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 ›› 2023, Vol. 23 ›› Issue (11): 1647-1651.doi: 10.3969/j.issn.1672-1756.2023.11.010

• 论著 • 上一篇    下一篇

伤口造口失禁专科护士对造口患者管理的现况调查

张洁 王丹丹 陈楠 杨红 杨茜   

  1. 北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心三病区,恶性肿瘤发病机制及转化研究教育部重点实验室,100142 北京市(张洁,王丹丹,陈楠,杨茜);护理部(杨红)
  • 出版日期:2023-11-15 发布日期:2023-11-15
  • 作者简介:张洁,本科,主管护师,护士长,E-mail:lily780129@163.com

Investigation on management of stoma patients by Wound, Ostomy and Continence Nurse in wound stoma and incontinence care

ZHANG Jie, WANG Dandan, CHEN Nan, YANG Hong, YANG Qian   

  1. Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Gastrointestinal Cancer Center Unit Ⅲ, Peking University Cancer Hospital & Institute, Beijing, 100142, China
  • Online:2023-11-15 Published:2023-11-15

摘要: 目的:调查伤口造口失禁专科护士对造口患者的管理现况,查找其工作中存在的问题,旨在为提升造口患者管理及专科护士教学水平提供参考。方法:2022年6月19日—30日,采用线上调查方式,将自行编制的造口患者管理现况调查问卷通过“问卷星”调查平台向被调查者发送问卷链接,对在某教学基地学习过的伤口造口失禁专科护士进行调查。结果:回收有效问卷214份。围手术期健康教育方面,对造口患者进行心理评估与指导者占71.5%;造口定位方面,能够进行术前造口定位者占66.4%;造口患者随访管理方面,定期随访者占80.4%;信息管理各方面的管理落实率均低于66.0%;医护共同管理方面,医生与专科护士联合出诊者占46.3%。专职造口治疗师比兼职者造口管理效果好,取得专科护士证书≥3年者比<3年者造口管理效果好,所在科室年造口量≥50例的专科护士比<50例者造口管理效果好,三级医院较二级医院的造口管理效果好,差异均有统计学意义(P<0.05)。结论:伤口造口失禁专科护士造口患者管理状况需要进一步加强,包括心理护理、造口定位、信息管理等方面,同时也要完善实践基地的教学内容并提高教学水平,以期提高造口患者管理质量。

关键词: 伤口造口失禁专科护士;造口管理;健康教育;造口随访;信息管理;调查

Abstract: Objective: To investigate the current status of management of stoma patients by Wound, Ostomy and Continence Nurse in a teaching base. Methods: From June 19th to 30th,2022, a self-developed questionnaire was used to investigate the status of patients management Results: A total of 214 valid questionnaires were returned. In terms of perioperative health education, 71.5% of nurses could evaluate the psychological status of patients and guide the patients to cope with the problems, 66.4% of the nurses could position the preoperative stoma, 80.4% of the nurses provided regular follow-up. Less than 66.0% of the nurses perform information management. 46.3% of visits were carried out by nurses and physicians. Nurses with full-time position, more than three years working experience, and caring of more than 50 cases per year could perform better management than nurses with part-time position, less than three years working experience, and caring of less than 50 cases. Conclusion: The management level of stoma patients by Wound, Ostomy and Continence Nurse needs to be further improved, including psychological care, stoma positioning, information management, etc. The teaching contents and level of the practice base should be improved at the same time.

Key words: Wound, Ostomy and Continence Nurse; stoma management; health education; stoma follow-up; information management; investigation

中图分类号:  R47;R197