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护理园地

基于行动研究的区域同质化护士尿失禁管理能力培训方案的改进与实施

  • 汤爱玲 ,
  • 袁红艳 ,
  • 葛颜 ,
  • 任鹏娜 ,
  • 张月 ,
  • 许方蕾
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  • 1.同济大学附属同济医院护理部,上海 200065;
    2.上海市奉贤区中心医院神内介入科,上海 201499
汤爱玲(1990—),女,硕士,护师,从事临床护理工作

收稿日期: 2020-07-24

  网络出版日期: 2021-05-31

基金资助

上海申康医院发展中心临床科技创新项目(SHDC12019616); 上海市护理质控中心护理工作质量改进项目(ZK2019012)

Improvement and implementation of training scheme about homogeneous management for urinary incontinence in regional nurses based on action research

  • TANG Ailing ,
  • YUAN Hongyan ,
  • GE Yan ,
  • REN Pengna ,
  • ZHANG Yue ,
  • XU Fanglei
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  • 1. Nursing Department, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China;
    2. Department of Interventional Medicine, Shanghai Fengxian District Central Hospital, Shanghai 201499, China

Received date: 2020-07-24

  Online published: 2021-05-31

摘要

目的 基于行动研究改进“区域同质化护士尿失禁管理能力培训方案”,并评价其效果。方法 以行动研究为理论框架,根据现况调查、文献研究、专家会议等方法确定培训方案,并以计划、行动、观察、反思4个步骤为指导对方案进行修正和完善。结果 实施为期10周的行动,析出7个主要问题并进行了改进,培训后护士社会问题解决能力、尿失禁护理理论与技能相关知识掌握程度比培训前显著提高(P<0.05)。结论 基于行动研究的区域同质化护士尿失禁管理能力培训方案能够提高护士对尿失禁患者的照护能力,促进延续护理的有效落实。

本文引用格式

汤爱玲 , 袁红艳 , 葛颜 , 任鹏娜 , 张月 , 许方蕾 . 基于行动研究的区域同质化护士尿失禁管理能力培训方案的改进与实施[J]. 外科研究与新技术(中英文), 2020 , 9(4) : 287 -292 . DOI: 10.3969/j.issn.2095-378X.2020.04.018

Abstract

Objective To improve the training scheme about homogeneous management for urinary incontinence in regional nurses based on action research, and evaluate the effect. Methods Under the theoretical framework of action research, a training scheme was primarily designed after on-site investigation, literature review, and expert consultation, and then was revised and improved through four steps of plan, implementation, observation, and reflection. Results After 10 weeks of implementation, seven major problems were identified and revised. After the training, the nurses’ social problem solving ability and urinary incontinence nursing theory and skills were significantly improved compared with before (P<0.05). Conclusion The training scheme about urinary incontinence homogeneous management for regional nurses can improve their competence in nursing urinary incontinence patients and promote the implementation of continuous care.

参考文献

[1] McDaniel C, Ratnani I, Fatima S, et al. Urinary incontinence in older adults takes collaborative nursing efforts to improve[J].Cureus, 2020,12(7):1-9.
[2] Nunes E F C, Sampaio L M M,Biasotto-Gonzalez D A, et al.Biofeedback for pelvic floor muscle training in women with stress urinary incontinence: a systematic review with meta-analysis[J].Physiotherapy, 2019,105(1):10-23.
[3] 戴付敏,陈瑞云,张娜,等.国外老年女性尿失禁干预研究进展及启示[J].中国护理管理,2016,16(11):1456-1460.
[4] Kwak Y, Kwon H, Kim Y.Health-related quality of life and mental health in older women with urinary incontinence[J].Aging Ment Health, 2016,20(7):719-726.
[5] 谢美莲,张志云,张海霞,等.老年尿失禁患者护理的研究进展[J].护理研究,2020,34(6):1052-1056.
[6] 杨利娟,朱记芬,祝巾玉,等.医院-社区-家庭一体化护理管理方案的构建与实施[J].护理研究,2020,34(3):519-521.
[7] 北京市人民政府.关于印发《医药分开综合改革实施方案》的通知[EB/OL].[2018-11-23](2020-5-5).http://www.bjdx.gov.cn/zwxx/zcwj/zcfb/bjxzcfg/2219830.html.
[8] 张煜,刘均娥,高凤莉,等.基于行动研究的ICU失禁性皮炎护理方案改进与实施[J].护理学杂志,2019,34(23):36-40.
[9] 王艳. 循证护理运用于护理技能教学的行动研究[J].护理研究,2018,32(9):1423-1426.
[10] Siu A M, Shek D T.The Chinese version of the social problem-solving inventory: some initial results on reliability and validity[J].J Clin Psychol,2005,61(3):347-360.
[11] 刘明. Colaizzi七个步骤在现象学研究资料分析中的应用[J].护理学杂志[J].2019,34(11):90-92.
[12] 孙建华,张青,赵明曦,等.基于行动研究法提高超声引导下空肠营养管置管成功率[J].护理学杂志,2018,33(2):45-47.
[13] 杨倮,郭红,刘幼华,等.行动研究法在国内外护理领域应用的研究进展[J].护理研究,2020,34(7):1209-1213.
[14] 朱香君,周海燕,施素萍,等.行动研究法在影像科护理人员对比剂过敏反应预防及处置能力培训中的应用[J].解放军护理杂志,2019,36(5):58-61.
[15] 杨丽敏,周婷婷,沈燕敏,等.国内慢病延续护理现况及启示[J].护理学杂志,2016,31(17):93-96.
[16] Browall M, Forsberg C, Wengstrom Y.Assessing patient outcomes and cost-effectiveness of nurse-led follow-up for women with breast cancer-have relevant and sensitive evaluation measures been used?[J].J Clin Nurs,2017,26(13-14):1770-1786.
[17] Braet A, Weltens C, Sermeus W.Effectiveness of discharge interventions from hospital to home on hospital readmissions:a systematic review[J].JBI Database Syst Rev Implement Rep,2016,14(2):106-173.
[18] 田露,陈英.“互联网+”延续护理的研究进展[J].护理学杂志,2019,34(17):17-20.
[19] 王芳,陈慧,陈文娟,等.医共体模式下护理同质化管理的实践[J].中国医院管理,2020,40(2):81-85.
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