中华护理杂志 ›› 2025, Vol. 60 ›› Issue (4): 493-498.DOI: 10.3761/j.issn.0254-1769.2025.04.016
收稿日期:2024-02-29
出版日期:2025-02-20
发布日期:2025-02-26
*通讯作者:
苏小游,E-mail:suxiaoyou@pumc.edu.cn作者简介:荆舒:女,本科(博士在读),E-mail:pumcjs@sina.com
基金资助:
JING Shu(
), DAI Zhenwei, SU Xiaoyou(
), LI Zheng
Received:2024-02-29
Online:2025-02-20
Published:2025-02-26
摘要:
护理实践是医疗卫生服务体系中的重要组成部分,在实现“健康中国”战略目标中发挥着关键作用。面对目前国内人民群众日益增长的健康需求和日趋复杂的健康问题,以实现人群整体与长远健康效益最大化为导向的群医学理念有望为护理实践领域的发展提供有益参考。将群医学理念融入护理实践,可以充分发挥护理工作者的专业价值,提升护理质量,推动健康中国建设。该文对群医学理念的发展历程、具体内涵及在护理实践领域的应用进行综述,并提出相关建议,以期深化群医学理念在护理实践中的融合和应用,推动国内护理专业的发展。
荆舒, 戴振威, 苏小游, 李峥. 群医学理念在护理实践中的应用及启示[J]. 中华护理杂志, 2025, 60(4): 493-498.
JING Shu, DAI Zhenwei, SU Xiaoyou, LI Zheng. The application and enlightenment of population medicine in nursing practice[J]. Chinese Journal of Nursing, 2025, 60(4): 493-498.
| [1] | Zhou MG, Wang HD, Zeng XY, et al. Mortality,morbidity,and risk factors in China and its provinces,1990-2017:a systematic analysis for the global burden of disease study 2017[J]. Lancet, 2019, 394(10204):1145-1158. |
| [2] |
刘璇, 湛永乐, 岳和欣, 等. 浅述群医学与价值医疗[J]. 中华流行病学杂志, 2021, 42(5):923-927.
PMID |
|
Liu X, Zhan YL, Yue HX, et al. Brief introduction of popula-tion medicine and value-based healthcare[J]. Chin J Epidemiol, 2021, 42(5):923-927.
DOI PMID |
|
| [3] | 戴振威, 杨悦, 付佳琪, 等. 群医学及全球健康研究进展及启示[J]. 中华疾病控制杂志, 2023, 27(11):1336-1341. |
| Dai ZW, Yang Y, Fu JQ, et al. Research progress and implica-tions of population medicine and global health[J]. Chin J Dis Contr Prev, 2023, 27(11):1336-1341. | |
| [4] | Zhang WQ, Tang W, Hu FH, et al. Impact of the National Nurs-ing Development Plan on nursing human resources in China:an interrupted time series analysis for 1978-2021[J]. Int J Nurs Stud, 2023,148:104612. |
| [5] | 王勇. 兰安生与中国近代公共卫生[J]. 南京医科大学学报(社会科学版), 2013, 13(1):13-17. |
| Wang Y. A study on John B. Grant’s beneficiation to public health of China[J]. Acta Univ Med Nanjing(Soc Sci), 2013, 13(1):13-17. | |
| [6] | 杨维中, 冷志伟, 单广良, 等. 群医学:弥合预防医学与临床医学裂痕的新兴学科[J]. 中华医学杂志, 2020, 100(26):2001-2005. |
| Yang WZ, Leng ZW, Shan GL, et al. Population medicine:a newly emerging subject healing the schism between preventive medicine and clinical medicine[J]. Chin Med J, 2020, 100(26):2001-2005. | |
| [7] | Gray M. How to practise population medicine[M]. Oxford, Eng-land: Offox Press, 2014. |
| [8] | Wang C, Chen SM, Shan GL, et al. Strengthening population medicine to promote public health[J]. Chin Med J, 2022, 135(10):1135-1137. |
| [9] | 邵瑞太, 宫恩莹, 韩莎莎, 等. 积极应对共病的挑战[J]. 中华医学杂志, 2024, 104(22):2015-2021. |
| Shao RT, Gong EY, Han SS, et al. Proactively embracing the challenges of multimorbidity[J]. Chin Med J, 2024, 104(22):2015-2021. | |
| [10] | Fan JN, Sun ZJ, Yu CQ, et al. Multimorbidity patterns and association with mortality in 0.5 million Chinese adults[J]. Chin Med J, 2022, 135(6):648-657. |
| [11] | Whitehead L, Palamara P, Allen J, et al. Nurses’ perceptions and beliefs related to the care of adults living with multimor-bidity:a systematic qualitative review[J]. J Clin Nurs, 2022, 31(19/20):2716-2736. |
| [12] |
Mateo-Abad M, González N, Fullaondo A, et al. Impact of the CareWell integrated care model for older patients with multimorbidity:a quasi-experimental controlled study in the Basque Country[J]. BMC Health Serv Res, 2020, 20(1):613.
DOI PMID |
| [13] |
吴婷婷, 路云, 艾丹丹, 等. 基于复杂性科学理论的中国老年人共病护理管理模式研究[J]. 中国全科医学, 2019, 22(34):4197-4201.
DOI |
| Wu TT, Lu Y, Ai DD, et al. Comorbidity management model in elderly in China based on the theory of complexity science[J]. Chin Gen Pract, 2019, 22(34):4197-4201. | |
| [14] |
韩娜菲, 冯华丽, 贺红, 等. 肺癌合并慢性阻塞性肺疾病患者术后肺康复管理的证据总结[J]. 中华护理杂志, 2024, 59(1):42-50.
DOI URL |
|
Han NF, Feng HL, He H, et al. Best evidence summary of postoperative pulmonary rehabilitation management in patients with lung cancer complicated with chronic obstructive pulmonary disease[J]. Chin J Nurs, 2024, 59(1):42-50.
DOI URL |
|
| [15] | Tee JC, Bekker S, Collins R, et al. The efficacy of an iterative “sequence of prevention” approach to injury prevention by a multidisciplinary team in professional rugby union[J]. J Sci Med Sport, 2018, 21(9):899-904. |
| [16] | Yan H, Du YX, Wu FQ, et al. Effects of nurse-led multidisci-plinary team management on cardiovascular hospitalization and quality of life in patients with atrial fibrillation:rando-mized controlled trial[J]. Int J Nurs Stud, 2022,127:104159. |
| [17] |
杜宜修, 吴芳琴, 卢晓英, 等. 多学科团队延续性护理模式在心房颤动患者中的应用研究[J]. 中华护理杂志, 2020, 55(7):969-974.
DOI URL |
|
Du YX, Wu FQ, Lu XY, et al. The application effects of continuous nursing care in management of patients with atrial fibrillation by a nurse-led multidisciplinary team[J]. Chin J Nurs, 2020, 55(7):969-974.
DOI URL |
|
| [18] | 黄道花, 李娟, 查莹娟. 护理多专科团队协作查房的实践[J]. 中华护理教育, 2018, 15(6):441-444. |
| Huang DH, Li J, Zha YJ. The application of the multi-dis-ciplinary team to assist nursing rounds[J]. Chin J Nurs Educ, 2018, 15(6):441-444. | |
| [19] | Guyatt G, Cairns J, Churchill D, et al. Evidence-based medici-ne. A new approach to teaching the practice of medicine[J]. JAMA, 1992, 268(17):2420-2425. |
| [20] |
Scott K, McSherry R. Evidence-based nursing:clarifying the concepts for nurses in practice[J]. J Clin Nurs, 2009, 18(8):1085-1095.
DOI PMID |
| [21] | Chen LL, Wu YN, Zhou CL, et al. Value,knowledge and im-plementation on evidence-based practice among nurse mana-gers in China:a regional cross-sectional survey[J]. J Nurs Manag, 2020, 28(1):139-147. |
| [22] |
Cheng L, Feng S, Hu Y. Evidence-based nursing implemen-tation in Mainland China:a scoping review[J]. Nurs Outlook, 2017, 65(1):27-35.
DOI PMID |
| [23] | Fu L, Su W, Ye XH, et al. Evidence-based practice competen-cy and related factors among nurses working in public hospitals[J]. Inquiry, 2020,57:46958020927876. |
| [24] |
麦秋露, 王君鑫, 杨丹, 等. 我国临床护理实践指南改编研究的范围综述[J]. 中华护理杂志, 2022, 57(1):105-112.
DOI URL |
| Mai QL, Wang JX, Yang D, et al. Studies on adaptation of guidelines in clinical nursing practice in China:a scoping review[J]. Chin J Nurs, 2022, 57(1):105-112. | |
| [25] | Dong ED, Zheng XY. Building a chronic diseases prevention and rehabilitation system throughout the life span to proa-ctively respond to the challenges of accelerated population aging[J]. China CDC Wkly, 2022, 4(39):863-865. |
| [26] |
张艳, 史岩, 薛淑好, 等. 公共卫生护士的发展历程及启示[J]. 中华护理杂志, 2021, 56(2):310-315.
DOI URL |
|
Zhang Y, Shi Y, Xue SH, et al. The development process and enlightenment of public health nurses[J]. Chin J Nurs, 2021, 56(2):310-315.
DOI URL |
|
| [27] |
王勇. 北京协和医学院的早期高等护理教育(1920—1948年)[J]. 天津护理, 2021, 29(3):298-303.
DOI |
| Wang Y. History of early higher nursing education in Peking Union Medical College(1920—1948)[J]. Tianjin J Nurs, 2021, 29(3):298-303. | |
| [28] |
霍晓鹏, 李真, 吴欣娟. 论聂毓禅在近代中国护理发展史中的地位与作用[J]. 中华护理杂志, 2023, 58(16):1951-1955.
DOI URL |
|
Huo XP, Li Z, Wu XJ. A comment on the position and role of Nieh Yuchan in the history of nursing development in modern China[J]. Chin J Nurs, 2023, 58(16):1951-1955.
DOI URL |
|
| [29] |
The Lancet. The future of nursing:lessons from a pandemic[J]. Lancet, 2023, 401(10388):1545.
DOI PMID |
| [30] | Li B, Chen J, Howard N. Community nursing delivery in urban China:a social power perspective[J]. Soc Sci Med, 2023,326:115923. |
| [31] |
Harris MD, Hinck S. Home-based nursing practice[J]. Am J Nurs, 2024, 124(4):35.
DOI PMID |
| [32] | Parker JM, Hill MN. A review of advanced practice nursing in the United States,Canada,Australia and Hong Kong Special Administrative Region(SAR),China[J]. Int J Nurs Sci, 2017, 4(2):196-204. |
| [33] | David S, Madrean S, Lisa N, et al. Guidelines on prescriptive authority for nurses[R]. International Council of Nurses, 2021. |
| [34] | 安徽省医改办. 盘活优质护理资源做实城市医联体试点工作方案(试行)[R]. 安徽: 安徽省医改办, 2017. |
| Anhui Healthcare Reform Office. Activation of high-quality nursing resources and implementation plan for pilot urban medical consortium(trial)[R]. Anhui: Anhui Healthcare Re-form Office, 2017. | |
| [35] | 广东省人民政府. 深圳经济特区医疗条例[R]. 广东: 广东省人民政府, 2022. |
| Guangdong Provincial Government. Shenzhen Special Econo-mic Zone medical regulations[R]. Guangdong: Guangdong Pro-vincial Government, 2022. | |
| [36] | 四川大学华西医院. 关于开展医护协议处方试点工作[R]. 四川: 四川大学华西医院, 2022. |
| West China Hospital, Sichuan University. Pilot work plan for implementing nurse-physician collaborative prescribing[R]. Si-chuan: West China Hospital,Sichuan University, 2022. | |
| [37] | 韩世范, 段志光, 韩清华, 等. 新时代我国高级实践护士药物处方范围专家共识(续)[J]. 护理研究, 2021, 35(24):4325-4342. |
| Han SF, Duan ZG, Han QH, et al. Expert consensus on the scope of prescription rights for advanced practice nurses in China in the new era[J]. Chin Nurs Res, 2021, 35(24):4325-4342. | |
| [38] | Elsheikh R, Le Quang L, Nguyen NQT, et al. The role of nursing leadership in promoting evidence-based nursing practice[J]. J Prof Nurs, 2023,48:93-98. |
| [39] | 国家卫生健康委. 中国卫生健康统计年鉴(2022)[M]. 北京: 中国协和医科大学出版社, 2022. |
| National Health Commission of the People’s Republic of China. China health statistics yearbook(2022)[M]. Beijing: China Union Medical College Press, 2022. | |
| [40] | 李峥. 创新人才培养卓越护理教育:协和高等护理教育百年新征程[J]. 中华护理教育, 2020, 17(9):773. |
| Li Z. Innovative talents training and excellent nursing educa-tion:new centennial journey of advanced nursing education in Peking Union Medical College[J]. Chin J Nurs Educ, 2020, 17(9):773. | |
| [41] | 李秋月, 梁涛, 麻盛淼, 等. 卓越人才培养背景下护理专业教学改革探析[J]. 中华护理教育, 2022, 19(8):765-768. |
| Li QY, Liang T, Ma SM, et al. Teaching reform under the cultivation of excellent nursing talents[J]. Chin J Nurs Educ, 2022, 19(8):765-768. | |
| [42] | 吴昕, 李秉璐, 郑朝纪. “4+4”八年制医学生基本外科临床见习教学模式初步探索[J]. 协和医学杂志, 2023, 14(3):665-668. |
| Wu X, Li BL, Zheng CJ. Exploration of general surgery clinical internship teaching mode for medical students from “4+4” pilot class[J]. Med J Peking Union Med Coll Hosp, 2023, 14(3):665-668. |
| [1] | 周霞, 马艳艳, 师正坤, 于海霞, 周艳, 胡红玲, 李莜, 陈思思, 张京慧. 隧道式经股静脉PICC置入术在困难静脉通路婴幼儿中的应用研究[J]. 中华护理杂志, 2026, 61(9): 1163-1170. |
| [2] | 李佳, 张玉玲, 邢乐, 张利峰, 牛秀峰, 许莉. 早产儿经上肢置入PICC尖端继发性异位风险预测模型的建立与验证[J]. 中华护理杂志, 2026, 61(9): 1180-1186. |
| [3] | 李艳桃, 杨连招, 龙秀红, 陈玲, 高慧, 覃文婷, 朱芳慧, 罗雪儿. HIV感染者/AIDS患者创伤后成长体验的Meta整合[J]. 中华护理杂志, 2026, 61(9): 1261-1268. |
| [4] | 蔡卫新, 孙卫格, 张冉, 陈玮琪, 王毓盈, 王伊龙. 肌萎缩侧索硬化患者支持性照护需求的研究进展[J]. 中华护理杂志, 2026, 61(9): 1277-1283. |
| [5] | 张诗阳, 刘荞瑀, 林小灵, 艾星星, 陈慈端, 黄洁微. 症状科学模型在2型糖尿病患者症状管理中的应用进展[J]. 中华护理杂志, 2026, 61(9): 1284-1290. |
| [6] | 舒适, 朱杉, 余艮珍, 张萍, 周晨曦, 彭维, 王珍. 特发性中枢性性早熟患儿患病体验与需求的质性研究[J]. 中华护理杂志, 2026, 61(8): 1074-1079. |
| [7] | 刘素玲, 蒋伟红, 李晓艳, 唐晓敏. 1例完全型Shone综合征合并重度肺动脉高压患儿的康复护理[J]. 中华护理杂志, 2026, 61(8): 1107-1111. |
| [8] | 黄璇, 郭书萍, カルデナス暁東, 谢云影, 王瀚敏, 张玉美, 刘焘丽, 李莉. 银屑病患者自我报告结局评估工具测量学属性的评价及护理启示[J]. 中华护理杂志, 2026, 61(8): 1117-1124. |
| [9] | 张滢, 刘淑娟, 王婧瑞, 马千蓉. 轻度认知障碍患者对虚拟现实技术使用体验的Meta整合[J]. 中华护理杂志, 2026, 61(8): 1125-1131. |
| [10] | 李秋桦, 傅桂芬, 蒋建华, 尹丹, 左静, 刘艳群. 可穿戴设备在炎症性肠病患者动态监测与管理中应用的范围综述[J]. 中华护理杂志, 2026, 61(8): 1132-1140. |
| [11] | 熊丽莎, 袁越, 王思雪, 王云翠. 实施性研究视角下认知障碍患者干预方案保真度的研究进展[J]. 中华护理杂志, 2026, 61(8): 1141-1147. |
| [12] | 李琰, 许翠萍. 数字生物标志物在癌症患者中的应用进展及护理启示[J]. 中华护理杂志, 2026, 61(8): 1148-1152. |
| [13] | 韩林, 杨丽娟, 李太东, 郑晓丽, 程敏, 郭琛, 郑培培. ICU机械通气清醒患者沟通体验的Meta整合[J]. 中华护理杂志, 2026, 61(7): 901-908. |
| [14] | 范娜, 张璇, 杜华娟, 胡嘉清, 杨燕飞. 先天性心脏病患儿围手术期游戏化护理方案的构建与效果评价[J]. 中华护理杂志, 2026, 61(7): 909-916. |
| [15] | 管颖慧, 谢鑑辉, 欧阳雅琦, 徐乐, 田佳琦, 王琼. 1型糖尿病青少年向成人医疗过渡体验的Meta整合[J]. 中华护理杂志, 2026, 61(7): 979-985. |
| 阅读次数 | ||||||
|
全文 |
|
|||||
|
摘要 |
|
|||||