Abstract:

Objective To investigate and analyze the current situation and problems of post management of brain and heart health managers in Henan Province. 

Methods The nurses who had successfully graduated from Henan brain and heart health manager training bases from January 2019 to December 2021 were selected as the subjects of this survey using the convenient sampling method. The self-designed questionnaire was used to investigate the post management status of brain and heart health managers. 

Results A total of 160 qualified nurses from 95 hospitals participated in this survey. 47 hospitals (49.5%) set up full-time post of brain and heart health managers. The work contents were mainly health education of inpatients (72.4%), health assessment of inpatients (72.2%) and follow-up of discharged patients (68.9%). The nurses considered that the biggest barrier in management of brain and heart health was "insufficient human resources"; the post management system was not perfect, especially the "post salary"; and the current work results were mainly reflected in increasing the return visit rate and improving the compliance and satisfaction of patients. 

Conclusions The current situation of the post management of brain and heart health managers was not optimistic. The construction of post management system should be strengthened, and the unified standards for admission, training and assessment of brain and heart health managers should be established. 

Key words:  Stroke; Health management; Post management; Survey

摘要： 目的 调查分析河南省脑心健康管理师岗位管理现状以及存在的问题。
方法 采用便利抽样法，选取2019年1月—2021年12月经河南省脑心健康管理师培训基地培训且顺利结业的护理人员，采用自行设计的问卷调查其所在医院脑心健康管理师岗位管理情况，如是否设置全职/兼职岗位、岗位职责内容、岗位管理制度、岗位实践障碍因素等。
结果 来自全省95家医院的160名培训合格的护理人员参与了本次调查，其中47家（49.5%）医院设置了脑心健康管理师专职岗位；工作内容以院内患者的健康教育（72.4%）、病区卒中患者的健康评估（72.2%）、出院卒中患者的随访（68.9%）为主；护士感知脑心健康管理师岗位实践最大的障碍因素为“科室人力资源不足”；脑心健康管理师岗位各方面管理制度尚不完善，最缺乏的为“岗位待遇”。词云分析结果显示，目前工作成效主要体现在增加患者复诊率、提高患者满意度方面。
结论 河南省脑心健康管理师岗位管理现状不容乐观，应加强相关管理制度的建设，建立统一的脑心健康管理师准入、培训、考核等标准，为脑心健康管理师的工作开展提供依据及保障。

关键词: 卒中; 健康管理; 岗位管理; 调查