摘要
随着医疗模式的转型,专科护理门诊发展成为时下热点。深圳经济特区建立专科护理制度,赋予护士一定处方权,引领专科护理门诊建设探索。本文在符合我国现有法律规定下,进行精神专科护理门诊建设探索设想。基于护理诊断现状、医疗护理诊断互补优势,提出精神专科护理诊断构建设想;基于护理服务模式转变,提出门诊职能构建和人员配置设想;基于分级护理、精神疾病分级随访管理,和延续性护理服务在精神科应用现状,提出个案分级延续性护理方案构建设想,构建初步方案,以期为精神专科护理门诊建设提供思路。
关键词: 精神专科护理;护理门诊;深圳模式;护理诊断;延续性护理
Abstract
With the transformation of medical model, the development of specialized nursing outpatient service has become a hot spot at present. Shenzhen Special Economic Zone has established a specialized nursing system, giving nurses certain prescription rights and leading the exploration of the construction of specialized nursing clinics. In accordance with the existing laws and regulations in China, this paper explores the construction of psychiatric nursing outpatient service. Based on the present situation of nursing diagnosis and the complementary advantages of medical nursing diagnosis, this paper puts forward the idea of constructing nursing diagnosis in the psychiatric department; Based on the transformation of nursing service mode, the author puts forward the idea of outpatient function construction and staffing; Based on graded nursing, graded follow-up management of mental illness, and the application status of continuous nursing service in the psychiatric department, this paper puts forward the idea of constructing case-based graded continuous nursing scheme and constructs a preliminary scheme, in order to provide ideas for the construction of nursing outpatient service in the psychiatric department.
Key words: Psychiatric nursing; Nursing outpatient clinic; Shenzhen model; Nursing diagnosis; Continuity of care
参考文献 References
[1] Hatchett R. Nurse-led clinics: 10 essential steps to setting up a service. Nurs Times. 2008 Nov 25-Dec 1;104(47):62-4.
[2] 冯玉荣,蔡玉华,孙明明,等.开设护理咨询门诊的体会[J].中华护理杂志,1997,(02):115-116.
[3] 王露莹,张红梅.我国护理门诊研究现状文献计量及可视化分析[J].护理与康复,2020,19(11):14-19.
[4] 王怡萱,汪晖,李苏雅,等.《北美国际护理诊断定义与分类(2021-2023)》修订解读[J].中华护理教育,2022,19(09): 861-864.
[5] Scroggins LM. The developmental processes for NANDA International Nursing Diagnoses. Int J Nurs Terminol Classif. 2008 Apr-Jun;19(2):57-64.
[6] 李晓松, 章晓幸. 护理学导论[M].北京:人民卫生出版社,2022:10-11,13.
[7] 王晓亚.循证护理服务模式对慢阻肺病人临床护理效果及满意度的影响观察[C]//重庆市健康促进与健康教育学会.临床医学创新与实践学术研讨会论文集.尚义县南壕堑镇卫生院;,2025:936-938.
[8] 海昕,付桂,董鹏飞.“一病一品”护理服务模式在子宫肌瘤手术患者中的应用效果[J].临床医学研究与实践,2025, 10(23):138-141.
[9] 纪燕平,冯晓菲,倪兰英,等.“优质中医护理服务模式”在临床的开展效果分析[J].中医药管理杂志,2023,31(09): 58-61.
[10] 奂昭慧.健康管理中心开展标准化护理服务模式的实践及价值探讨[J].中国标准化,2025,(10):309-312.
[11] 景立红.追踪模式下个性化护理服务对阿尔茨海默病患者睡眠质量的影响[J].中华养生保健,2024,42(24):174-176.
[12] 田慧利,刘慧勤,杨玉洁,等.一站式护理服务模式在中枢神经系统特发性炎性脱髓鞘病患者中的应用效果[J].护理实践与研究,2024,21(04):476-481.
[13] 陈沁,张军,杨冰香,等.国内外智慧护理服务模式的研究进展[J].护理学报,2024,31(17):17-21.
[14] 肖桂芬,吴文青.开设精神科护理咨询门诊的体会[J].山东精神医学,2000,(02):55-56.
[15] 徐璐.延续性护理在精神科的应用现状与进展[J].智慧健康,2024,10(28):26-28+32.
[16] 刘瑜.基于个案管理模式的延续性护理干预对精神疾病患者生命质量、睡眠质量的影响[J].世界睡眠医学杂志,2022,9(05):971-973.
[17] 刘多君,郑艳芳.电话随访结合延续性护理对精神分裂症患者自我管理效能及病情控制情况的影响[J].中西医结合护理(中英文),2021,7(08):37-40.