Abstract:

Objective　To analyze the role and effect of setting up special post of nurses in charge of artificial liver blood purification technology (artificial liver), and to provide reference for post setting and scientific management of artificial liver. Methods　Since November 2020, the post of artificial liver specialist nurse was set up in Infectious Disease Department, the Third Affiliated Hospital of Sun Yat-sen University, 12 specialized nurses for artificial liver post were selected and trained, consisting of 11 females and 1 male, with an age of (32.92±4.57) years old, with work experience of (9.51±5.12) years. The corresponding management norms were established to select and train the artificial liver specialist nurses. The artificial liver specialist nurse conducted the whole process management before, during, and after the artificial liver treatment and during the interval period. The management of artificial liver specialized post nurses and the ability of artificial liver specialized post nurses were compared before and after the establishment of post. Paired t test was used. Results　From November 2020 to December 2021, a total of 12 artificial liver specialized nurses were trained, and they participated in the formulation of 15 artificial liver treatment workflows, the revision of 5 norms, and the improvement of 3 projects. In 2021, a total of 1 050 patients were treated with artificial liver, an increase of 2.88 times compared with 2020 (365 patients). After the establishment of artificial liver nurse post, the quality of nursing care in artificial liver treatment increased from 77.0 to 92.5 points. After the artificial liver training, the scores of clinical nursing ability [self-evaluation (35.36±3.57) points and other-report (38.64±7.24) points], professional development ability [self-evaluation (42.29±6.44) points and other-report (49.60±11.03) points], and leadership and management ability [self-evaluation (38.86±4.66) points and other-report (43.47±8.99) points] of artificial liver specialized post nurses were significantly improved (all P<0.05). Conclusion　The establishment, management, and implementation of the nurses in the special post of artificial liver play a great role in the treatment of artificial liver, improve the management standard of artificial liver treatment, improve the quality of artificial liver treatment, and promote the development of the specialty.

Key words:

Artificial liver, Professional nurses, Nursing post

摘要：

目的　分析设立人工肝血液净化技术（人工肝）专岗护士岗位的作用与效果，为人工肝的岗位设置和科学管理提供参考依据。方法　自2020年11月起，中山大学附属第三医院感染科设立人工肝专岗护士岗位，选拔并培训人工肝专岗护士12名，女11名，男1名；年龄（32.92±4.57）岁；工龄（9.51±5.12）年。制定相应的管理规范，人工肝专岗护士在人工肝治疗前中后及间歇期进行全程管理。比较专岗护士岗位设立前后人工肝专岗护士管理的情况和人工肝专岗护士的能力。采用配对t检验。结果　2020年11月至2021年12月，人工肝专岗护士参与制定人工肝治疗工作流程共15项，修订规范5项，参与改进项目3项。2021年完成人工肝治疗共1 050例，较2020年（365例）增长约2.88倍。人工肝专岗护士岗位设立后，人工肝治疗护理质量检查由77.0分提高至92.5分。经过人工肝培训后，人工肝专岗护士临床护理能力［自评（35.36±3.57）分、他评（38.64±7.24）分］、专业发展能力［自评（42.29±6.44）分、他评（49.60±11.03）分］、领导与管理能力［自评（38.86±4.66）分、他评（43.47±8.99）分］评分均高于培训前（均P<0.05）。结论　人工肝专岗护士岗位的设立、管理与实施，在人工肝治疗中发挥了巨大的作用，完善人工肝治疗管理规范，提高人工肝治疗质量，促进专科发展。

关键词:

人工肝, 专岗护士, 护士岗位