社区护士执行社区护理服务水平的现状研究

目的了解武侯区社区护士执行社区护理服务水平的现状,为规范社区护理服务内容及有针对性地提高社区护士的工作应对能力提供依据。方法采用世界卫生组织在我国开展的"中国医疗卫生体制改革背景下的社区护理发展"项目提供的《社区护理发展基线调查表》对武侯区社区护士执行社区护理服务的现状进行普查。结果参与护理技术性服务的护士比例最大(91.5%),参与妇幼青少年健康保健服务者比例最小(69.3%)。社区护士执行社区护理服务难度最大的是健康教育类别的服务,得分为(3.62±0.73)分;难度最小的是护理技术性服务,得分为(4.15±0.58)分。不同聘用类型和工作经历的社区护士其服务难易度间差异有统计学意义(P<0.05)。结论社区护士执行的社区护理服务内容及类别有限,执行服务也有一定难度,因此应拓展和深化社区护理服务,特别是有针对性地加强社区护士胜任公共卫生护理服务能力和基本专科技能的培养。

Study on Present Situation of Nursing Services Provided by Community Health Nurses

Objective To learn the nursing services provided by community health nurses in Wuhou District.Methods A cross-sectional survey was conducted in Wuhou district focusing on the community nursing services.The questionnaire was adapted from the research project " Development of Community Health Nursing during Healthcare Reform"hosted by the Ministry of Health of China and WHO.Results "Technical nursing service" was the largest service category(91.5%) provided by the community health nurses,whereas "maternal and adolescent health care services" was the smallest category(69.3%).Among the dimensions of service,"Health education",with a score of(3.62±0.73),was the most difficult service for community health nurses."Technical nursing service" was the least difficult service,with a score of(4.15±0.58).The nurses with different training background and working experiences had significantly different opinions on the difficulty of certain services(P<0.05).Conclusion The content and the forms of the community nursing service are limited.Community health nurses have certain difficulties in providing these services.Efforts should be taken to expand and improve the community nursing services,especially by strengthening the capacity-building of community nurses.