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中国心血管疾病:急需增强护理作用以改善健康结局。

Cardiovascular disease in China: an urgent need to enhance the nursing role to improve health outcomes.

机构信息

Qilu Hospital of Shandong University, Jihan, China.

出版信息

J Clin Nurs. 2009 Mar;18(5):687-93. doi: 10.1111/j.1365-2702.2008.02570.x. Epub 2009 Jan 7.

Abstract

AIMS

This paper reviews the role of cardiac nursing in China and the potential of this professional group to take an important role in secondary and tertiary prevention initiatives.

BACKGROUND

China is undergoing unprecedented economic growth, yet globalisation of Chinese society has caused an increase in the prevalence of chronic conditions, particularly cardiovascular disease. Studies recognise that health providers and members of the public are not fully aware of the risks associated with cardiovascular disease and consequently are not equipped to deal with this looming epidemic.

DESIGN

Position paper.

METHOD

This position paper summarises and discusses the burden of cardiovascular disease in China within the context of evidence for nurse-coordinated interventions. Barriers and facilitators to developing the nursing role in contemporary China are discussed.

CONCLUSIONS

A key strategy for promoting the role of nurse-led programmes in China is increasing research skills among Chinese nurses to promote independent, collaborative interdisciplinary research. Promoting doctoral education in China, increasing the status of nursing in interdisciplinary teams, collaborating with cardiovascular nurses internationally and increasing the public's awareness of cardiovascular disease are critical steps in promoting nurse-led programmes to improve the health and well-being of the community.

RELEVANCE TO CLINICAL PRACTICE

Given the positive relationship between knowledge and skill levels of nurses and clinical outcomes, China's investment in the education and training of its nursing workforce is critical in improving practice and outcomes in cardiovascular disease.

摘要

目的

本文回顾了中国心脏护理的作用,以及该专业群体在二级和三级预防措施中发挥重要作用的潜力。

背景

中国正经历前所未有的经济增长,但中国社会的全球化导致慢性病(尤其是心血管疾病)的患病率上升。研究表明,卫生服务提供者和公众对与心血管疾病相关的风险没有充分认识,因此无法应对这一迫在眉睫的流行。

设计

立场文件。

方法

本文通过对以护士为协调的干预措施为背景的证据进行总结和讨论,概述了中国心血管疾病的负担。讨论了在中国发展护理角色的障碍和促进因素。

结论

在中国,促进以护士为主导的方案的关键策略是提高中国护士的研究技能,以促进独立的、协作的跨学科研究。在中国推广博士教育、提高护理在跨学科团队中的地位、与国际心血管护士合作以及提高公众对心血管疾病的认识,是促进以护士为主导的方案以改善社区健康和福祉的关键步骤。

临床相关性

鉴于护士的知识和技能水平与临床结果之间存在正相关关系,中国对护理人员的教育和培训的投资对于改善心血管疾病的实践和结果至关重要。

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