CAJ | 학술논문

目的：了解深圳市家庭医生服务模式下社区护士的工作现状。方法采用自制调查问卷，对深圳市24个社区健康服务中心共186名社区护士进行调查。结果家庭医生服务模式下，深圳市社区护士目前最常做的工作主要有：基本医疗服务（81.3％）、健康管理（76.1%）、计划免疫（75.8%）、儿童保健（75.0%）、老年人保健（74.5％）、慢性病管理（72.3%）、健康教育（71.7%）以及计划生育指导（68.0%），而传染病管理（56.7%）、精神卫生保健（56.6%）、残疾人管理（56.3%）等工作开展相对较少。结论深圳市社区护士的工作内容既有基础医疗服务，又有公共卫生服务，已逐步向社区"六位一体"的功能扩展，但还需针对工作中开展不足的项目逐步完善。
목적：료해심수시가정의생복무모식하사구호사적공작현상。방법채용자제조사문권，대심수시24개사구건강복무중심공186명사구호사진행조사。결과가정의생복무모식하，심수시사구호사목전최상주적공작주요유：기본의료복무（81.3％）、건강관리（76.1%）、계화면역（75.8%）、인동보건（75.0%）、노년인보건（74.5％）、만성병관리（72.3%）、건강교육（71.7%）이급계화생육지도（68.0%），이전염병관리（56.7%）、정신위생보건（56.6%）、잔질인관리（56.3%）등공작개전상대교소。결론심수시사구호사적공작내용기유기출의료복무，우유공공위생복무，이축보향사구"육위일체"적공능확전，단환수침대공작중개전불족적항목축보완선。
Objective To understand the status quo of community nurses based on the mode of family doctor in Shenzhen. Methods An anonymous questionnaire was conducted among 186 community nurses from 24 community health service centers in Shenzhen. Results The work of community nurses based on the mode of family doctor included basic medical service, health management, immunization, health care of children and the elderly, chronic disease management, health education and guidance of family planning. But very few nurses carried out mental health care and management of disabled persons. Conclusion There are both basic medical service and public health service in the work of community nurses in Shenzhen. The integrated mode of “Six in One” among community nursing is gradually improved and great emphasis of nursing should be put on the full implementation of community health care.