心血管科护士心脏康复开展情况的相关因素研究  

Related factors of implementation status of cardiac rehabilitation by nurses in cardiovascular departments

作　　者：卢畅 张颖[2] 吴芳琴[1] 邹迎宾 LU Chang;ZHANG Ying;WU Fangqin;ZOU Yingbin(School of Nursing,Capital Medical University,Beijing,100069;Cardiac Rehabilitation Center,Beijing Anzhen Hospital Affiliated to Capital Medical University,Beijing,100029;Nursing Department,Beijing Anzhen Hospital Affiliated to Capital Medical University,Beijing,100029)

机构地区：[1]首都医科大学护理学院,北京100069 [2]首都医科大学附属北京安贞医院心脏康复中心,北京100029 [3]首都医科大学附属北京安贞医院护理部,北京100029

出　　处：《实用临床医药杂志》2024年第22期115-118,122,共5页Journal of Clinical Medicine in Practice

基　　金：首都医科大学数智护理基础临床协同研究专项重点项目(SZHL23Z06)。

摘　　要：目的探讨心血管科护士心脏康复开展情况的相关因素。方法采用自行设计的心血管科护士开展心脏康复的相关因素调查问卷,通过便利抽样法选取北京市、安徽省等地区三级甲等医院心血管科护士进行调查。结果共发放问卷655份,有效问卷548份,有效回收率为83.66%。心血管科护士开展心脏康复的主要促进因素是护士指导过患者进行心脏康复,医院开设专门的心脏康复中心,国家医保局将心脏康复纳入医保(4.32±0.79)分;主要阻碍因素是患者对心脏康复了解不足(3.03±1.04)分,科室周转率较快(4.21±0.79)分,心脏康复相关法律法规不全面(3.56±0.88)分。结论心血管科护士心脏康复开展情况与护士、患者、医院、政策等因素有关,临床应予以重视并采取相应措施以促进心脏康复的开展。Objective To investigate the factors influencing the implementation status of cardiac rehabilitation by cardiovascular nurses.Methods A self-designed questionnaire titled"Survey on Factors Influencing the Implementation of Cardiac Rehabilitation by Cardiovascular Nurses"was used to survey cardiovascular nurses from tertiary hospitals in Beijing,Anhui Province,and other regions through convenience sampling.Results A total of 655 questionnaires were distributed,with 548 valid responses,yielding an effective response rate of 83.66%.The main promoting factors for nurses in cardiology departments to implement cardiac rehabilitation were nurses'experience in guiding patients through cardiac rehabilitation,the establishment of dedicated cardiac rehabilitation centers in hospitals,and the inclusion score of cardiac rehabilitation in national medical insurance of(4.32±0.79)points;the main obstacles were patients′lack of understanding of cardiac rehabilitation[(3.03±1.04)points],the high turnover rate in the department[(4.21±0.79)points],and incomplete laws and regulations related to cardiac rehabilitation[(3.56±0.88)points].Conclusion The implementation of cardiac rehabilitation by nurses in cardiology departments is related to factors such as the nurses,patients,hospitals,and policies.Clinical importance should be given to these factors,and corresponding measures should be taken to promote the implementation of cardiac rehabilitation.

关 键 词：心脏康复 护理 心血管疾病 横断面调查 问卷 

分 类 号：R473.5[医药卫生—护理学] R541[医药卫生—临床医学] R493