山东省61所三级综合医院中医科护士开展辨证施护的现状调查

The current implementation situation of syndrome differentiation and care carried out by nurses in department of Traditional Chinese Medicine in 61 tertiary general hospitals of Shandong Province

目的了解山东省61所三级综合医院中医科护士开展辨证施护的现状。方法采用按比例的整群抽样法,于2021年2月—4月,采用自行设计问卷对山东省17个地级市的61所三级综合医院中121名中医科护士进行调查。结果121名中医科护士开展辨证评价为低,开展施护评价为中等。影响辨证施护的因素包括证型辨不清楚、无法完全掌握全部辨证施护内容、施护内容晦涩难以记忆、职能部门日常无考核要求、护士人力不足。结论山东省61所综合医院中医科护士的“辨证”情况不佳,“施护”开展有待增强。提示应进一步重视综合医院中医科护士的在职培训,健全对中医护理学科的激励保障机制,以促进综合医院中医辨证施护的深入开展。

Objective To investigate the current implementation status of syndrome differentiation and care in department of Traditional Chinese Medicine of 61 tertiary general hospitals in Shandong Province.Methods A total of 121 nurses recruited by cluster sampling from 61 tertiary general hospitals of Shandong Province were investigated by self-designed questionnaire method from Feb to Apr 2021.Results TCM nurses were evaluated as low for syndrome differentiation and medium for nursing care.Factors affecting the syndrome differentiation and care included being unclear syndrome differentiation,inability to fully grasp all the contents of care based on syndrome differentiation,being obscure and difficult to remember nursing contents,lacking of daily assessment requirements in functional departments,and insufficient nurse manpower.Conclusion In 61 general hospitals in Shandong Province,the nurses in the departments of Traditional Chinese Medicine are in poor condition of syndrome differentiation,and care needs to be strengthened.On-the-job training should be strengthened in nurses and a perfect guarantee system should be built up to promote the implementation of syndrome differentiation and care in traditional Chinese medical in general hospitals in depth.