社区护士对社区护理学课程需求的调查

A survey of community nursing curriculum requirements in community nurses in Hunan province

目的：调查了解湖南省社区卫生服务机构中社区护士对社区护理学课程的实际需求，为社区护理学教程提供可靠的教学依据。方法：根据社区护理教材的内容采用自行设计的调查问卷，对湖南省5个城市中189名社区卫生护士进行调查，问卷有效回收率为92.6%。结果：社区护理人员认为较常用的内容依次为：社区营养与膳食管理（85.7%）、突发性公共卫生事件的处理（76.7%）、社区环境评估（69.8%）、人际沟通能力（69.8%）、流行病学与统计学应用（66.7%）、社区康复护理（64.0%）、家庭访视与家庭护理（51.9%）；较少使用的内容依次是：社区健康档案管理（54.5%）、社区护理概述（36.0%）、常见传染病慢性病的护理（31.7%）、特殊人群保健（30.2%）、职业病（25.4%）；社区护士对社区护理学学时的需要所占比例依次是：56～70节（45.0%）、41～55节占（29.6%）、71节以上（14.3%）、40节以下（11.1%）。结论：社区卫生服务机构中护理人员缺乏，应增加高职高专院校护理学专业学生的社区护理学课程；社区护理学课程应以预防保健为主，适当增加课时数，理论与实践紧密结合，建立实用型社区护理课程体系。

Objective To investigate the actual needs that community nurses have on community nursing courses in community health service organization in Hunan province,to provide a reliable teaching basis for the community nursing courses.Methods Investigations on 189 community health nurses in 5 cities,this is conducted on the self-designed questionnaires based on community nursing textbook content,the effective recovery rates of questionnaire is 92.6%.Results Community nursing personnel think the more important content is：community nutrition and dietary management 85.7%,the handling of sudden public health event 76.7%,and community environment assessment 69.8%,and interpersonal communication capacity 69.8%,and epidemiology and statistics application 66.7%,and community rehabilitation nursing 64%,and family visiting and family nursing 51.9%;less used is：community health archives management 54.5%,and community nursing overview 36%,and Common nursing care on infectious diseases and chronic disease 31.7%;special populations health care 30.2%;occupational diseases 25.4%;community nurses’ requirements on community nursing course hours are：56-70 courses 45%,41-55 courses 29.6%,more than 71 courses 14.3%,less than 40 courses 11.1%.Conclusion In community developing,increase the community nurse’s qualification levels;adjusting the content of community nursing mainly on prevention and health care;appropriately increase the number of lessons,close union on theory and practice,building a practical curriculum of community nursing.