西安市社区护士角色功能调查
Investigation of the roles and functions of community nurses in Xi′an
目的:调查西安市社区护士的主要工作领域及其角色功能现况。方法采用一般资料调查表和修订后的社区护士角色功能问卷对西安市24所社区卫生服务中心的320名社区护士进行调查。结果西安市社区护士目前经常涉及的工作领域有:健康教育、社区预防、提供直接护理及慢性病管理等,而临终护理、精神障碍者的保健、计划生育指导以及康复护理等内容较少涉及。社区护士实际承担的角色得分由高到低依次是:组织者与管理者、协调者与合作者、教育者、照顾者、观察者与研究者以及服务对象代言人,分别为(2.56±0.99)、(2.43±0.97)、(2.38±0.84)、(2.34±0.87)、(2.29±0.10)、(2.07±0.99)分。结论西安市社区护士已开始承担除社区医疗以外的健康教育、预防、保健、康复等工作,但具体工作多停留在健康教育、保健指导等较简单层面,而像临终护理、精神障碍者的保健等需要较强专业能力和团队合作的功能仍有待加强。
更多Objective To explore the roles and functions of the community nurses in community health service centers and their main work content in Xi′an. Methods A total of 320 community nurses in Xi′an were investigated by General Information Questionnaire and revision of Community Nurses′Roles and Functions Questionnaire. Results The work often undertaken by community nurses were: health education, community prevention, providing direct care and chronic disease management, however, the hospice care, care for people with mental disorders, family planning guidance and rehabilitation nursing were seldom involved. The scores of each role from high to low were as follows:the organizers and managers, coordinators and partners, health educators, caregivers, observer and researcher and spokesman with(2.56±0.99),(2.43±0.97), (2.38±0.84),(2.34±0.87),(2.29±0.10),(2.07±0.99) points. Conclusions The job of community nurses in Xi′an includes the medical service, disease prevention, healthcare, rehabilitation and health education etc. However, the well done jobs only are limited to some of simple functions, such as health education and health guidance are done well. The work of hospice care and mental care which need more professional abilities and interpersonal cooperation need to be promoted.
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