基于多学科协作下帕金森照护护理工作室的构建与管理

目的通过帕金森照护护理工作室的构建与规范化管理,为帕金森患者提供健康教育咨询及个体化的康复方案,提高帕金森病患者出院后的延续性康复质量。方法采用方便抽样法,选取2018年4月—2019年6月在北京天坛医院帕金森照护护理工作室就诊的168例患者为研究对象。对帕金森照护护理工作室进行合理设置,制定规范的管理制度,明确诊疗过程中的服务对象,确定护理工作室的工作内容。帕金森照护护理工作室团队由运动障碍性疾病科护士长领导,采取多学科协作,其团队共12名成员,对就诊的患者建立电子档案,并充分评估患者的身体功能与结构、个体完成任务或动作的能力以及参与家庭及社会的能力,在此基础上制定客观、个体化的康复训练方案。分析工作室工作量、患者满意度,比较干预前后患者用药依从性。结果自2018年4月帕金森照护工作室开设以来,12名成员轮流出诊,共接诊患者168例帕金森患者。帕金森患者对照护工作室的评价较高,非常满意率达95.6%。干预后,患者的用药依从性提高,干预前后比较差异有统计学意义(P<0.05)。结论帕金森照护护理工作室的构建与规范化管理,有利于提高帕金森病患者的疾病管理意识和用药依从性。

Construction and management of Parkinson's care and nursing studio based on multidisciplinary collaboration

Objective To provide Parkinson's patients with health education consultation and personalized rehabilitation programs through the construction and standardized management of Parkinson's care and nursing studio,and to improve the quality of continuous rehabilitation of Parkinson's patients after discharge.Methods Using the convenient sampling method,168 patients who attended the Parkinson Care and Nursing Studio in Beijing Tiantan Hospital from April 2018 to June 2019 were selected as the subjects.Parkinson's care and nursing studio was set reasonably,a standardized management system was established,the service objects in the process of diagnosis and treatment were clarified,and the work content of the nursing studio was determined.The Parkinson's care and nursing studio team was led by the head nurse of the Department of Dyskinesia.Multidisciplinary collaboration was adopted,and there were 12 members in this team.An electronic file of the visited patient was established,and the patient's physical function and structure,the individual ability to complete tasks or actions,and the ability to participate in family and society were fully evaluated.Based on this,an objective and individualized rehabilitation training program was developed.Analyze studio workload and patients'satisfacation rate,comepare patient's medication compliance before and after intervention.Results Since the opening of the Parkinson's Care Studio in April 2018,12 members have been sent out in rotation,and a total of 168 patients have been treated.Parkinson's nursing care studio has a high evaluation and the very satisfied rate was 95.6%.After the intervention,the patient's medication compliance increased,and the difference was statistically significant before and after the intervention(P<0.05).Conclusions The construction and standardized management of Parkinson's care and nursing studio will help improve the disease management and medication compliance of patients with Parkinson's disease,and it will be beneficial to the improvement of nurses'own value.