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西班牙风湿病护理护士的活动。

The activity of rheumatology nurses in Spain.

作者信息

Fernández Sánchez Susana P, Rusiñol Badals Maria, Padró Blanch Isabel, Paytubí Garí Carlos, Laiz Alonso Ana, Moragues Pastor Carmen

机构信息

Unidad de Reumatología, Hospital de la Santa Creu i Sant Pau, Barcelona, España.

Servicio de Reumatología, Hospital Mutua de Terrassa, Barcelona, España.

出版信息

Reumatol Clin. 2017 Jan-Feb;13(1):4-9. doi: 10.1016/j.reuma.2016.02.007. Epub 2016 Apr 5.

Abstract

OBJECTIVE

Describe and analyze nursing activity in rheumatology.

MATERIAL AND METHODS

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.

RESULTS

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.

CONCLUSION

These professionals performed a greater number of activities when they worked in outpatient clinics, had their own office and worked exclusively in rheumatology.

摘要

目的

描述并分析风湿病学领域的护理活动。

材料与方法

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。

结果

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。

结论

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。

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