基于患者角度的一项西安市糖尿病患者延续护理供给与需求的调查
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摘要
目的了解西安市糖尿病患者延续护理的供给与需求现状。方法对在某三级医院住院的293例糖尿病患者进行问卷调查,同时对其中的40例患者进行深度访谈。结果 73.6%的患者希望出院后得到延续护理;71.2%的患者希望医院医生提供延续护理;患者对延续护理内容需求中用药指导占64.6%,饮食指导占47.2%;延续护理方式需求电话随访占52.1%,门诊复查占41.3%;定性研究结果与定量研究基本一致。结论虽然部分患者对延续护理服务持怀疑和拒绝的态度,但大多数患者对延续护理的需求较高,社区的医疗资源利用度低,未与医院形成对患者回归社区及家庭的无缝连接。因此,未来应加强社区的医疗服务能力,建立医院-社区-家庭一体化的延续护理模式,保证患者安全。
Objective To investigate the supply and demand current situation of continuous nursing for diabetic patients in Xi'an. Methods A questionnaire survey was conducted among 293 diabetic hospitalized patients in a tertiary hospital,and an in-depth interview was conducted was conducted among 40 patients. Results Totally 73.6% of patients was in need of continuous nursing after discharge; 71.2% of patients preferred their doctors to provide continuous nursing. In the content of continuous nursing, the guidance of medication was needed by 64.6% patients, and the guidance of diet was47.2%. In ways of continuous nursing, telephone follow-up was needed by 52.1% patients, outpatient review was needed by41.3% patients. The results of qualitative research and quantitative research were basically consistent. Conclusion Although some patients have doubts and refusals about continuous nursing, most patients have a high demand for continuous nursing,and the utilization of community medical resources is low. There is no seamless connection with hospitals for patients returning to community and family. Therefore, in the future, the ability of community medical service should be strengthened,so as to establish a continuous nursing model of hospital-community-family integration, and ensure patient safety.
Objective To investigate the supply and demand current situation of continuous nursing for diabetic patients in Xi'an. Methods A questionnaire survey was conducted among 293 diabetic hospitalized patients in a tertiary hospital,and an in-depth interview was conducted was conducted among 40 patients. Results Totally 73.6% of patients was in need of continuous nursing after discharge; 71.2% of patients preferred their doctors to provide continuous nursing. In the content of continuous nursing, the guidance of medication was needed by 64.6% patients, and the guidance of diet was47.2%. In ways of continuous nursing, telephone follow-up was needed by 52.1% patients, outpatient review was needed by41.3% patients. The results of qualitative research and quantitative research were basically consistent. Conclusion Although some patients have doubts and refusals about continuous nursing, most patients have a high demand for continuous nursing,and the utilization of community medical resources is low. There is no seamless connection with hospitals for patients returning to community and family. Therefore, in the future, the ability of community medical service should be strengthened,so as to establish a continuous nursing model of hospital-community-family integration, and ensure patient safety.
引文
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[7]相锋.终末期糖尿病肾病病人延续性护理需求调查[J].护理研究,2013,27(22):2326-2327.
[2]杨海苓,王萍,侯文秀,等.医院-社区-家庭三元联动延续护理平台的设计及应用[J].中华护理杂志,2016,51(9):1133-1137.
[3]葛均波,徐永健.内科学[M].8版.北京:人民卫生出版社,2013:735-760.
[4]汪涛,陈静,胡代玉,等.运用主题框架法进行定性资料分析[J].中国卫生资源,2006,9(2):86-88.
[5]汪晖,杨纯子,徐蓉,等.46所综合性医院出院患者延伸护理服务需求的调查分析[J].护理学杂志,2015,30(9):93-95.
[6]王爱民,何文静,熊晓琴,等.2型糖尿病患者的延续护理[J].护理学杂志,2014,29(11):82-84.
[7]相锋.终末期糖尿病肾病病人延续性护理需求调查[J].护理研究,2013,27(22):2326-2327.