主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (4): 583-588.doi: 10.3969/j.issn.1672-1756.2019.04.021

• 人力资源 • 上一篇    下一篇

脑卒中专科护理团队的建设与实践

钟代曲 康丽娟 王英 符晓艳 沈盈盈 曾昌琴 张庆   

  1. 四川华泰国际医院护理部,638000,四川省广安市(钟代曲,康丽娟);中国人民解放军陆军特色医学中心(王英,符晓艳,沈盈盈,曾昌琴,张庆)
  • 发布日期:2019-04-15
  • 通讯作者: 钟代曲,本科,副主任护师,护理部主任,E-mail:zhongdaiqu@126.com E-mail:E-mail:zhongdaiqu@126.com
  • 作者简介:钟代曲,本科,副主任护师,护理部主任
  • 基金资助:
    重庆市科委课题(CST2017shmsA130114,CST2017shmsA0292)

Construction and practice of stroke specialist nursing team

ZHONG Daiqu, KANG Lijuan, WANG Ying, FU Xiaoyan, SHEN Yingying, ZENG Changqin, ZHANG Qing   

  1. Sichuan Huatai International Hospital, Guangan, Sichuan province, 638000, China
  • Published:2019-04-15
  • Contact: E-mail:zhongdaiqu@126.com E-mail:E-mail:zhongdaiqu@126.com

摘要: 目的:建立脑卒中专科护理团队,对护士进行专科培养,分析专科护理团队的实践效果。方法:制定脑卒中专科护理团队建设方案,确定人员培养类别,培训内容包括国内前沿知识和院内基础知识培训,重点培养护士综合能力和专业技能。结果:通过5年的培养,护士在学历结构、职称结构、专业资质认证3个方面均有改善;脑卒中患者护理相关评价指标方面:平均住院日、平均住院费用、卒中绿色通道救治开展率、护理并发症/合并症发生率、卒中复发返院率比较,2017年优于2012年,差异有统计学意义(P<0.05);患者卒中评估、康复训练、健康教育、心理护理、营养管理、随访管理开展率及合格率比较,2017年优于2012年,差异有统计学意义(P<0.05);形成一系列卒中护理规范,取得多项学术科研成果。结论:对脑卒中护理团队有计划地进行建设,可以提高护士护理能力,为患者提供高质量的护理服务,达到了护教研相互促进的目的。

关键词: 脑卒中;团队建设;专业能力

Abstract: Objective: To establish a specialist nursing team in stroke unit, to train nurses in specialties, and to observe its effect on stroke patients. Methods: The stroke specialist training team construction plan was formulated, the personnel training category was determined, and the domestic frontier training plus in-hospital training method was adopted to train the nurses to cultivate the comprehensive ability and special skills of the nurses. Results: Through five years of training, significant changes had taken place in nursing team in terms of academic structure, professional title structure, and professional qualification certification. For indicators for evaluation of treatment outcomes of stroke patients, there were significant differences in average hospitalization days, average cost, stroke green channel treatment rate, the incidence of nursing complications and the rate of readmission. The indicators in 2017 were better than those in 2012 (P<0.05); and there were significant differences in the compliance rate of the specialist assessment of stroke patients, rehabilitation training, psychological nursing, health education, nutrition management, follow-up management. In 2017, the indicators were better than those in 2012 (P<0.05). What's more, a series of stroke nursing standards were formed, and many academic research results were achieved. Conclusion: The construction of the stroke nursing team can improve the nurses' ability in providing high-quality nursing services for patients, which help achieve the goal of mutual promotion of nursing education and research.

Key words: stroke; team building; professional ability

中图分类号: 

  • R47