人工肝专岗护士岗位设立及实践探索  

Establishment and practice exploration of artificial liver nurse post

作　　者：何娜 王娟[1] 李莉莉[1] 郑丽花[1] 郑子梅[1] 江淑贤[1] He Na;Wang Juan;Li Lili;Zheng Lihua;Zheng Zimei;Jiang Shuxian(Infectious Disease Department,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)

机构地区：[1]中山大学附属第三医院感染科,广州510630

出　　处：《国际医药卫生导报》2024年第14期2447-2451,共5页International Medicine and Health Guidance News

基　　金：中山大学附属第三医院院级护理基金(2022HLZD02);中华医学会杂志社2022~2023年护理学科研课题(CMAPH-RG2022018)。

摘　　要：目的分析设立人工肝血液净化技术(人工肝)专岗护士岗位的作用与效果,为人工肝的岗位设置和科学管理提供参考依据。方法自2020年11月起,中山大学附属第三医院感染科设立人工肝专岗护士岗位,选拔并培训人工肝专岗护士12名,女11名,男1名;年龄(32.92±4.57)岁;工龄(9.51±5.12)年。制定相应的管理规范,人工肝专岗护士在人工肝治疗前中后及间歇期进行全程管理。比较专岗护士岗位设立前后人工肝专岗护士管理的情况和人工肝专岗护士的能力。采用配对t检验。结果2020年11月至2021年12月,人工肝专岗护士参与制定人工肝治疗工作流程共15项,修订规范5项,参与改进项目3项。2021年完成人工肝治疗共1050例,较2020年(365例)增长约2.88倍。人工肝专岗护士岗位设立后,人工肝治疗护理质量检查由77.0分提高至92.5分。经过人工肝培训后,人工肝专岗护士临床护理能力[自评(35.36±3.57)分、他评(38.64±7.24)分]、专业发展能力[自评(42.29±6.44)分、他评(49.60±11.03)分]、领导与管理能力[自评(38.86±4.66)分、他评(43.47±8.99)分]评分均高于培训前(均P<0.05)。结论人工肝专岗护士岗位的设立、管理与实施,在人工肝治疗中发挥了巨大的作用,完善人工肝治疗管理规范,提高人工肝治疗质量,促进专科发展。Objective To analyze the role and effect of setting up special post of nurses in charge of artificial liver blood purification technology(artificial liver),and to provide reference for post setting and scientific management of artificial liver.Methods Since November 2020,the post of artificial liver specialist nurse was set up in Infectious Disease Department,the Third Affiliated Hospital of Sun Yat-sen University,12 specialized nurses for artificial liver post were selected and trained,consisting of 11 females and 1 male,with an age of(32.92±4.57)years old,with work experience of(9.51±5.12)years.The corresponding management norms were established to select and train the artificial liver specialist nurses.The artificial liver specialist nurse conducted the whole process management before,during,and after the artificial liver treatment and during the interval period.The management of artificial liver specialized post nurses and the ability of artificial liver specialized post nurses were compared before and after the establishment of post.Paired t test was used.Results From November 2020 to December 2021,a total of 12 artificial liver specialized nurses were trained,and they participated in the formulation of 15 artificial liver treatment workflows,the revision of 5 norms,and the improvement of 3 projects.In 2021,a total of 1050 patients were treated with artificial liver,an increase of 2.88 times compared with 2020(365 patients).After the establishment of artificial liver nurse post,the quality of nursing care in artificial liver treatment increased from 77.0 to 92.5 points.After the artificial liver training,the scores of clinical nursing ability[self-evaluation(35.36±3.57)points and other-report(38.64±7.24)points],professional development ability[self-evaluation(42.29±6.44)points and other-report(49.60±11.03)points],and leadership and management ability[self-evaluation(38.86±4.66)points and other-report(43.47±8.99)points]of artificial liver specialized post nurses were significantly improved(all P<0.05)

关 键 词：人工肝 专岗护士 护士岗位 

分 类 号：R473.6[医药卫生—护理学]