摘要
目的以护理循证为基础，建立哮喘患者社区延续护理模式。方法采用量性研究和质性研究相结合的方法，通过：综合82篇文献的研究证据；对394份哮喘住院病历进行分析；对112名护士进行考试和问卷调查；考察现行临床护理和社区护理实践；征询6名多专业专家的意见；对100例患者进行问卷调查和对17例哮喘患者进行访谈获取循证证据，设计哮喘患者社区延续护理模式。结果建立了综合性三甲医院与社区卫生服务中心协作的哮喘患者延续护理的理论模式。结论护理模式应建立在当前最佳临床研究证据、临床实践需要的专业判断及患者需求三者结合的基础上。
Objective To develop an evidence-based community extended care model for patients with asthma. Methods Mixed research methods were applied to integrate best evidences： 80 literatures were included in systemic review; 394 medical records were analyzed; 112 nurses admitted a test and a questionnaire to assess their competence on asthma care; clinical observation to both hospital and communi- ty centers were conducted; 6 muhidisciplinary experts were consulted; and 100 patients admitted a ques- tionnaire on patient needs and 17 of them were further interviewed. Results The nursing care model with the feature of hospital and community health service center collaborating to provide extended care for pa- tients with asthma was established. Conclusions The development of a nursing care model for practice should be based on the current best evidence generating from the best research evidence, professional judg- ment on clinical practice requirement and patients needs.
出处
《中国实用护理杂志》
北大核心
2012年第28期16-18,共3页
Chinese Journal of Practical Nursing
基金
基金项目：广东省医学科研基金立项资助课题（A2009253）
广州市属高校科研基金立项资助课题（10A290）
关键词
哮喘
延续护理
护理模式
社区护理
循证研究
Asthma
Extended care
Nursing model
Community nursing
Evidence-basedresearch
