Ramsey P, Edwards J, Lenz C, Odom J E, Brown B
College of Nursing, East Tennessee State University, Johnson City 37614.
J Community Health Nurs. 1993;10(3):161-70. doi: 10.1207/s15327655jchn1003_4.
The purpose of this study was to investigate the satisfaction of clients with care provided in a rural nurse-managed health center by family nurse practitioners and to describe common health problems for which family nurse practitioner services were sought. The results indicated that of the 2,106 visits from a case load of 1,350 clients, acute health problems were the most common (95.7%), and chronic health problems were the least common (3.9%). Respiratory and ear infections were the most frequent acute illness (55%), and hypertension (29%), respiratory (27%), and musculoskeletal complaints (27%) were the most frequent chronic conditions. Children up to 6 years of age constituted the largest client population (30%), followed by young adults (23%). Older adults were the smallest numbers of clients (3%). Client satisfaction with nurse practitioner-managed care was highly rated by 97% (n = 101) of the subjects in a random sample telephone survey. The results suggested that family nurse practitioners were providing effective and satisfactory healthcare for this rural community. Issues for further investigation are also discussed.
本研究的目的是调查农村护士主导的健康中心中家庭护士执业者所提供护理服务的客户满意度，并描述寻求家庭护士执业者服务的常见健康问题。结果表明，在来自1350名客户病例量的2106次就诊中，急性健康问题最为常见（95.7%），慢性健康问题最不常见（3.9%）。呼吸道和耳部感染是最常见的急性疾病（55%），高血压（29%）、呼吸道疾病（27%）和肌肉骨骼疾病（27%）是最常见的慢性疾病。6岁以下儿童构成最大的客户群体（30%），其次是年轻人（23%）。老年人是客户数量最少的群体（3%）。在一项随机抽样电话调查中，97%（n = 101）的受试者对护士执业者管理的护理给予了高度评价。结果表明，家庭护士执业者正在为这个农村社区提供有效且令人满意的医疗保健服务。还讨论了有待进一步调查的问题。
