骨创伤护理专科门诊的运行实践
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摘要
目的:促进整体护理模式下骨创伤科患者的全程管理,解决出院后患者的复查拍片、肢体功能障碍、拆线等问题,保障出院后患者的安全。方法:我院于2015年12月开设骨创伤护理专科门诊,规范了护理门诊的运行机制。骨创伤护理专科门诊的服务内容包括患者症状及肢体功能的评估、康复锻炼指导、健康教育、拆线和随访。结果:骨创伤护理专科门诊开设2年来,患者症状及肢体功能评估2 843例次,康复锻炼指导2 796例次,辅助器械使用指导2 433例次,拆线2 612例次,健康教育2 838例次,心理疏导2 015例次,随访827例次,院内护理会诊32次,患者及家属满意度为99.10%,合作医生满意度为99.32%。结论:骨创伤护理专科门诊实践促进专科护理发展,提升了护理服务质量。
Objective: In order to promote the whole-process management of patients in the department of bone trauma under the guidance of holistic care, solve the problems caused by reexamination of radiography after discharge, limb dysfunction, and stitch removal, as well as ensure the safety of patients after discharge. Methods: Our hospital opened the special nurse-led clinic on bone trauma in December 2015, and standardized the operation mechanism of the nursing clinic.The services provided by the clinical department of orthopaedic trauma care included evaluation of patients' symptoms and limb function, rehabilitation and exercise guidance, health education, stitch removal, psychological counseling and followup. Results: During the two years, 2 843 times of evaluation of patients' symptoms and limb function were carried out, as well as 2 796 times of rehabilitation and exercise guidance, 2 433 times of guidance of auxiliary equipment usage, 2 612 times of stitch removal, 2 838 times of health education, 2015 times of psychological counseling, 827 times of follow-up and 32 times of nursing consultation. The satisfaction degree of patients and families and physicians cooperating with nurses reached 99.10% and 99.32%, respectively. Conclusion: The practice of nurse-led orthopaedic trauma clinic in our hospital provide references for promoting the effective operation of the specialist nursing clinics and guaranteeing the quality of nursing service.
Objective: In order to promote the whole-process management of patients in the department of bone trauma under the guidance of holistic care, solve the problems caused by reexamination of radiography after discharge, limb dysfunction, and stitch removal, as well as ensure the safety of patients after discharge. Methods: Our hospital opened the special nurse-led clinic on bone trauma in December 2015, and standardized the operation mechanism of the nursing clinic.The services provided by the clinical department of orthopaedic trauma care included evaluation of patients' symptoms and limb function, rehabilitation and exercise guidance, health education, stitch removal, psychological counseling and followup. Results: During the two years, 2 843 times of evaluation of patients' symptoms and limb function were carried out, as well as 2 796 times of rehabilitation and exercise guidance, 2 433 times of guidance of auxiliary equipment usage, 2 612 times of stitch removal, 2 838 times of health education, 2015 times of psychological counseling, 827 times of follow-up and 32 times of nursing consultation. The satisfaction degree of patients and families and physicians cooperating with nurses reached 99.10% and 99.32%, respectively. Conclusion: The practice of nurse-led orthopaedic trauma clinic in our hospital provide references for promoting the effective operation of the specialist nursing clinics and guaranteeing the quality of nursing service.
引文
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[14]练敏,束睿,李秀,等.高级执业护师在中国发展的必要性与实践探索.中华护理杂志,2018,53(5):597-599.Lian M,Shu R,Li X,et al.Necessity and practice exploration of the development of senior practicing nurses in China.Chinese Journal of Nursing,2018,53(5):597-599.
[15]Balneaves LG,Alraja A,Ziemianski D,et al.A national needs assessment of Canadian nurse practitioners regarding cannabis for therapeutic purposes.Cannabis&Cannabinoid Research,2018,3(1):66.
[16]李秀,陈湘玉,练敏,等.开业护士在国内外的发展现状及我国的发展前景.解放军护理杂志,2018,35(7):32-36.Li X,Chen XY,Lian M,et al.Development status of nurse practitioners at home and abroad and development prospects of China.Nursing Journal of Chinese People's Liberation Army,2018,35(7):32-36.
[2]Dean SC,Kerry SM,Khong TK,et al.Evaluation of a specialist nurse-led hypertension clinic with consultant backup in two inner city general practices:randomized controlled trial.Family Practice,2014,31(2):172-179.
[3]Turner B,Ali S,Drudge-Coates L,et al.Skeletal health part 2:development of a nurse practitioner bone support clinic for urologic patients.Urol Nurs,2016,36(1):22-26.
[4]陈雁,陆巍,陈璐,等.开展专科护理门诊的实践与成效.中国护理管理,2017,17(10):1314-1317.Chen Y,Lu W,Chen L,et al.Practice and effect of carrying out specialized nursing outpatient service.Chinese Nursing Management,2017,17(10):1314-1317.
[5]黄叶莉,蔡伟萍,王文珍,等.我院开设专科护理门诊的实践与成效.解放军护理杂志,2011,28(8):67-68.Huang YL,Cai WP,Wang WZ,et al.Practice and effect of setting up specialized nursing outpatient service in our hospital.Nursing Journal of Chinese People's Liberation Army,2011,28(8):67-68.
[6]刘艳荣,郑守华,郝雅梅.我院开设专科护士护理门诊的做法与体会.护理管理杂志,2010,10(9):668-669.Liu YR,Zheng SH,Hao YM.Practice and experience of our hospital to open a specialist nurse nursing clinic.Jour nal of Nursing Administration,2010,10(9):668-669.
[7]楚姝,陈湘玉,吴玲,等.出院后患者专科护理门诊管理实践.中国护理管理,2015,15(9):1032-1034.Chu S,Chen X Y,Wu L,et al.Cli n ical management practice of specialized nursing care for patients after discharge.Chinese Nursing Management,2015,15(9):1032-1034.
[8]练敏,周玉皆,陈湘玉,等.NP岗位设置对促进住院医师规范化培训的探索与思考.中国医院管理,2017,37(10):61-63.Lian M,Zhou YJ,Chen XY,et al.Exploration and thinking of NP post setting on promoting standardized training of resident physicians.Chinese Hospital Management,2017,37(10):61-63.
[9]Babaei S,Taleghani F,Kayvanara M.Compassionate behaviours of clinical nurses in Iran:an ethnographic study.International Nursing Review,2016,63(3):388-394.
[10]中华医学会外科学分会血管外科学组.深静脉血栓形成的诊断和治疗指南(第三版).中华普通外科杂志,2017,9(4):250-257.Chinese surgical society department of vascular surgery.Guidelines for diagnosis and treatment of deep vein thrombosis(3rd edition).Chinese Journal of General Surgery,2017,9(4):250-257.
[11]Marino M,Nicholas JA,Gleim GW,et al.The efficacy of manual assessment of muscle strength using a new device.Am J Sports Med,1982,10(6):360-364.
[12]刘小华,蔡雪翠.膝关节周围骨折术后的早期康复护理.护理实践与研究,2012,9(17):50-51.Liu XH,Cai XC.Early rehabilitation nursing after the fracture around the knee.Nursing Practice and Research,2012,9(17):50-51.
[13]余敏,刘长英.髌骨骨折术后不同体位护理联合早期康复训练对膝关节功能恢复的影响.齐鲁护理杂志,2014(16):12-14.Yu M,Liu CY.Effects of early rehabilitation training combined with different postoperative body positions on recovery of knee joint function after patellar fracture.Journal of Qilu Nursing,2014(16):12-14.
[14]练敏,束睿,李秀,等.高级执业护师在中国发展的必要性与实践探索.中华护理杂志,2018,53(5):597-599.Lian M,Shu R,Li X,et al.Necessity and practice exploration of the development of senior practicing nurses in China.Chinese Journal of Nursing,2018,53(5):597-599.
[15]Balneaves LG,Alraja A,Ziemianski D,et al.A national needs assessment of Canadian nurse practitioners regarding cannabis for therapeutic purposes.Cannabis&Cannabinoid Research,2018,3(1):66.
[16]李秀,陈湘玉,练敏,等.开业护士在国内外的发展现状及我国的发展前景.解放军护理杂志,2018,35(7):32-36.Li X,Chen XY,Lian M,et al.Development status of nurse practitioners at home and abroad and development prospects of China.Nursing Journal of Chinese People's Liberation Army,2018,35(7):32-36.