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

doi:10.3376/j.issn.1672-9234.2022.11.012

摘要/Abstract

摘要：

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。

关键词: 护士, 中医病房, 问卷调查, 综合医院, 辨证施护

Abstract:

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.

Key words: Nurses, WARDS （TCM）, Questionnaires, General hospital, Syndrome differentiation and care

许萍,张丽,刘娜娜. 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[J]. 中华护理教育, 2022, 19(11): 1017-1020.

XU Ping,ZHANG Li,LIU Nana. 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[J]. Chinese Journal of Nursing Education, 2022, 19(11): 1017-1020.

图/表 2

参考文献 10

[1]	陈媛儿, 冯莺. 腰椎间盘突出症患者中医辨证施护的研究进展[J]. 中华护理杂志, 2017, 52(5):604-607.
	Chen YE, Feng Y. Research progress on nursing with syndrome differentiation for lumber disc herniation[J]. Chin J Nurs, 2017, 52(5):604-607.
[2]	国家卫计委. 全国护理事业发展规划(2016-2020年)[EB/OL].(2017-07-20). https://www.ndrc.gov.cn/fggz/fzzlgh/gjjzxgh/201707/t20170720_1196854.html?code=&state=123.
[3]	中国医院协会. 三级综合医院评审标准实施指南2011年版[M]. 北京: 人民卫生出版社, 2011.
[4]	柏亚妹, 宋玉磊, 王秋琴, 等. 江苏省785名中医院护士中医护理知信行水平现状及影响因素分析[J]. 护理学报, 2014, 21(22):28-31.
	Bai YM, Song YL, Wang QQ, et al. Knowledge-attitude-practice of TCM nursing of nurses in Chinese medicine hospitals and its influencing factors[J]. J Nurs(China), 2014, 21(22):28-31.
[5]	魏冕, 叶然, 徐桂华, 等. 44 773名中医院护士辨证施护培训需求的现状调查[J]. 中华护理杂志, 2021, 56(8):1216-1221. doi: 10.3761/j.issn.0254-1769.2021.08.015
	Wei M, Ye R, Xu GH, et al. Status investigation on the training demand of syndrome differentiation and nursing of 44 773 traditional Chinese medicine hospital nurses[J]. Chin J Nurs, 2021, 56(8):1216-1221. doi: 10.3761/j.issn.0254-1769.2021.08.015
[6]	徐桂华, 柏亚妹, 叶然, 等. 中医护理核心知识和实践能力培养标准专家共识[J]. 中华现代护理杂志, 2019, 25(36):4685-4688.
	Xu GH, Bai YM, Ye R, et al. Traditional Chinese medicine nursing core knowledge and practical ability training standard:an expert consensus[J]. Chin J Mod Nurs, 2019, 25(36):4685-4688.
[7]	魏冕, 叶然, 徐桂华, 等. 高等中医院校本科护生辨证施护能力指标体系的构建[J]. 护理研究, 2021, 35(9):1521-1526.
	Wei M, Ye R, Xu GH, et al. Construction of index system of syndrome differentiation and nursing ability of undergraduate nursing students in higher colleges of traditional Chinese medicine[J]. Chin Nurs Res, 2021, 35(9):1521-1526.
[8]	张春花, 于春光, 丁慧鑫, 等. 基于证候要素概念构建护理措施要素施护体系的思考[J]. 中华现代护理杂志, 2020, 26(10):1396-1400.
	Zhang CH, Yu CG, Ding HX, et al. Consideration on constructing the nursing system of nursing measures factors based on syndrome factors[J]. Chin J Mod Nurs, 2020, 26(10):1396-1400.
[9]	林美珍, 刘惠, 王娜. 中医护理方案临床实施的难点分析与对策[J]. 护理学杂志, 2015, 30(6):34-35.
	Lin MZ, Liu H, Wang N. Difficulties in clinical practice of traditional Chinese medicine program and countermeasures[J]. J Nurs Sci, 2015, 30(6):34-35.
[10]	张勇勤. 中医护理学科发展中存在的问题与对策[J]. 中国护理管理, 2013, 13(5):108-111.
	Zhang YQ. Restrictions on the development of the science of nursery of traditional Chinese medicine[J]. Chin Nurs Manag, 2013, 13(5):108-111.

[1]	陈湘军, 胡芳, 汤黎, 谭小梅. 临床护士反思性实践水平及其影响因素研究[J]. 中华护理教育, 2024, 21(9): 1120-1125.
[2]	陈媛, 吴林静, 喻海燕, 王历刚. 心血管专科护士再评价管理体系的构建研究[J]. 中华护理教育, 2024, 21(9): 1126-1131.
[3]	周欣馨, 史岩, 陈勤, 蒋莉莉, 王晶晶. 护理硕士专业学位研究生“双导师制”实施现状及建议[J]. 中华护理教育, 2024, 21(8): 956-961.
[4]	李淑敏, 魏征新, 尚少梅, 侯淑肖. 护理硕士专业学位研究生培养现状及发展建议[J]. 中华护理教育, 2024, 21(8): 962-967.
[5]	姜园园, 曹英娟, 管祥云, 张锦欣, 王美娟, 李黎. 以胜任力为导向的临床护士呼吸治疗培训目标与内容的构建研究[J]. 中华护理教育, 2024, 21(8): 968-975.
[6]	贾淑贤, 李娅, 李琳琳, 张京丽, 赵芹荣, 杨春玲. 心血管内科低年资护士临床急救能力培训方案的构建研究[J]. 中华护理教育, 2024, 21(8): 976-980.
[7]	赵微微, 金玮艺, 朱金荣, 冯春燕, 张洪君, 苏默, 苏春燕. 北京地区血液净化专科护士护理实践现状调查[J]. 中华护理教育, 2024, 21(7): 794-800.
[8]	陶琳, 易银萍, 蒋秋焕, 张红梅, 李黎明, 荆婵, 杜晓宁. 营养支持专科护士临床教学基地建设的探索[J]. 中华护理教育, 2024, 21(7): 801-806.
[9]	赵文娟, 张晓菊, 来小彬, 沈志云, 张玉侠. 专职专科护士角色转换期真实工作体验的质性研究[J]. 中华护理教育, 2024, 21(7): 788-793.
[10]	方蘅英, 周雪玲, 梁骊敏, 蔡有弟, 陈思芸, 李慧娟. 成果导向视角下专科护士培训迁移的探索与实践[J]. 中华护理教育, 2024, 21(7): 807-811.
[11]	田君叶, 苏莉, 张嘉晖, 丁炎明, 吴欣娟. 我国专科护士培训20年的发展与思考[J]. 中华护理教育, 2024, 21(7): 773-779.
[12]	李春燕, 黄萍, 王晓静, 付逸超, 周田田, 何静静. 急诊急救专科护士培训基地评价指标的构建[J]. 中华护理教育, 2024, 21(7): 780-787.
[13]	黄玉婷, 张慧琳, 朱婧, 邹颖, 覃祖明, 张晓可. 国内护士对死亡的态度现状及影响因素的系统评价[J]. 中华护理教育, 2024, 21(6): 718-724.
[14]	孙玉梅, 周强, 叶铭惠, 孙宏玉, 赵国栋. 混合式教学中护理本科生学习方式的调查研究[J]. 中华护理教育, 2024, 21(5): 557-561.
[15]	高肖, 魏丽丽, 周海清, 宫慧, 孙亚茹, 谷如婷. 多维度护理代际特征问卷的汉化及信效度检验[J]. 中华护理教育, 2024, 21(5): 580-586.