"互联网+护理服务"背景下居家护理服务项目分级准入标准的构建  

Construction of graded access standard for home nursing service projects under the background of"Internet+nursing service"

作　　者：刘文燕 刘维维[1] 赵咚雪 李梦瑶 王心怡 程真真[2] Liu Wenyan;Liu Weiwei;Zhao Dongxue;Li Mengyao;Wang Xinyi;Cheng Zhenzhen(School of Nursing,Capital Medical University,Beijing 100069,China;Department of Orthopedics,Peking University Shougang Hospital,Beijing 100144,China)

机构地区：[1]首都医科大学护理学院,北京100069 [2]北京大学首钢医院骨科,北京100144

出　　处：《中华现代护理杂志》2023年第3期343-348,共6页Chinese Journal of Modern Nursing

基　　金：首都医科大学大学生科研创新项目(XSKY2021)。

摘　　要：目的探讨"互联网+护理服务"居家护理项目操作的可行性、操作风险及难度,构建护理服务项目的准入标准,为确立"互联网+护理服务"管理办法提供参考。方法2021年3—8月,收集现有"互联网+护理服务"平台中的护理服务项目,参考相关文献及政策,构建"互联网+护理服务"项目池,包括64项护理服务项目。采用方便抽样法,于2021年11月—2022年1月选取北京市"互联网+护理服务"领域的19名医院护理管理者、社区护理管理者、临床护理及护理教育专家,采用德尔菲法进行专家函询,评价护理服务项目的居家操作可行性、难度评分、风险评分及准入建议。结果函询结果显示,61项护理服务项目具有居家护理操作的可行性;静脉注射、静脉输液、留置针输液3项护理操作不适宜居家操作。其中,输液港维护、伤口换药、腹膜透析、造口护理、疾病康复指导5个项目因操作难度大或具有中高水平风险,其操作者应经专科护士培训考核,且具有该项目的操作经验后才能胜任。头发护理、温水擦浴2个项目属低难度,居家操作风险较低,可由经过培训的护理员或护工完成。口腔护理、会阴擦洗、快速血糖监测等54个项目的操作者应有护士执业证书、护师以上职称且具有5年以上相关工作经验。结论本研究构建的"互联网+护理服务"项目准入标准具有较高的科学性和可靠性,可为确立"互联网+护理服务"的准入管理办法提供有益参考。Objective To construct the access standard of nursing service project according to the feasibility,operational risk and difficulty of"Internet+nursing service"home-based nursing project operation,so as to provides references for establishing the management method of"Internet+nursing service".Methods From March to August 2021,nursing service projects in the existing"Internet+nursing service"platform were collected,and relevant literature and policies were referred to build an"Internet+nursing service"project pool,including 64 nursing service items.The convenient sampling method was adopted to select 19 hospital nursing managers,community nursing managers,clinical nursing and nursing education experts in the field of"Internet+nursing service"in Beijing from November 2021 to January 2022.Delphi method was adopted to conduct expert letter inquiry,and to evaluate the feasibility of home operation,difficulty score,risk score and access suggestions of nursing service projects.Results The results showed that 61 nursing service items had the feasibility of home nursing operation.The nursing operations of intravenous injection,intravenous infusion and indwelling needle infusion were not suitable for home operation.Among them,the operators of the five items such as transfusion port maintenance,wound dressing change,peritoneal dialysis,ostomy nursing and disease rehabilitation guidance should be competent only after they passed the training and assessment of specialized nurses and had the operation experience of the project due to the difficulty of operation or the medium and high level of risk.Hair care and warm water bath were of low difficulty and low risk to be operated at home and they could be completed by trained caregivers or nursing workers.Operators of 54 items such as oral care,perineal scrubbing,rapid blood glucose monitoring,etc.,should have nurse practicing certificate,nurse or above title,and have more than 5 years of related work experience.Conclusions The access standard of"Internet+nursing service"project e

关 键 词：互联网+ 居家护理 护理服务项目 准入管理 专家函询 

分 类 号：R473.2[医药卫生—护理学]