在中国开创IBD专家护士角色:临床实践创新的共享决策模式
Shuyan Li1, Zijun Ni1, Yan Ma1
1Department of Nursing, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Frontiers in medicine
|September 10, 2025
概括
在中国建立了一个新的炎症性肠道疾病 (IBD) 专家护士角色,以支持共享决策 (SDM). 这一举措成功地减少了患者的决策冲突,并提高了IBD护理质量.
科学领域:
- 胃肠病学 胃肠病学
- 护理科学 护理科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 炎症性肠病 (IBD) 管理需要个性化治疗计划和复杂的患者决策.
- 共享决策 (SDM) 改善了结果,但在临床实践中面临实施挑战.
- 在中国,正式的SDM护士角色尚未在IBD护理中建立.
研究的目的:
- 建立IBD专业护士职位,以促进中国的SDM.
- 加强患者参与IBD疾病管理.
- 提高IBD护理的整体质量.
主要方法:
- 定义了IBD专家护士的组织结构,选择标准,角色功能,能力和培训.
- 通过使用太华决策支持框架,明确了SDM模型中的责任.
- 开发了IBD患者管理的新策略和实践方法.
主要成果:
- 在2021年3月至2024年3月期间,IBD专家护士管理了2,028次患者访问.
- 与之前的研究相比,在术后患者的决策冲突减少了.
- 该角色通过协议,指导方针,教育和质量改善,为护理学科的发展做出了贡献.
结论:
- 在SDM框架内成功建立了IBD专家护士角色.
- 观察到患者决策冲突减少,治疗坚持改善,提高生活质量.
- 未来的工作重点是角色评估,培训,政策支持和更广泛的实施.
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