全国417家医院肠造口护理管理现况调查  

Status quo of the enterostomy care management in 417 hospitals nationwide

作　　者：周玉洁[1] 许佳琪 谢玲女[4] 刘艳[5] 乔莉娜[6] 张华[7] 周怡 裴琛[2] 李宁[2] 张雪[3] ZHOU Yujie;XU Jiaqi;XIE Lingnyu;LIU Yan;QIAO Lina;ZHANG Hua;ZHOU Yi;PEI Chen;LI Ning;ZHANG Xue(Nursing Department,Peking University Third Hospital,Beijing,100191,China)

机构地区：[1]北京大学第三医院护理部,北京市100191 [2]北京大学第三医院普通外科,北京市100191 [3]北京大学第三医院国际医疗部,北京市100191 [4]浙江省肿瘤医院护理部 [5]武汉大学人民医院护理部 [6]西安交通大学第一附属医院普通外科 [7]重庆医科大学附属第一医院胃肠外科 [8]天津医科大学第二医院泌尿外科

出　　处：《中国护理管理》2024年第6期801-806,共6页Chinese Nursing Management

摘　　要：目的:调查我国医院开展肠造口护理管理的现状,为提升肠造口患者护理管理质量提供参考依据。方法:2024年3月,采用目的抽样方法选取全国31个省份的医院为研究对象,使用自行设计的“肠造口患者护理管理现况调查问卷”进行调查并分析调查结果。结果:共有31个省(自治区、直辖市)的417家医院参与调查,其中366家(87.8%)医院制定了肠造口护理管理制度及工作流程,但不能涵盖肠造口护理管理各个环节;参与肠造口患者管理的人员较多,400家(95.9%)医院有伤口造口失禁专科护士参与;315家(75.5%)医院实施术前造口定位,225家(54.0%)医院开展临时性肠造口患者盆底康复训练,380家(91.1%)医院开展延续性护理服务;健康教育内容包括可用医疗资源及性生活指导的医院分别为223家(53.5%)和199家(47.7%)。结论:肠造口护理管理制度及工作流程制定情况尚可,延续期护理服务形式多样化,多学科团队管理模式推广情况欠佳,肠造口患者护理服务落实率有待提高,需要进一步完善管理制度及流程、加强多学科合作、落实护理服务,以提升患者生活质量。Objective:To explore the current situation of nursing management of enterostomal patients in China to provide references for improving the quality of nursing management of those patients.Methods:In March 2024,hospitals in the 31 provinces of China were selected using purposive sampling method,and the self-designed"Questionnaire on Nursing Management of Enterostomal Patients"was used to conduct the survey for future analysis.Results:A total of 417 hospitals participated in the survey.366(87.8%)hospitals had management systems/procedures related to enterostomy care,which,however,failed to cover all the aspects of enterostomy care management;different healthcare providers were included in the management team of patients with enterostomies,namely,400 hospitals(95.9%)had wound,ostomy and continence nurses.315 hospitals(75.5%)offered preoperative stoma positioning,225 hospitals(54.0%)carried out temporary pelvic floor rehabilitation for patients with enterostomies,and 380(91.1%)hospitals carried out follow-up of patients.And 223(53.5%)and 199(47.7%)hospitals gave guidance on available medical resources and sexual content,respectively.Conclusion:The development of nursing management system and workflow for patients with enterostomies was fairly good,the forms of extended nursing services were diversified.However,the promotion of multidisciplinary team management mode was poor,and the implementation rate of nursing services for patients with enterostomies remained be improved,which required further improvement of the management system and workflow arrangement,strengthening of multidisciplinary cooperation,and implementation of nursing services.

关 键 词：肠造口 护理管理 现状调查 质量 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]