浙江省综合医院中医护理服务现状的调查研究

doi:10.3761/j.issn.0254-1769.2023.17.003

摘要/Abstract

摘要：

目的了解浙江省综合医院中医护理服务现状，为相关部门制定配套政策提供可靠的数据，以促进浙江省中医护理服务的可持续发展。方法 2022年8月—11月，采用整群抽样的方法，使用自行设计的浙江省综合医院中医护理服务现状调查问卷对省内103所综合医院进行调查。问卷包括医院基本信息、中医护理服务现状及中医护理服务开展支持性需求3部分。结果回收有效问卷103份，有效问卷回收率为100%。其中54所（52.43%）为三级医院，42所（40.78%）为二级医院，7所（6.80%）为其他医院。91所（88.35%）医院开展了中医护理服务，73所（80.22%）医院开展的中医护理技术项目≥5项，34所（37.36%）医院开展的中医护理技术种类≥4类，29所（31.87%）医院中医护理技术年服务患者例数≥10 000例次，24所（26.37%）医院开设了中医护理门诊。中医护理服务开展支持性需求方面主要涉及对政策、医院及培训的需求。结论浙江省综合医院中医护理服务发展良好，但仍存在中医护理门诊开展欠缺、不同等级医院之间发展不平衡、护理人才紧缺、质量监管体系欠完善等问题，未来应进一步加强中医护理帮扶、人才培养及规范化管理，以促进综合医院中医护理持续稳步发展。

关键词: 中医护理学, 服务现状, 横断面研究, 护理管理研究

Abstract:

Objective To understand the status of Traditional Chinese Medicine（TCM） nursing service in general hospitals in Zhejiang province，and to provide reliable data for relevant departments to formulate supporting policies，so as to promote the sustainable development of TCM nursing service in Zhejiang province. Methods From August to November 2022，a whole-group sampling method was used to survey 103 general hospitals in Zhejiang Province using a self-designed questionnaire on the current status of TCM nursing services in general hospitals in the province. The questionnaire included 3 aspects：basic information of the hospital，current status of TCM nursing services and supportive needs for the development of TCM nursing services. Results A total of 103 valid questionnaires were collected，and the effective questionnaire recovery rate was 100%. Among the 103 hospitals，54（52.43%） are tertiary hospitals and 42（40.78%） are secondary hospitals，and 7（6.80%） are other hospitals. 91（88.35%） hospitals carried out TCM nursing services；73（80.22%） hospitals carried out no less than 5 TCM nursing technical items；34（37.36%） hospitals carried out no less than 4 TCM nursing technical categories；29（31.87%） hospitals served no less than 10，000 cases of patients per year with TCM care technology，and 24（26.37%） hospitals opened TCM nursing care clinics. The demand for support in the development of TCM nursing services is mainly related to the demand for policies，hospitals and training. Conclusion TCM nursing services in general hospitals in Zhejiang Province are well developed. However，there are still problems such as the insufficient development of TCM nursing clinics，unbalanced previous development of different levels of hospitals，shortage of TCM nursing talents，and imperfect quality supervision system，etc. In the future，TCM nursing support，talent training and standardized management should be further strengthened to promote the sustainable and steady development of TCM nursing in general hospitals.

Key words: Traditional Chinese Medicine Nursing, Service Status Quo, Cross-Sectional Studies, Nursing Administration Research

徐敏, 李孝红, 叶梦华, 陈晓洁, 汪永坚, 孙秋华. 浙江省综合医院中医护理服务现状的调查研究[J]. 中华护理杂志, 2023, 58(17): 2067-2073.

XU Min, LI Xiaohong, YE Menghua, CHEN Xiaojie, WANG Yongjian, SUN Qiuhua. Investigation on status of Traditional Chinese Medicine nursing service in general hospitals in Zhejiang Province[J]. Chinese Journal of Nursing, 2023, 58(17): 2067-2073.

图/表 5

表1 浙江省综合医院中医护理人才储备情况[n=91，所（百分比，%）]

Table 1 The situation of TCM nursing talents in Zhejiang general hospitals[n=91，cases（percentages，%）]

表2 浙江省综合医院中医护理人员资质准入条件（n=71）

Table 2 Qualification admission requirements for TCM nursing staff in Zhejiang general hospitals（n=71）

表3 浙江省综合医院中医护理技术开展情况[n=91，所（百分率，%）]

Table 3 The situation of TCM nursing technology in Zhejiang general hospitals[n=91，cases（percentages，%）]

表4 浙江省综合医院中医护理门诊运行情况（n=24）

Table 4 The operation of TCM nursing clinics in Zhejiang general hospitals（n=24）

表5 浙江省综合医院中医护理服务培训需求（n=99）

Table 5 Training demands of TCM nursing services in Zhejiang general hospitals（n=99）

参考文献 22

[1]	中共中央国务院. “健康中国2030”规划纲要[EB/OL]. (2016-10-25)[2023-01-14]. http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.
	The CPC Central Committee and the State Council. “Health China 2030 Program”[EB/OL]. (2016-10-25)[2023-01-14]. http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.
[2]	陈兰兰, 王益平, 卢兴凤, 等. 中医体质护理门诊的建立及实践[J]. 中华护理杂志, 2018, 53(5):584-587.
	Chen LL, Wang YP, Lu XF, et al. The establishment and implementation of physique nursing clinic of Traditional Chinese Medicine[J]. Chin J Nurs, 2018, 53(5):584-587.
[3]	张素秋, 王晓红, 樊艳美, 等. 传承与创新融合与发展——中医临床护理十年发展与思考[J]. 中国护理管理, 2022, 22(12):1775-1779.
	Zhang SQ, Wang XH, Fan YM, et al. Inheritance and innovation,integration and development:development and thinking of Traditional Chinese Medicine clinical nursing in the past decade[J]. Chin Nurs Manag, 2022, 22(12):1775-1779.
[4]	陈玲炫, 朱海华, 赖宝珍, 等. 综合性三甲医院中医护理发展模式的实践[J]. 光明中医, 2022, 37(17):3225-3227.
	Chen LX, Zhu HH, Lai BZ, et al. Practice of TCM nursing development model in comprehensive 3A hospitals[J]. Guangming J Chin Med, 2022, 37(17):3225-3227.
[5]	国家中医药管理局. 中医医院中医护理工作指南(试行)[EB/OL]. (2010-07-28)[2023-01-14]. http://www.natcm.gov.cn/yizhengsi/gongzuodongtai/2018-03-24/3069.html.
	The State Administration of Traditional Chinese Medicine. Traditional Chinese Medicine hospital nursing guide(trial)[EB/OL]. (2010-07-28)[2023-01-14]. http://www.natcm.gov.cn/yizhengsi/gongzuodongtai/2018-03-24/3069.html.
[6]	国家中医药管理局. 国家中医护理重点专科建设要求(2013版)[EB/OL]. (2013-08-15)[2023-01-14]. http://www.satcm.gov.cn/yizhengsi/gongzuodongtai/2018-03-24/2780.html.
	The State Administration of Traditional Chinese Medicine. National key specialty construction requirements of TCM nursing(2013 edition)[EB/OL]. (2013-08-15)[2023-01-14]. http://www.satcm.gov.cn/yizhengsi/gongzuodongtai/2018-03-24/2780.html.
[7]	徐敏, 黄馨睿, 刘婷, 等. 浙江省中医护理技术规范化管理方案的构建[J]. 中华护理杂志, 2023, 58(2):217-223. DOI
	Xu M, Huang XR, Liu T, et al. Construction of standardized management scheme of Traditional Chinese Medicine nursing technology in Zhejiang Province[J]. Chin J Nurs, 2023, 58(2):217-223.
[8]	李丹丹, 乔远静, 刘佳欣, 等. 综合医院住院病人对中医护理技术认知现状的调查研究[J]. 全科护理, 2022, 20(14):1873-1876.
	Li DD, Qiao YJ, Liu JX, et al. Investigation and research on the status quo of cognition of Traditional Chinese Medicine nursing technology among inpatients in general hospitals[J]. Chin Gen Pract Nurs, 2022, 20(14):1873-1876.
[9]	徐青丽, 洪鲜, 臧文雯, 等. 综合医院住院患者对中医适宜技术认知与需求情况的调查分析[J]. 浙江医学教育, 2020, 19(4):23-25.
	Xu QL, Hong X, Zang WW, et al. Investigation and analysis on the cognition and demand of appropriate technology of Traditional Chinese Medicine for inpatients in general hospitals[J]. Zhejiang Med Educ, 2020, 19(4):23-25.
[10]	徐玮, 王家兰, 王艺璟, 等. 我国三级甲等中医院中医护理服务现状调查分析[J]. 中国医院管理, 2018, 38(4):75-77.
	Xu W, Wang JL, Wang YJ, et al. Investigation and analysis of the status quo of Traditional Chinese Medicine nursing service in 3A hospitals of Traditional Chinese Medicine in China[J]. Chin Hosp Manag, 2018, 38(4):75-77.
[11]	孙晓, 张琳, 杨欣, 等. 中医适宜技术在综合医疗机构非中医科开展情况及阻滞因素分析[J]. 上海护理, 2022, 22(10):30-34.
	Sun X, Zhang L, Yang X, et al. Analysis on promotion and promotion barriers of appropriate TCM techniques in non-TCM departments of general medical institutions[J]. Shanghai Nurs, 2022, 22(10):30-34.
[12]	谭小雪, 徐敏, 王燕. 浙江省公立中医医疗机构中医护理门诊开展情况的调查研究[J]. 中华护理杂志, 2022, 57(3):312-317. DOI
	Tan XX, Xu M, Wang Y. Investigation and research of Traditional Chinese Medicine nurse-led clinics in public traditional Chinese medical institutions in Zhejiang Province[J]. Chin J Nurs, 2022, 57(3):312-317. DOI
[13]	程祥影. 杭州市6家中医院急诊科中医护理技术开展现状与对策[J]. 中医药管理杂志, 2021, 29(8):49-50.
	Cheng XY. Present situation and countermeasures of TCM nursing technology in emergency department of six Chinese hospitals in Hangzhou[J]. J Tradit Chin Med Manag, 2021, 29(8):49-50.
[14]	田润溪, 崔凯月, 杨亚娟, 等. 中医护理人才培养的思考与展望[J]. 中华现代护理杂志, 2022, 28(25):3361-3365.
	Tian RX, Cui KY, Yang YJ, et al. Thinking and prospect of TCM nursing talent cultivation[J]. Chin J Mod Nurs, 2022, 28(25):3361-3365.
[15]	王巧巧. “双一流”背景下高等中医药院校护理学科建设的思考[J]. 中医药管理杂志, 2019, 27(22):29-31.
	Wang QQ. Reflections on the construction of nursing discipline in colleges and universities of traditional Chinese medicine under the background of “double first-class”[J]. J Tradit Chin Med Manag, 2019, 27(22):29-31.
[16]	晏利姣, 单亚维, 岳树锦, 等. 高等中医院校本科护理学专业中医类课程设置情况的现状调查[J]. 护理管理杂志, 2014, 14(5):348-350.
	Yan LJ, Shan YW, Yue SJ, et al. Investigation of Traditional Chinese Medicine curriculum for undergraduate nursing students in Traditional Chinese Medicine universities[J]. J Nurs Adm, 2014, 14(5):348-350.
[17]	姚斌莲, 俞国红, 叶富英, 等. 70家中医医疗机构中医护理门诊的现况调查与分析[J]. 中医药管理杂志, 2022, 30(8):45-48.
	Yao BL, Yu GH, Ye FY, et al. Investigation and analysis on the current situation of TCM nursing clinics in 70 TCM medical institutions[J]. J Tradit Chin Med Manag, 2022, 30(8):45-48.
[18]	叶梦华, 帅玮, 陈晓洁, 等. 浙江省中医护理优秀人才培养模式的构建及应用研究[J]. 中华护理杂志, 2023, 58(11):1338-1344. DOI
	Ye MH, Shuai W, Chen XJ, et al. Construction and application of excellent talent cultivation model for TCM nursing in Zhejiang Province[J]. Chin J Nurs, 2023, 58(11):1338-1344. DOI
[19]	吴凤平, 计明珍, 于恩光, 等. 某中医院中西医结合科护理质量控制管理策略[J]. 中医药管理杂志, 2021, 29(13):173-174.
	Wu FP, Ji MZ, Yu EG, et al. Management strategy of nursing quality control in integrated traditional Chinese and western medicine department of a Chinese medicine hospital[J]. J Tradit Chin Med Manag, 2021, 29(13):173-174.
[20]	汪群群. 同质化管理在促进综合医院中医护理技术开展中的作用[J]. 中医药管理杂志, 2022, 30(9):146-148.
	Wang QQ. The role of homogeneous management in promoting the development of Traditional Chinese Medicine nursing technology in general hospitals[J]. J Tradit Chin Med Manag, 2022, 30(9):146-148.
[21]	叶会玲, 徐敏, 俞国红, 等. 浙江省中医护理技术分级的现状调查[J]. 中华护理杂志, 2021, 56(10):1528-1532. DOI
	Ye HL, Xu M, Yu GH, et al. A survey of the classification of Traditional Chinese Medicine nursing techniques in Zhejiang Province[J]. Chin J Nurs, 2021, 56(10):1528-1532. DOI
[22]	陈丹丹. “互联网+”智慧中医健康管理模式的思考[J]. 中医药管理杂志, 2021, 29(14):190-192.
	Chen DD. Thoughts on the health management model of “Internet plus” wisdom Traditional Chinese Medicine[J]. J Tradit Chin Med Manag, 2021, 29(14):190-192.