Nursing Consultation Functions, a Regional Liaison System and Development of Outpatient Nursing Education Methods in a Wide-Medical-Zone Core Hospital

本研究以广医区治疗医院两个护理会诊计画中，区域联络人所从事之护理会诊活动为研究对象。本研究以一个广域医疗区为基地医院，对4年来的会诊情况进行了调查，并对护理会诊功能进行了评价。在综合会诊科，对会诊科支持使用访视护理的82例病例进行了分析。平均年龄为62.9岁，范围为0至89岁。肿瘤占85.4%，多为晚期。她与八个医疗区和邻近县的32个访问护理站合作。与巡回护理站合作的22家医疗机构分布在4个医疗区和1个邻近的县。在70%的病例中，在开始访视护理后进行了咨询，并在患者出现严重并发症时提供了与医疗保健地点相关的支持。 关于我们 症状恶化，临床护理和护理系统的重建，以及医疗护理内容的变化，以应对症状的变化。在医院里，问题是通过医生、护士、伤口、造口和造口术（WOC）护士、物理治疗师（PT）、语言治疗师（ST）、药剂师、营养师和医务社会工作者（MSW）之间的联络来解决的。在医院外，访问护士、护理管理人员、医生、其他医院的医务工作者等之间进行了联络。难治性神经系统疾病咨询科的护士与公共卫生护士合作，提供了持续的支持。此外，她还担任了神经系统疑难杂症的专家护士，并为公共卫生护士、医生、护理经理、访问护士和医疗设备公司等提供支持。在广泛的医疗区基地医院进行护理咨询是确保患者健康生活质量的功能，它是一种医院区域联络服务和区域支持功能，由一个专业护理

The subjects of the study were nursing consultation activities related to regional liaison engaged in two nursing consultation projects of the wide-medical-zone treatment hospital. We surveyed consultations over a 4-year period and assessed nursing consultation functions at a wide-medical-zone base hospital.In the general consultation division, we analyzed the 82 cases in which the consultation division supported the utilization of visiting nursing. The average age was 62.9 years old with the range of zero to 89. The disease was a neoplasm in 85.4% and most of them were in terminal stage. She collaborated with 32 visiting nursing stations in eight medical zones and neighboring prefectures. The 22 medical organizations which collaborated with those visiting nursing stations distributed in four medical zones and one neighboring prefecture. There were consultations after the start of visiting nursing in 70% of the cases, and consisted of support related to the health care location when sy … More mptoms worsened, redevelopment of the clinical care and nursing system, and changed in the content of medical care to deal with changes in symptoms. In the hospital, problems were solved by liaison between physicians, nurses, wound, ostomy and continence (WOC) nurses, physical therapists (PT), speech therapists (ST), pharmacists, nutritionists, and medical social workers (MSWs). Outside the hospital, there was liaison among visiting nurses, care managers, physicians, MSWs of other hospitals and so on.The nurse in consultation division for intractable neurological diseases provided continual support in collaboration with public health nurses. Also, she functioned as an expert nurses on intractable neurological disease and provided her support to public health nurses, physicians, care managers, visiting nurses, and medical equipment company and so on.Nursing consultation at a wide-medical-zone base hospital is a function that guarantees the quality of patients' health-care life, and it is a service of hospital regional liaison and a regional support function by a speciality nursing Less