Fernández Sánchez Susana P, Rusiñol Badals Maria, Padró Blanch Isabel, Paytubí Garí Carlos, Laiz Alonso Ana, Moragues Pastor Carmen
Unidad de Reumatología, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
Servicio de Reumatología, Hospital Mutua de Terrassa, Barcelona, España.
Reumatol Clin. 2017 Jan-Feb;13(1):4-9. doi: 10.1016/j.reuma.2016.02.007. Epub 2016 Apr 5.
Describe and analyze nursing activity in rheumatology.
A cross-sectional study was performed in Spanish rheumatology departments. Results were based on surveys administered to rheumatology nurses. We included variables on socio-demographics, the setting and available resources, and the activities they carried out. Each activity was compared in terms of workplace, available resources and dedication exclusively to one field.
Sixty-seven surveys were collected from 57 hospitals in 17 Spanish autonomous communities. 97% of the nurses were women, with an average age of 48.9 years and an average nursing experience of 6 years. 56% of the professionals had gained their experience in outpatient clinics, 35% in day hospitals and 9% in inpatient and primary care. As for the availability of resources, 59% had their own office, 77.3% had a phone listing and 60% scheduled and conducted patient visits. Of the 19 activities included, those performed by the highest number of nurses were managing, monitoring and coordinating the use of biological drugs (90.9%), therapy monitoring (89.4%) and training patients in self-medication (89.4%). The activity in which nurses most frequently collaborated with physicians was the administration of local injections (51.5%). Other activities were teaching (50%) and research (78.8%) in their departments and studies in the nursing field (51.5%). Work in outpatient clinics versus day hospitals showed statistically significant differences for health education, nutrition, splinting and bandaging, and collaboration in ultrasound studies.
These professionals performed a greater number of activities when they worked in outpatient clinics, had their own office and worked exclusively in rheumatology.
描述并分析风湿病学领域的护理活动。
在西班牙各风湿病科开展了一项横断面研究。结果基于对风湿病科护士进行的调查。我们纳入了社会人口统计学、工作环境及可用资源,以及他们所开展活动等方面的变量。对每项活动在工作场所、可用资源以及是否专门致力于某一领域等方面进行了比较。
从西班牙17个自治区的57家医院收集到67份调查问卷。97%的护士为女性,平均年龄48.9岁,平均护理经验6年。56%的专业人员在门诊积累了经验,35%在日间医院,9%在住院部和初级保健机构。关于资源可用性,59%有自己的办公室,77.3%有电话清单,60%安排并进行患者家访。在所纳入的19项活动中,护士开展人数最多的活动是管理、监测和协调生物药物的使用(90.9%)、治疗监测(89.4%)以及对患者进行自我给药培训(89.4%)。护士与医生最常合作开展的活动是局部注射给药(51.5%)。其他活动包括在所在科室进行教学(50%)和研究(78.8%)以及护理领域的研究(51.5%)。门诊与日间医院的工作在健康教育、营养、夹板固定和包扎以及超声检查协作方面存在统计学显著差异。
这些专业人员在门诊工作、有自己的办公室且专门从事风湿病学工作时开展的活动更多。