Wright Kerri, Ryder Sherrie, Gousy Mamood
Greenwich University.
Br J Community Nurs. 2007 Oct;12(10):453-9. doi: 10.12968/bjcn.2007.12.10.27283.
Community matrons are integral to the government's plans to reduce hospital bed-use by people with long-term conditions. Community matrons have been given the role of case managing the very high intensity users in an attempt to reduce emergency bed days through preventing admissions and early discharge and through working closely with their patients to develop personalized plans of care and to support and encourage patients to take more control of their condition. To date there has been little research from the patients' perspective into whether community matrons are achieving their aim. This series of two articles reports on an evaluation of a community matron service, which was initiated over two years ago, from the perspective of the patient. This second article reports on the patients' perspective on how the community matron's involvement has improved their health and what patients' perceived to be important about the community matron service. The findings indicate that patients' value the community matrons understanding of their individual experiences of long-term conditions; the clinical skills to address and give patients confidence that their conditions could be managed; and the availability of the community matrons to the patients. These aspects of the community matron's role seemed to help the patients to feel safe and secure, improved their quality of life and ultimately increased the confidence and control they felt over their long-term conditions.
社区护士长对于政府减少长期病患者住院床位使用的计划至关重要。社区护士长被赋予了对高强度使用者进行个案管理的职责，试图通过预防入院和早期出院，以及与患者密切合作制定个性化护理计划，并支持和鼓励患者更好地控制自身病情，来减少急诊床位使用天数。到目前为止，从患者的角度来看，关于社区护士长是否实现其目标的研究很少。这两篇系列文章报道了一项对两年多前启动的社区护士长服务的评估，该评估是从患者的角度进行的。第二篇文章报道了患者对于社区护士长的参与如何改善他们的健康状况以及患者认为社区护士长服务中重要方面的看法。研究结果表明，患者重视社区护士长对他们长期病情个人经历的理解；解决问题的临床技能以及让患者相信其病情能够得到控制的能力；以及社区护士长对患者的可及性。社区护士长角色的这些方面似乎有助于患者感到安全，改善了他们的生活质量，并最终增强了他们对长期病情的信心和控制感。
