护士主导的心脏康复护理门诊在我国的发展现状
The Development Status of Nurse-Led Cardiac Rehabilitation Nursing Clinic in China

DOI: 10.12677/NS.2021.104044, PP. 270-275

Keywords: 护理门诊，心脏康复，现状，综述
Nursing Clinic, Cardiac Rehabilitation, The Status Quo, Review

Full-Text   Cite this paper   Add to My Lib

Abstract:

目前，心血管疾病严重影响着广大群体的生活质量，心脏康复已被证实可以有效改善疾病预后。我国心脏康复起步较晚，且护士在心脏康复中发挥着重大作用。我国部分医院已将心脏康复作为护理范围的一种拓展，开展了由护士主导的心脏康复专科护理门诊，这促进了护理水平的提升和护理学科的发展。然而对于我国护士主导的心脏康复护理门诊开展的整体现状上未见报道，因此，本研究对我国护士主导的心脏康复门诊的发展现状、具体服务内容、综合效益及未来可能的发展趋势进行综述。
At present, cardiovascular diseases have a serious impact on the quality of life of the majority of people. Cardiac rehabilitation has been proved to be effective in improving the prognosis of diseases. Cardiac rehabilitation started late in China, and nurses play an important role in cardiac rehabilitation. Some hospitals in our country have taken cardiac rehabilitation as an extension of nursing scope, and carried out nursing out-patient service of cardiac rehabilitation specialized department led by nurses, which promoted the improvement of nursing level and the development of nursing discipline. However, there is no report on the overall status quo of the nursing outpatient service of cardiac rehabilitation led by nurses in China. Therefore, this study summarizes the development status, specific service content, comprehensive benefits and possible future development trend of the nursing outpatient service of cardiac rehabilitation led by nurses in China.

References

[1]	赵育凌, 顾晴. 跨理论模型在我国慢性病患者健康教育中的应用进展[J]. 中华现代护理杂志, 2015, 21(8): 869-872.
[2]	刘伟静, 孙玉玺, 沈建颖, 等. 心脏康复的发展现状[J]. 中国研究型医院, 2020, 7(1): 82-85, 207-211.
[3]	王磊, 刘跃飞. 门诊心脏康复在我国的重要实践意义[J]. 岭南心血管病杂志, 2013, 19(4): 385-6, 445.
[4]	曹丽华, 崔岩, 卢晓虹, 等. 支架术后心脏康复专科护理门诊发展现状[J]. 全科护理, 2020, 18(20): 2487-2489.
[5]	Wong, F.K. and Chung, L.C. (2006) Establishing a Definition for a Nurse-Led Clinic: Structure, Pro-cess, and Outcome. Journal of Advanced Nursing, 53, 358-369. https://doi.org/10.1111/j.1365-2648.2006.03730.x
[6]	Rosen, R. and Mountford, L. (2002) Developing and Sup-porting Extended Nursing Roles: The Challenges of NHS Walk-In Centres. Journal of Advanced Nursing, 39, 241-248. https://doi.org/10.1046/j.1365-2648.2002.02270.x
[7]	Clendon, J. and White, G. (2001) The Feasibility of a Nurse Practitioner-Led Primary Health Care Clinic in a School Setting: A Community Needs Analysis. Journal of Ad-vanced Nursing, 34, 171-178. https://doi.org/10.1046/j.1365-2648.2001.01742.x
[8]	Hatchett, R. (2013) Nurse-Led Clinics: Practical Issues. Routledge, London. https://doi.org/10.4324/9780203865613
[9]	栾晓嵘. 心血管专科护士的发展现状与未来[J]. 齐鲁护理杂志, 2019, 25(1): 1-3.
[10]	孙丽, 吴瑛. 解读《欧洲心血管病预防指南》中护士的重要作用[J]. 中华护理杂志, 2014, 49(2): 253-256.
[11]	陈雁, 陈璐, 刘晶晶. 专科护理门诊运作机制的建立与效果评价[J]. 护理学杂志, 2017, 32(14): 68-70.
[12]	马玉芬, 朱丽筠, 鲁乔丹, 等. 专科护理门诊的创新发展路径研究[J]. 中国护理管理, 2020, 20(10): 1441-1444.
[13]	Stokes, H.C. (2000) Education and Training towards Competency for Cardiac Rehabilitation Nurses in the United Kingdom. Journal of Clinical Nursing, 9, 411-419. https://doi.org/10.1046/j.1365-2702.2000.00394.x
[14]	吴迪, 王彦, 杨慧, 等. 护士在现代心脏康复中的角色功能[J]. 医药前沿, 2016(3): 28-29.
[15]	Lazarus, A.M. and Heye, M. (2007) Searching, Finding, and Using the Evi-dence for Cardiac Rehabilitation. Clinical Nurse Specialist, 21, 121-122. https://doi.org/10.1097/00002800-200703000-00077
[16]	陈齐, 黎蔚华, 谢红珍, 等. 我国76所三级医院开展I期心脏康复现况的调查[J]. 中国护理管理, 2021, 21(2): 202-206.
[17]	束嘉俊, 贺徐琳, 牛淑珍, 等. 我国68所二、三级医院心脏康复开展现况调查[J]. 中华现代护理杂志, 2019, 25(11): 1332-1335.
[18]	楚姝, 陈湘玉, 吴玲, 等. 出院后病人专科护理门诊管理实践[J]. 中国护理管理, 2015(9): 1032-1034.
[19]	毛越, 徐剑锋, 陈昊天, 等. 同伴教育对冠心病患者心脏康复锻炼依从性的影响[J]. 中国实用护理杂志, 2020, 36(30): 2348-2353.
[20]	宋翠华, 张秋玲, 许平, 等. 团队协作模式干预对行PCI的急性心肌梗死患者心脏康复依从性的影响[J]. 齐鲁护理杂志, 2020, 26(11): 90-92.
[21]	田云, 郑艳, 黄玉兰, 等. 冠心病患者心脏康复治疗模式及依从性的研究概述[J]. 现代预防医学, 2020, 47(1): 189-192.
[22]	Mcmahon, S.R., Ades, P.A. and Thompson, P.D. (2017) The Role of Car-diac Rehabilitation in Patients with Heart Disease. Trends in Cardiovascular Medicine, 27, 420-425. https://doi.org/10.1016/j.tcm.2017.02.005
[23]	心房颤动患者心脏康复中国专家共识[J]. 中华内科杂志, 2021, 60(2): 106-116.
[24]	Broustet, J.P. and Monpère, C. (1994) Cooperative Survey of the Results of Coronary Surgery during Cardiac Rehabilitation. Archives des maladies du coeur et des vaisseaux, 87, 1267-1273.
[25]	Stewart, K.J., Ba-denhop, D., Brubaker, P.H., et al. (2003) Cardiac Rehabilitation Following Percutaneous Revascularization, Heart Trans-plant, Heart Valve Surgery, and for Chronic Heart Failure. Chest, 123, 2104-2111. https://doi.org/10.1378/chest.123.6.2104
[26]	慢性心力衰竭心脏康复中国专家共识[J]. 中华内科杂志, 2020, 59(12): 942-952.
[27]	中国康复医学会心血管病专业委员会, 中国老年学学会心脑血管病专业委员会. 慢性稳定性心力衰竭运动康复中国专家共识[J]. 中华心血管病杂志, 2014, 42(9): 714-720.
[28]	龚淼, 方琴. 经皮冠状动脉介入治疗术后患者心脏康复护理研究现状[J]. 中国护理管理, 2019, 19(10): 1561-1566.
[29]	曹小翠, 于红静, 卢瑞华, 等. 以专科护理门诊形式开展PCI术后Ⅱ期心脏康复教育的效果观察[J]. 现代医院, 2019, 19(4): 616-620+624.
[30]	王玥玥, 程晨, 张兰. PCI术后患者门诊心脏康复护理管理流程的构建与实施[J]. 中西医结合心血管病电子杂志, 2018, 6(21): 12-13.
[31]	冠心病心脏康复基层指南(2020年) [J]. 中华全科医师杂志, 2021, 20(2): 150-165.
[32]	都冬梅, 孙晓燕, 梁婷, 等. 康复路径与以专科护士为导向的延续护理对经皮冠状动脉介入治疗患者心脏康复的影响[J]. 中国实用护理杂志, 2015(30): 2276-2280.
[33]	胡晓兰, 田明. 开设护理专科门诊对高血压病人遵医行为及血压的影响分析[J]. 中国保健营养, 2020, 30(2): 238.
[34]	蹇祥玉, 叶秀莲, 罗莹怡, 等. 门诊专科护理小组在永久性心脏起搏器植入术后患者随访中的应用[J]. 齐鲁护理杂志, 2019, 25(18): 11-14.
[35]	薛晶, 曾晓卉, 黄金定. 心血管疾病专科慢病护理门诊的设立与实施[J]. 护理学杂志, 2018, 33(15): 35-37.
[36]	阳秀春, 胡进晖, 莫伟, 等. 专病护士在介入专科护理门诊建设中的作用[J]. 介入放射学杂志, 2020, 29(8): 834-837.
[37]	顾妙娟, 蒋红. 基于胜任力的专科护士选拔和管理[J]. 护理学杂志, 2016, 31(7): 47-49.
[38]	郑莹, 袁汝亚, 陈婉东, 等. 耳鼻咽喉综合护理门诊的建立与实践[J]. 现代临床护理, 2020, 19(9): 62-66.

Full-Text