中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
1期
4-7
,共4页
孙晓%施雁%王西英%吴茜
孫曉%施雁%王西英%吳茜
손효%시안%왕서영%오천
慢性病%卫生服务需求%延续护理
慢性病%衛生服務需求%延續護理
만성병%위생복무수구%연속호리
Chronic diseases%Health services needs and demand%Continuing nursing care
目的：了解社区慢性病患者对三元联动延续护理服务的真实需求。方法自行设计调查表，采用便利抽样法选取5家社区的200例慢性病患者进行调查。结果共发放问卷200份，回收有效问卷178份，有效率为89％。对延续护理服务项目非常了解的慢性病患者仅占21．4％（38/178）；希望出院后继续接受医护照护的慢性病患者占80．9％（144/178）；38．2％（68/178）的慢性病患者“不确定”延续护理服务对疾病疗效的影响；77．5％（138/178）的慢性病患者担心延续护理服务的自费比例问题。社区慢性病患者对延续护理服务的需求包括安全用药知识、血压控制及自我监测、饮食指导、疾病相关知识、血脂及血糖控制与监测、康复锻炼方法等。希望由社区护士提供院外护理服务的慢性病患者仅占8．4％（15/178）。结论社区慢性病患者对延续护理服务内容的需求量比较大，但是尚存在一些瓶颈，因此要充分利用社区护士人力资源，有效开展医院-社区-家庭三元联动延续护理服务。
目的：瞭解社區慢性病患者對三元聯動延續護理服務的真實需求。方法自行設計調查錶，採用便利抽樣法選取5傢社區的200例慢性病患者進行調查。結果共髮放問捲200份，迴收有效問捲178份，有效率為89％。對延續護理服務項目非常瞭解的慢性病患者僅佔21．4％（38/178）；希望齣院後繼續接受醫護照護的慢性病患者佔80．9％（144/178）；38．2％（68/178）的慢性病患者“不確定”延續護理服務對疾病療效的影響；77．5％（138/178）的慢性病患者擔心延續護理服務的自費比例問題。社區慢性病患者對延續護理服務的需求包括安全用藥知識、血壓控製及自我鑑測、飲食指導、疾病相關知識、血脂及血糖控製與鑑測、康複鍛煉方法等。希望由社區護士提供院外護理服務的慢性病患者僅佔8．4％（15/178）。結論社區慢性病患者對延續護理服務內容的需求量比較大，但是尚存在一些瓶頸，因此要充分利用社區護士人力資源，有效開展醫院-社區-傢庭三元聯動延續護理服務。
목적：료해사구만성병환자대삼원련동연속호리복무적진실수구。방법자행설계조사표，채용편리추양법선취5가사구적200례만성병환자진행조사。결과공발방문권200빈，회수유효문권178빈，유효솔위89％。대연속호리복무항목비상료해적만성병환자부점21．4％（38/178）；희망출원후계속접수의호조호적만성병환자점80．9％（144/178）；38．2％（68/178）적만성병환자“불학정”연속호리복무대질병료효적영향；77．5％（138/178）적만성병환자담심연속호리복무적자비비례문제。사구만성병환자대연속호리복무적수구포괄안전용약지식、혈압공제급자아감측、음식지도、질병상관지식、혈지급혈당공제여감측、강복단련방법등。희망유사구호사제공원외호리복무적만성병환자부점8．4％（15/178）。결론사구만성병환자대연속호리복무내용적수구량비교대，단시상존재일사병경，인차요충분이용사구호사인력자원，유효개전의원-사구-가정삼원련동연속호리복무。
Objective To study the demands among community patients with chronic diseases for continuing nursing care .Methods Totals of 200 patients from five community health service centers were recruited into the study and investigated with self-designed questionnaire .Results Out 200 questionnaires , totals of 178 questionnaires were taken back , with effective rate of 89%.Among 178 patients, 21.4%(38/178) of patients chose “good understanding of continuing nursing care”, 80.9%(144/178) of patients chose“hoping to continue to receive care after discharge”;38.2%(68/178) of patients were “not sure the effect of continuing nursing care”;77.5%(138/178) of patients worried about their own expense for continuing nursing care .The demands for continuing nursing care included knowledge of safe medication and diseases , blood pressure control and self-monitoring, dietary guidelines, knowledge related to the disease , blood lipid and blood glucose control and monitoring, rehabilitation exercise and so on .Only 8.4%(15/178) of patients hoped that nursing care after discharge was provided by community nurses .Conclusions Community patients have a high demand for continuing nursing care , while difficulties exist in implementing of continuing nursing care at present .It is necessary to make fully use community nursing human resources to develop continuing nursing care model of hospital-community-family.
