中医医院护士对护士处方权信念和态度现状及其影响因素研究

A Study on Nurses'Attitudes Towards and Beliefs of Nurse's Prescription Right in Traditional Chinese Medicine Hospitals

目的了解我国中医医院护士对护士处方权的信念和态度,以期为医疗相关决策者提供参考依据。方法本次调查采用发放问卷星二维码滚雪球法,选取2023年7月—2023年9月在北京市各个等级中医医院工作的护理人员1397人作为研究对象。采用便利抽样法,对1397名中医医院护士发放护士对护士处方权信念和态度量表,并对结果进行统计学分析。结果1397名中医医院护士对护士处方权信念和态度得分为(95.86±19.03)分;护士职务和医院开设门诊是影响护士对护士处方权信念和态度的影响因素,共同解释5.2%的变异;护士应具有慢病患者长期使用药物(49.2%)、医用耗材(48.5%)的处方权限意向较高;中医医院护士建议给予中医专科护士中医护理技术处方权;并建议对中医专科护士进行规范化培训后给予处方权。结论中医医院护士对护士处方权信念和态度是积极的;对于护士处方权准入资质应综合考虑护士的工作年限、职称、职务等因素;尽快制定护士处方权政策及法律法规;尽快构建适用于我国的护士药物处方集。建议中医专科护士获得处方权需进行规范化理论学习和实践学习且应具有临床辨证能力并严格考核。

Objective To understand nurses'beliefs and attitudes towards nurse's prescription rights in traditional Chinese medicine hospitals,so as to provide reference for medical decision-makers.Methods Convenience sampling was used to select 1397 nurses in traditional Chinese medicine hospitals that were assigned the scale of nurses'attitudes towards and belief in nurse's prescription right,and the results were statistically analyzed.Results The average score of the 1397 nurses'belief and attitude towards nurse prescription right was(95.86±19.03);Nurse position and outpatient service were the infl uencing factors of nurses'beliefs and attitudes towards nurse's prescription rights,which together explained 5.2%of the variation;Nurses have high intention of prescribing with chronic diseases'patients useing long term drug(49.2%)and medical consumables(48.5%);Nurses in traditional Chinese medicine hospitals suggested that traditional Chinese medicine specialized nurses be given the right to prescribe traditional Chinese medicine nursing techniques;It is suggested that the prescription right should be given to traditional Chinese medicine specialized nurses after standardized training.Conclusion Nurses in traditional Chinese medicine hospitals have positive beliefs and attitudes towards nurses'prescription rights;For the qualification of nurses'prescription right access,factors such as working years,professional titles and positions of nurses should be comprehensively considered;Formulate policies,laws and regulations on nurses'prescription right as soon as possible;To construct the nurse drug formulary applicable to our country as soon as possible.It is suggested that traditional Chinese medicine specialist nurses should learn standardized theory and practice,have clinical syndrome diff erentiation ability and be strictly examined to obtain prescription right.