消化内镜中心医师护士协议处方模式的实践探索  

Practical exploration of doctor-nurse collaborative prescribing mode in the digestive endoscopy center

作　　者：蒋艳[1] 谭薇 杜江[2] 龚仁蓉[3] 陈佳丽[4] JIANG Yan;TAN Wei;DU Jiang;GONG Renrong;CHEN Jiali(Nursing Department,West China Hospital,Sichuan University,Chengdu,610041,China)

机构地区：[1]四川大学华西医院护理部/循证护理中心,成都市610041 [2]四川大学华西医院消化内镜中心,成都市610041 [3]四川大学华西医院普通外科,成都市610041 [4]四川大学华西医院骨科,成都市610041 [5]四川大学华西护理学院/四川大学华西医院循证护理中心

出　　处：《中国护理管理》2023年第5期641-645,共5页Chinese Nursing Management

基　　金：四川省哲学社会科学研究“十四五”规划(SC22B109)。

摘　　要：目的:探索消化内镜中心医师护士协议处方模式并评价其在结肠镜检查患者中的实践效果。方法:2022年10月,在成都市某三级甲等医院消化内镜中心施行医师护士协议处方模式,授权护士对结肠镜检查患者提前进行预见性肠道评估,补充开具清肠药物处方。采用协议处方数量、不良事件发生情况、患者肠道准备充分率、患者满意度、医护人员满意度评价实践效果。结果:授权护士共为108名患者开具清肠药物处方,未发生不良事件;患者肠道准备充分率为90.7%;患者满意度得分为(19.46±1.02)分,医师满意度得分为(4.90±0.41)分,护士满意度得分为(4.76±0.57)分。结论:医师护士协议处方模式有利于改善结肠镜检查患者肠道准备质量,患者就医体验良好,医护人员满意度高、反馈良好,该模式可推动我国护士处方权进一步发展。Objective:To explore the practical effect of doctor-nurse collaborative prescribing mode in patients undergoing colonoscopy in the digestive endoscopy center.Methods:The doctor-nurse collaborative prescribing mode was carried out in the digestive endoscopy center of a tertiary hospital in Chengdu in October,2022.The nurses were authorized to perform intestinal assessments on patients undergoing colonoscopy in advance and prescribe intestinal cleansing drugs.The number of collaborative prescriptions,the occurrence of adverse events,the intestinal preparation adequacy rate and satisfaction of patients,and the satisfaction of doctors and nurses were used to evaluate the practical effect.Results:A total of 108 patients were prescribed intestinal cleansing drugs by nurses,and no adverse events occurred.The intestinal preparation adequacy rate of patients was 90.7%,the satisfaction score of patients was 19.46±1.02,the satisfaction score of doctors was 4.90±0.41,and 4.76±0.57 of nurses.Conclusion:The doctor-nurse collaborative prescribing mode is beneficial to improve the quality of intestinal preparation of patients,leads to great medical experience of patients,high satisfaction and good feedback of medical staff,and promotes the further development of nurses'right to prescribe in China.

关 键 词：护士处方 协议处方 消化内镜中心 肠道准备 

分 类 号：R472[医药卫生—护理学] R197[医药卫生—临床医学]