Hall C, Castleden C M, Grove G J
Central Nursing Unit, Leicester.
BMJ. 1988 Nov 5;297(6657):1181-2. doi: 10.1136/bmj.297.6657.1181.
The increasing demand for the services of a continence nurse led to a novel plan to combat such demand in Leicestershire. The district nursing service seconded a nurse to be trained as an adviser and then to return to the community to set up continence clinics in each health centre. The adviser selected nurses to run these clinics and taught them the skills required to do so. She also carried her own caseload. One hundred and one patients were seen in the clinics in the first year, of whom 30 were cured. In a further one third continence was greatly improved, and the remainder benefited from advice and consultation. The adviser has worked in only six health centres but has had a greater impact on dealing with incontinence than a series of lectures and seminars for district nurses over many years had had.
对尿失禁护理服务日益增长的需求促使莱斯特郡出台了一项新奇的计划来应对这一需求。地区护理服务部门借调了一名护士，对其进行培训使其成为顾问，然后让她回到社区，在每个健康中心设立尿失禁诊所。该顾问挑选护士来运营这些诊所，并教授她们所需的技能。她自己也负责一定数量的病例。第一年，诊所接待了101名患者，其中30人治愈。另有三分之一的患者尿失禁情况大为改善，其余患者则从咨询和建议中受益。该顾问仅在六个健康中心开展工作，但在处理尿失禁问题上所产生的影响比多年来为地区护士举办的一系列讲座和研讨会还要大。
