吳蕾
【摘 要】目的:通過(guò)分析社區(qū)衛(wèi)生服務(wù)中心延續(xù)護(hù)理供給意愿以及影響因素,從不同角度和不同方面出發(fā),研究醫(yī)護(hù)人員的延續(xù)護(hù)理供給意愿,對(duì)于延續(xù)護(hù)理工作有效開(kāi)展產(chǎn)生的實(shí)際影響,以持續(xù)改進(jìn)社區(qū)衛(wèi)生服務(wù)中心延續(xù)護(hù)理工作質(zhì)量,進(jìn)一步提升社區(qū)衛(wèi)生服務(wù)中心延續(xù)護(hù)理服務(wù)水平,為現(xiàn)代醫(yī)療衛(wèi)生事業(yè)可持續(xù)發(fā)展進(jìn)程的不斷加快,打下堅(jiān)實(shí)的基礎(chǔ)。方法:研究時(shí)間段為2020年1月至2021年1月期間,自行設(shè)計(jì)“調(diào)查問(wèn)卷”,于我市10家社區(qū)衛(wèi)生服務(wù)中心開(kāi)展調(diào)查活動(dòng),使用Epidata軟件直接錄入相關(guān)的數(shù)據(jù),選擇應(yīng)用SPSS 23.0軟件及時(shí)處理各項(xiàng)數(shù)據(jù),以實(shí)現(xiàn)規(guī)范化、標(biāo)準(zhǔn)化的統(tǒng)計(jì)分析和檢驗(yàn)。結(jié)果:社區(qū)衛(wèi)生服務(wù)中心醫(yī)護(hù)人員的延續(xù)護(hù)理供給意愿,于“年齡”“收入層次”“工作年限”等方面存在明顯差異;于“性別”“崗位”“工作強(qiáng)度”等方面無(wú)明顯差異。結(jié)論:社區(qū)衛(wèi)生服務(wù)中心醫(yī)護(hù)人員的年齡不同、收入層次不同、工作年限不同,導(dǎo)致延續(xù)護(hù)理的供給意愿不同,在實(shí)施相關(guān)政策的時(shí)候,必須從不同角度、多個(gè)層面出發(fā),綜合考慮這些方面的影響因素,更好地實(shí)施內(nèi)部管理,持續(xù)改進(jìn)護(hù)理質(zhì)量,進(jìn)一步提升社區(qū)衛(wèi)生服務(wù)中心延續(xù)護(hù)理服務(wù)水平。
【關(guān)鍵詞】社區(qū)衛(wèi)生服務(wù)中心;延續(xù)護(hù)理;供給意愿;影響因素;分析
Analysis of willingness to continue nursing supply and influencing factors in community health service centers
WU Lei Jinan Tianqiao District Gongren Xincun Beicun Street Office Community Health Service Center, Jinan, Shandong 250031, China
【Abstract】Objective: By analyzing the willingness and influencing factors of continuing nursing supply in community health service centers, from different angles and different aspects, to study the willingness of continuing nursing supply of medical staff, the actual impact on the effective development of continuing nursing work, in order to continuously improve the quality of continuing nursing work in community health service centers, further improve the level of continuing nursing service in community health service centers, and lay a solid foundation for the continuous acceleration of the sustainable development of modern medical and health undertakings. Methods : The study period was from January 2020 to January 2021. A self-designed questionnaire was used to carry out investigation activities in 10 community health service centers in our city. Epidata software was used to directly input relevant data. SPSS 23.0 software was used to process the data in time to achieve standardized and standardized statistical analysis and test. Results : There were significant differences in the willingness of continuing nursing supply among community health service centers in terms of age, income level and working years. There is no significant difference in ’ gender,’ position ’ and ’ work intensity ’. Conclusion : Different ages, different income levels and different working years of medical staff in community health service centers lead to different willingness to supply continuing care. In the implementation of relevant policies, it is necessary to comprehensively consider the influencing factors in these aspects from different perspectives and levels, so as to better implement internal management, continuously improve the quality of care, and further improve the level of continuing care services in community health service centers.
【Key?Words】Community health service center ; Continuing nursing ; Supply willingness ; Influencing factors ; Analysis
社會(huì)經(jīng)濟(jì)高速發(fā)展,不僅提高了人們的生活質(zhì)量和生活水平,也為和諧社會(huì)的建設(shè)、醫(yī)療事業(yè)的發(fā)展、社會(huì)活動(dòng)的開(kāi)展提供了有利條件。調(diào)查顯示,社區(qū)衛(wèi)生服務(wù)中心的醫(yī)護(hù)人員,是否存在延續(xù)護(hù)理的供給意愿,決定著延續(xù)護(hù)理工作能否順利地開(kāi)展起來(lái),延續(xù)護(hù)理服務(wù)理念能否全面地滲透到位。同時(shí)也是諸多慢性疾病患者能否享受系統(tǒng)化護(hù)理指導(dǎo)的一大關(guān)鍵[1]。本次研究活動(dòng)的開(kāi)展,就特意結(jié)合社區(qū)衛(wèi)生服務(wù)中心醫(yī)護(hù)人員的延續(xù)護(hù)理供給意愿,分析了相關(guān)的影響因素,以下內(nèi)容的總結(jié)概括,僅供相關(guān)部門(mén)參考借鑒。
1.1 研究對(duì)象
2020年1月至2021年1月期間,實(shí)施“隨機(jī)抽樣方法”,對(duì)我市10家社區(qū)衛(wèi)生服務(wù)中心展開(kāi)調(diào)查活動(dòng),自行設(shè)計(jì)“調(diào)查問(wèn)卷”,共計(jì)發(fā)放100份,有效問(wèn)卷100份。
1.2 研究方法
通過(guò)查閱相關(guān)文獻(xiàn),應(yīng)深入了解延續(xù)護(hù)理內(nèi)涵、內(nèi)容、要點(diǎn)、注意事項(xiàng)等,結(jié)合國(guó)內(nèi)外的延續(xù)護(hù)理工作現(xiàn)狀,整理資料后展開(kāi)合理分析,從而得出有效結(jié)論[2]。應(yīng)自行設(shè)計(jì)“調(diào)查問(wèn)卷”,通過(guò)克朗巴哈系數(shù)(Cronbach’s alpha或Cronbach’s α)檢驗(yàn)調(diào)查問(wèn)卷的可行性,以及測(cè)量結(jié)果的可信度[1]。以社區(qū)衛(wèi)生服務(wù)中心多科室的醫(yī)護(hù)人員為主要的調(diào)查對(duì)象,要求醫(yī)護(hù)人員們仔細(xì)閱讀問(wèn)卷內(nèi)容,認(rèn)真填寫(xiě)調(diào)查問(wèn)卷,并且根據(jù)自身的實(shí)際情況,填寫(xiě)完成后提交有效問(wèn)卷。選擇應(yīng)用SPSS 23.0軟件及時(shí)處理各項(xiàng)數(shù)據(jù),以實(shí)現(xiàn)規(guī)范化、標(biāo)準(zhǔn)化的統(tǒng)計(jì)分析和檢驗(yàn)。
2.1 調(diào)查對(duì)象的一般資料,見(jiàn)表1。
2.2 社區(qū)衛(wèi)生服務(wù)中心醫(yī)護(hù)人員的延續(xù)護(hù)理供給意愿差異性,見(jiàn)表2。
首先,年齡對(duì)于社區(qū)衛(wèi)生服務(wù)中心醫(yī)護(hù)人員延續(xù)護(hù)理供給意愿的影響較大,31歲以上的醫(yī)護(hù)人員,愿意為慢性疾病的患者提供延續(xù)性護(hù)理服務(wù),31歲以下的醫(yī)護(hù)人員,為慢性疾病患者提供延續(xù)性護(hù)理服務(wù)的意愿不強(qiáng)[3]。31歲以上的社區(qū)衛(wèi)生服務(wù)中心醫(yī)護(hù)人員,參加工作的年限較長(zhǎng),護(hù)理經(jīng)驗(yàn)更加豐富,從“工作角度”來(lái)看,年齡更大的醫(yī)護(hù)人員對(duì)于延續(xù)護(hù)理內(nèi)容、可行性方法、有效措施等會(huì)有更加深入的了解,比較明確延續(xù)護(hù)理對(duì)于患者身體健康產(chǎn)生的積極影響,所以愿意為患者提供這項(xiàng)服務(wù),并對(duì)這項(xiàng)工作表示高度支持。年輕的醫(yī)護(hù)人員對(duì)于延續(xù)護(hù)理的了解趨于表面,尚未知曉延續(xù)護(hù)理的多重作用、現(xiàn)實(shí)意義等,還需要在接下來(lái)的護(hù)理實(shí)踐中,繼續(xù)學(xué)習(xí)相關(guān)知識(shí),深入了解相關(guān)內(nèi)容。其次,收入層次對(duì)于社區(qū)衛(wèi)生服務(wù)中心醫(yī)護(hù)人員延續(xù)護(hù)理供給意愿的影響最大,低收入的醫(yī)護(hù)人員并不愿意參與延續(xù)護(hù)理工作,高收入的醫(yī)護(hù)人員更愿意參與延續(xù)護(hù)理工作。低收入的醫(yī)護(hù)人員日常工作量較大,即使有意愿參與延續(xù)護(hù)理工作,也很難提供優(yōu)質(zhì)的延續(xù)護(hù)理服務(wù),充分發(fā)揮自身作用,整體提高工作質(zhì)量[4]。最后,工齡對(duì)于社區(qū)衛(wèi)生服務(wù)中心醫(yī)護(hù)人員延續(xù)護(hù)理供給意愿的影響差異性較大,工齡較短的醫(yī)護(hù)人員供給意愿較低,工齡較長(zhǎng)的醫(yī)護(hù)人員供給意愿較強(qiáng)。工齡對(duì)于社區(qū)衛(wèi)生服務(wù)中心醫(yī)護(hù)人員延續(xù)護(hù)理供給意愿產(chǎn)生較大影響,差異性具體表現(xiàn)在:技術(shù)水平、業(yè)務(wù)能力、工作經(jīng)驗(yàn)等方面,這些因素對(duì)于延續(xù)護(hù)理工作的質(zhì)量影響非常大,是針對(duì)性提升延續(xù)護(hù)理服務(wù)水平的關(guān)鍵所在。
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