中医护理准入管理制度在推广中医特色护理实践中的应用

Effects of TCM nursing admission management system in popularizing TCM characteristic nursing practice

目的探讨实施中医准入管理制度在西医专科医院推广中医特色护理实践中的应用成效。方法采用整群抽样法,选取中国科学院大学附属肿瘤医院42个护理单元的839名正式编制的护理人员作为研究对象。于2018年4月开始对其实施中医准入管理。比较实施前后患者对中医护理的满意度和科室的质控检查评分。结果实施中医护理准入管理后患者对中医护理的满意度评分较实施前均提高(P<0.05)。2018年4月—2020年3月,开展3项以上中医护理技术的科室由2018年的8个病区增加到2020年的33个病区。中医专科专项质控检查平均分逐年递增,2018年的质控检查评分为(92.80±2.02)分,2019年的质控检查评分为(96.17±3.04)分,2020年的质控检查评分为(98.27±3.11)分。结论实施中医准入管理制度,在全院开展中医特色护理并进行有效监管与质控,能够持续性地提高全院中医护理质量,也使中医特色护理在西医专科医院得到长久的发展。

Objective To explore the effect of the traditional Chinese medicine(TCM)admission management system in the practice of promoting TCM characteristic nursing in Western medicine hospitals.Methods Using the cluster sampling method,839 officially staffed nurses from 42 nursing units in the Cancer Hospital of the University of Chinese Academy of Sciences were selected as the research object.In April 2018,it began to implement TCM admission management.We compared the patients'satisfaction with TCM nursing and quality control inspection scores of departments before and after implementation.Results After the implementation of TCM nursing admission management,the satisfaction of patients with TCM nursing were all higher than those before implementation(P<0.05).From April 2018 to March 2020,the number of departments carrying out more than 3 TCM nursing techniques increased from 8 wards in 2018 to 33 wards in 2020.The average score of special quality control inspections for TCM specialists was increasing year by year.The quality control inspection scores in 2018,2019 and 2020 were(92.80±2.02),(96.17±3.04),and(98.27±3.11)respectively.Conclusions The implementation of the TCM admission management system,the implementation of TCM characteristic nursing in the whole hospital,and effective supervision and quality control can continuously improve the quality of TCM nursing,and also enable the long-term development of TCM characteristic nursing in Western medicine hospitals.