门诊老年关怀驿站实践策略集的构建  

Construction of a practical strategy set for outpatient elderly care station

作　　者：徐丹妮[1] 赵小梅[1] 徐苏益[1] 何鑫雨 李静 章梅云[2] Xu Danni;Zhao Xiaomei;Xu Suyi;He Xinyu;Li Jing;Zhang Meiyun(Department of Outpatient Nursing,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China;Department of Nursing,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China)

机构地区：[1]浙江大学医学院附属第一医院门诊护理,杭州310003 [2]浙江大学医学院附属第一医院护理部,杭州310003

出　　处：《中华医院管理杂志》2023年第11期841-845,共5页Chinese Journal of Hospital Administration

基　　金：浙江省教育厅科研项目资助(Y202250769);浙江大学医学院附属第一医院护理青年孵化基金项目(2022QF001)。

摘　　要：目的构建门诊老年关怀驿站实践策略集,为提升医院门诊老年护理服务质量提供参考。方法2022年1—12月,本研究基于4Ms模型,以老年患者需求为导向,通过文献分析和半结构访谈拟定门诊老年关怀驿站实践策略集的初筛条目,采用两轮德尔菲法筛选条目,构建门诊老年关怀驿站实践策略集。结果两轮德尔菲法的问卷有效回收率均为100%,专家权威系数均为0.86。门诊老年关怀驿站实践策略集包含4项一级条目(患者认为重要的事、用药安全、活动安全和精神护理)、10项二级条目(友善文化、友善管理、友善服务、友善环境、跌倒评估、预防措施、用药评估、用药宣教、心理评估和心理护理)和37项三级条目。所有一级条目和二级条目的重要性和可行性评分均为5.00分,三级条目的重要性和可行性评分>4.50分。结论门诊老年关怀驿站实践策略集以护士为主导,体现了友善服务内涵,覆盖了老年患者门诊就诊全流程,可行性较高。Objective To build a practical strategy set for outpatient elderly care station,for references for improving the quality of outpatient elderly care services in hospitals.Methods From January to December 2022,based on the 4Ms model and in view of needs of elderly outpatients,this study developed preliminary screening items of the practical strategy set for outpatient elderly care station by means of document analysis and semi-structured interviews.Two rounds of Delphi methods were used to construct the practice strategy set.Results The effective response rates of the two rounds of Delphi methods were both 100%,and the expert authority coefficients were both 0.86.The practical strategy set for outpatient elderly care station included 4 first level items(what patients consider important,medication safety,activity safety and mental care),10 second level items(friendly culture,friendly management,friendly service,friendly environment,including fall assessment,preventive measures,medication assessment,medication education,psychological assessment and psychological care),and 37 third level items.The importance and feasibility scores for all first and second level items were 5.00 points,while the third level items were all greater than 4.50 points.Conclusions The practical strategy set for outpatient elderly care stations was led by nurses,reflecting the connotation of friendly services and covering the entire process of outpatient visits for elderly patients,with high feasibility.

关 键 词：老年护理 门诊护理 老年关怀驿站 4Ms模型 德尔菲法 友善服务 

分 类 号：R197.3[医药卫生—卫生事业管理]