上海市社区创口护理工作开展现状的质性研究

Current Status of Wound Care in Shanghai Communities:A Qualitative Research

目的了解上海市社区创口护理工作开展现状,以为其工作管理和人才培养提供依据。方法于2014年4月,采用立意抽样法,在上海市抽取12家社区卫生服务中心,在每家社区卫生服务中心抽取护理管理者或骨干护士1名,共纳入12名。采用焦点小组访谈法进行资料收集,采用主题词分析法进行资料分析。结果上海市社区创口护理情况较严峻,创口类型以压疮为主,创口损伤程度较严重,以老年患者居多,且家庭照护者创口护理知识相对缺乏;社区专业创口护理师缺乏,专家型人才缺如,教育尚处于初始阶段;社区创口护理管理体系不完善。结论上海市社区创口护理需求较高,但人力资源较匮乏,管理体系欠完善。应加强社区创口护理人才培养,建立适合社区的创口护理模式。

Objective To investigate the current status of wound care in Shanghai communities,in order to provide references for relevant work management and personnel training. Methods In April 2014,using purposive sampling method,we selected 12 community health service centers in Shanghai and enrolled the nursing leader or an outstanding nurse from each center. Focus group interviewing method was employed to collect data, and keywords analysis was conducted to analyze the data. Results At present,the wound care in Shanghai communities is in unfavorable condition. The primary type of wound is pressure sores,the cases of wound are usually in critical condition,and elderly patients take the majority. Household care givers are inadequate in nursing knowledge,and there is a lack of professional wound care givers and specialists. The relevant training is still at an initial stage. The management system of wound care in communities is imperfect. Conclusion Wound care in Shanghai is in high demand,while the relevant human resource is in shortage,and the management system is imperfect. We suggest the personnel training of community wound care should be strengthened and wound care modes fit for different communities should be established.