CAJ | 학술논문

目的：调查北京地区医院产房助产模式及助产士的人力资源现状,分析不同助产模式下的助产士人员结构及人力配备情况,为助产士队伍的建设及合理配置提供参考。方法于2014年5—6月采用整群抽样法,使用自制的调查问卷对北京地区有独立产房的20家医院进行问卷调查,了解产房助产模式及助产士的人力资源现状,并进行分析比较。结果北京地区助产队伍的组成特点为年龄25~34岁的护士居多(59.5%)、助产士学历主要为大专(50.2%)和本科(41.7%)、助产士为非助产专业毕业(62.6%)、初级职称者(69.8%)居多。20家医院陪产率为90.0%,在产程陪产时间上72.2%是全程陪产,27.8%选择第一或第二产程陪产。助产士主要的排班模式是小组制占55.0%,三班倒占30.0%,弹性排班占15.0%。助产士1个班次工作时间为12~16 h的为45.0%,8 h为25.0%,24 h为20.0%,工作时间不一定为10.0%。不同助产模式医院的助产士配备类似,1张分娩床平均配备有(3.75±1.21)名助产士,1名助产士1年内需负责(137.92±73.09)名新生儿。结论北京地区的助产士队伍学历、职称水平有待提高,助产士的配比应结合不同的助产服务模式及工作量进行科学研究和配置,护理管理及教育人员应结合我国实际积极探讨规范的独立的助产士继续教育及培训体系。
목적：조사북경지구의원산방조산모식급조산사적인력자원현상,분석불동조산모식하적조산사인원결구급인력배비정황,위조산사대오적건설급합리배치제공삼고。방법우2014년5—6월채용정군추양법,사용자제적조사문권대북경지구유독립산방적20가의원진행문권조사,료해산방조산모식급조산사적인력자원현상,병진행분석비교。결과북경지구조산대오적조성특점위년령25~34세적호사거다(59.5%)、조산사학력주요위대전(50.2%)화본과(41.7%)、조산사위비조산전업필업(62.6%)、초급직칭자(69.8%)거다。20가의원배산솔위90.0%,재산정배산시간상72.2%시전정배산,27.8%선택제일혹제이산정배산。조산사주요적배반모식시소조제점55.0%,삼반도점30.0%,탄성배반점15.0%。조산사1개반차공작시간위12~16 h적위45.0%,8 h위25.0%,24 h위20.0%,공작시간불일정위10.0%。불동조산모식의원적조산사배비유사,1장분면상평균배비유(3.75±1.21)명조산사,1명조산사1년내수부책(137.92±73.09)명신생인。결론북경지구적조산사대오학력、직칭수평유대제고,조산사적배비응결합불동적조산복무모식급공작량진행과학연구화배치,호리관리급교육인원응결합아국실제적겁탐토규범적독립적조산사계속교육급배훈체계。
Objective To investigate midwives human resource and accouched delivery mode, and analyze the midwives personnel structure and manning level status, so as to provide reference for the construction and reasonable allocation of midwifery team. Methods Self-designed scale was used to comprehend accouched delivery mode and midwives human resource status in 20 hospitals which owned obstetric room and were selected by convenient sampling method form May to June 2014 in Beijing, and the results of scale were analyzed and compared. Results The characteristics of midwifery team were almost aged from 25 to 34 (59. 5%), and highest education levels were associated degree (50. 2%) and bachelor degree (41. 7%), and non professional midwifery graduation was 62. 6%, and primary occupational title accounting for 69. 8%. The accompanied delivery rate in 20 hospitals was 90. 0%, 72. 2% of labor was whole process companion, and 27. 8% people chose to accompany at first or second labor stage. 45% one shift of midwives lasted 12 to 16 h, and just 25% of them was 8 h working length for one shift, and 20% of them worked lasted 24 h, and 10% of midwives had uncertain length work shift. Different accouched delivery mode had similar midwifery allocation, and one delivery bed averagely disposed ( 3. 75 ± 1. 21 ) midwives, and one midwife should take responsibility for (137. 92 ± 73. 09) neonatus in one year. Conclusions The educational level and occupational title of midwives require to improve in Beijing region, the midwives proportioning should research and allocate combined with accouched delivery mode and woke load. Nursing management and training tutor should actively explore and regulate midwives continuing education and training system bonded with national situation.