护士比较认同的影响中医适宜技术在综合性医疗机构非中医科推广的阻滞因素主要包括:护士人员紧缺,没有足够的时间开展中医技术[(3.69±1.06)分],护士未能熟练掌握中医技术理论知识[(3.70±1.02)分]与实践操作[(3.49±1.07)分],医师缺乏开具中医技术相关医嘱的资质[(3.32±1.08)分],中医西化未充分发挥中医护理特色[(3.60±1.04)分],中医技术推广缺乏医院多学科团队的参与[(3.85±1.04)分],中医护理技术缺乏疗效评价的量化指标和体系[(3.45±1.06)分],中医技术临床推广的工作流程缺乏规范性[(3.36±1.11)分]。结论 中医适宜技术已逐步渗透至综合性医疗机构非中医科的临床实践,受到非中医专业临床医护人员的认可与关注。管理部门尚需针对相关阻滞因素,通过加强非中医专业人员资质培训、建设多学科协作机制、构建并完善中医技术运用评价指标等,不断促进中医适宜技术深入推广应用。Objective To understand the clinical practice and promotion barriers of appropriate TCM techniques in non-TCM departments of general medical institutions.Methods From October to November2020, 181 clinical nurses from non-TCM departments of 16 general medical institutions in Shanghai were selected. They were investigated by a self-developed questionnaire, involving the promotion and promotion barriers of appropriate TCM techniques in non-TCM departments of general medical institutions.Results Among the respondents, 50.83% adopted appropriate TCM techniques in their departments, mainly including acupoint application(64.13%), auricular acupressure(32.61%), and acupoint injection(29.35%), and mainly for relieving pain, nausea and vomiting, insomnia, and abdominal distension in patients. Most of the respondents were willing to receive relevant training on TCM techniques and actively cooperate with their departments to promote TCM techniques, believed that appropriate TCM techniques could effectively improve the symptoms of patients, recognized the necessity to widely promote TCM techniques in clinical practice, and treatment(mean score> 3 points for all). The barriers recognized by the respondents to affect the promotion of appropriate TCM techniques in non-TCM departments of general medical institutions mainly include the following: the shortage of nurses;lack of time to promote TCM techniques [(3.69±1.06) points];the failure of nurses to master the theoretical knowledge[(3.70±1.02) points] and practical operation [(3.49±1.07) points] of TCM techniques;the lack of qualification of physicians to issue TCM-related orders [(3.32±1.08) points];the failure to give full play to the advantages of TCM nursing in TCM westernization [(3.60±1.04) points];the lack of MDT involvement in TCM technique promotion in hospitals [(3.85±1.04) points];the lack of quantitative indicators and systems for efficacy evaluation of TCM nursing techniques [(3.45±1.06) points];the lack of standard workflow in the clinical promotion of TCM

关 键 词：中医适宜技术 综合性医疗机构 临床推广 阻滞因素 

分 类 号：R248[医药卫生—中医临床基础]