呼吸专科护士慢性呼吸疾病管理现状调查

Status of chronic respiratory diseases management among respiratory specialized nurses

目的调查呼吸专科护士慢性呼吸疾病管理现状,为提高慢性呼吸疾病的管理水平提供参考。方法依据《中国成人慢性呼吸疾病患者护理管理指南》设计调查问卷,对重庆、四川、贵州、陕西、河北、湖北、海南7省市的205名呼吸专科护士进行问卷调查。结果呼吸专科护士慢性呼吸疾病管理总分为(140.72±23.90)分。慢性呼吸疾病管理得分最低的3个条目有评估工具应用、个性化管理计划的实施、慢阻肺随访的次数及指导哮喘患者使用峰流速仪;呼吸专科护士所在单位慢性呼吸疾病管理平台建设均低于50%。结论呼吸专科护士慢性呼吸疾病管理处于中等偏下水平,评估是慢性呼吸疾病管理的薄弱点。需加强呼吸专科护士专业能力培养,规范慢性呼吸疾病全程管理,强化医院平台建设等,提高慢性呼吸疾病的管理水平。

Objective To investigate the status of chronic respiratory diseases management in respiratory specialized nurses,so as to provide reference for improving the management level of chronic respiratory disease. Methods An investigation questionnaire was designed according to the guideline for nursing management of adult patients with chronic respiratory diseases in China,which was then used to investigate 205 respiratory specialized nurses from Chongqing,Sichuan,Guizhou,Shanxi,Hebei,Hubei and Hainan totally 7 provinces or cities. Results The respiratory specialized nurses′ total score of chronic respiratory diseases management was (140.72±23.90).The three items with the lowest score in chronic respiratory disease management was the application of assessment tools,the implementation of personalized management plan,the number of follow-up visits to chronic obstructive pulmonary disease and the guidance of peak flow meter for asthma patients.The construction of respiratory chronic disease management platform in the nurses′ working institutions were less than 50%. Conclusion The management of chronic respiratory di- sease among respiratory specialized nurses is at a medium or low level,and assessment is the weekness of chronic respiratory diseases management.It is necessary to strengthen respiratory specialized nurses′ specialty ability cultivation,standardize the whole process management of chronic respiratory disease,and intensify the platform construction in hospital,so as to improve management level of chronic respiratory diseases.