中国全科医学2017，Vol.20Issue(10)：1162-1167,6.DOI:10.3969/j.issn.1007-9572.2017.10.004
社区产后家庭访视护理质量评价指标体系的实证研究
Empirical Research on the Evaluation Index System of Nursing Quality of Postpartum Family Visits by Community Medical Workers
摘要
Abstract
Objective To investigate the implementation and existing problems of the nursing service in the community postnatal family visits,and to provide practical assessment tools and theoretical basis for future improving the evaluation of nursing quality in community postnatal family visits through empirical research on the evaluation index system of nursing quality of postpartum family visits by community medical workers. Methods From October to December in 2016,18 community health service institutions were randomly selected from three districts in Yinchuan City according to a proportion of 3: 1. Based on the evaluation index system of nursing quality in community postpartum family visits and the combination of the current nursing status of community postpartum family visits,the members of the research group undertook field investigations and evaluations with corresponding designed evaluation scales and questionnaires. Site Inspection Scale of the Quality of Nursing Process in Community Postpartum Family Visits was used to evaluate the process quality evaluation,and Qualitative and Quantitative Evaluation Index Questionnaire of Nursing Service in Community Postpartum Family Visits,Questionnaire of Satisfaction of Nursing Workers in Community Postpartum Family Visits and Questionnaire of Satisfaction and Related Knowledge Status of Delivery Women wereapplied to assess the quality of the structure and result. The standard scores of each index were obtained after the conversion of the survey data,and then the scores of the nursing quality in the community postpartum family visits of each community health service institutions were calculated by the comprehensive scoring method of weighting and accumulation. Results Among the 18 community health service institutions,the number of doctors in the personnel of community postpartum family visits was zero,the number of community nurses was one,the annual training rate of the visiting staff,and the annual pass rate of theory and skill assessment were both zero;the constituent ratios of " very good" or " good" evaluations on the preparation before community postpartum family visits,general assessment of newborns in community postpartum family visits and the implementation of maternal physical examination in community postpartum family visits among the 18 community health service institutions were 86. 10%,85. 54%,and 86. 07% respectively,the constituent ratio of " very good" or " good" evaluations on the general assessment of delivery women in the visiting was 22. 25%;the average satisfaction rate of medical workers on the existing postpartum visiting conditions was 89. 86%,the average satisfaction rate of delivery women on the visiting time,frequency and contents of medical workers was 73. 20%. The score of nursing quality in community postpartum family visits of the 18 community health service institutions was between 65. 45 and 84. 13,with an average score of 70. 55 and a score span of 18. 68. Conclusion With scientific and comprehensive covering contents,the evaluation index system of nursing quality in community postpartum family visits has certain operational appropriateness and practical value. However,problems such as insufficient job training of the personnel,lack of specific examination and low satisfaction among delivery women are still exist.关键词
产后保健/社区卫生服务/质量保证,卫生保健/实证研究Key words
Postnatal care/Community health services/Quality assurance/health care/Empirical research分类
医药卫生引用本文复制引用
冯雪,刘国莲,马楠楠..社区产后家庭访视护理质量评价指标体系的实证研究[J].中国全科医学,2017,20(10):1162-1167,6.基金项目
国家自然科学基金资助项目 (81160241) （81160241）
