社区护士对社区卫生护理服务制度的认知调查及分析(1)
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2011年2月15日
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[摘要] 目的：了解广州市社区护士对社区卫生护理服务制度的认知情况。方法：按照社区卫生服务中心服务内容和制度要求制定社区护理服务制度调查表，对广州市12家社区卫生服务中心的194名护理人员(其中民营机构109名，公立机构85名)进行调查和比较分析。结果：社区卫生服务中心的194名社区护士对安全护理制度知晓率最高，对质量管理的一些规章制度知晓率最低；不同性质社区卫生服务中心的护士对各种制度的知晓程度比较，差异有统计学意义(P=0.00)，公立社区卫生服务中心护士得分(23.070 0±0.204 8)分高于民营社区卫生服务中心(21.160 0±0.380 6)分。结论：社区卫生服务中心应进一步完善护理服务制度，特别是民营社区卫生服务中心，应努力加强护士各项制度的培训，提高社区护理质量。
[关键词] 社区护理；护理管理；服务制度
[中图分类号] R197.3 [文献标识码] B [文章编号] 1674-4721(2011)02(b)-147-02
Investigation and analysis of the nurse's cognition on community health service center care service system
YANG Biping, CHEN Meizhu*, GUAN Lichan, ZHAO Juanjuan,CHEN Yuping
(Department of The Fist Area Physicians, The Fist Affiliated Hospital of Guangzhou Medical College, Guangdong Province, Guangzhou 510120, China)
[Abstract] Objective: To assess the nurse's cognition on community health service center care service system in Guangzhou. Methods: The questionnaire was developed according to services of community health service center and requirement of community nursing service system. 194 nursing staffs of 12 community health service centers in Guangzhou were investigated and the data was analyzed, including private institutions 109 persons and public institutions were 85 persons. Results: The nurses at community health service center acquired the highest score on the security care system, but the lowest score on quality management of some rules and regulations. There was significant difference on total score between nurses at public and private community health service center(P=0.00). The public(23.07±0.204 8)was higher than the private(21.16±0.3806). Conclusion: The health services system of community health centers should been further improved. Especially in the private, they should endeavor to strengthen the training on the system and improve the quality of community care.
[Key words] Community nursing; Nursing administration; Service system
当今，医疗卫生体制的现状及其改革方向成为全社会关注的热点问题之一。我国把发展社区卫生服务作为解决群众看病难、看病贵等问题和城市卫生改革的突破口。成昌慧等[1]提出：要实现卫生事业和谐、健康、快速发展，卫生改革与发展成果惠及广大人民群众，必须构建与和谐社会相适应的卫生服务制度。社区护理人员对服务制度的认知情况直接影响社区服务质量。为了解广州市社区护士对护理服务制度的认知情况，2008年1月～2009年1月，笔者对广州市12家社区卫生服务中心的194名护士进行了调查 ......
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