Supply and demand of community nursing service and its countermeasures; Sun community health service has become a basic comprehensive health service form for urban and rural residents in China. Community nursing is an important part of it. According to the national conditions and the principle of effective utilization of health resources, the model of "going to the hospital for serious illness and going to the community for minor illness" is advocated, which puts forward higher requirements for community care of soil. This paper tries to put forward the countermeasures to solve the problem that the supply of community nursing service can't meet the demand at present. 1 demand and characteristics of community nursing service 1. 1 The change of disease spectrum puts forward new requirements for nursing service. With the change of medical model, the problems in people's life style, behavior habits and psychological state, and the increase of chronic non-communicable diseases such as cardiovascular and cerebrovascular diseases and diabetes, people urgently need specific and operable guidance from nursing staff. Even the elderly with physical diseases not only need to cure the disease, but also need nursing to enter their side, so that the elderly patients can get psychological satisfaction. 1.2 The reasons for the increase in the demand for home-based care for the elderly in communities with coexisting problems are: the aging population, the imperfection of the social care structure, the change of the family structure, and the reasons for the increase. Me, and more and more elderly people who need medical care. The characteristics of medical services for chronic diseases require family as the service unit. After the medical reform, J's demand for home care increased. With the economic development and social progress, the demand for medical care is diversified, and family care can make the psychological behavior of lifestyle well trained. However, there are many problems in front of us: the bad health concept is deeply rooted, the society's prejudice against nursing soil and distrust and disrespect for nursing, which requires that the concept of home nursing must be updated to keep pace with the improvement of home nursing environment. 1.3 The main service object of community nursing is the maternal and child market, which accounts for more than 2/3 of the community population. Therefore, preventive health care and health education in the maternal and child market have become the main local work of community medical and health services. For example, the diagnosis and treatment of gynecological diseases, the education of menopausal health knowledge, the common sense of female breast self-care, pregnancy care, breastfeeding, infant health care, and children's M: life health behavior refers to stasis. This is the biggest content of community nursing service. At first glance, the direct people who benefit from community care are women and children, and the indirect people are the whole family and society. 1.4. New problems brought by social changes to community nursing services. The main health problems of National Day after entering 2 1 century are: R }；; Prevention and treatment of sexually transmitted diseases and health care for the elderly; Health management of large-scale floating population and low-income population; Prevention and treatment of diseases related to environmental and psychological effects; Health education to prevent AIDS; "The health problems of the only child R brought by the small family, and so on. All these put forward new requirements for community nursing service. Community health service not only serves patients, but also highlights the closeness, initiative and comprehensiveness of J health service. This kind of service is different from the service mode in the hospital, which requires the community nursing service to change the service mode, update the service concept, enhance the service knowledge, broaden the service field and improve the service quality. 2. The performance of community nursing service does not meet the demand. 2. 1 Nursing skills are not suitable. Community nursing plays a variety of roles in community health services and requires a variety of skills. According to the objective requirements of community health service, high-tech, multi-skilled and comprehensive nursing talents are needed. They should not only have excellent nursing skills, but also be good at communicating with community residents. Only famous nurses are usually on duty in community nursing. For example, infusion must "hit the nail on the head", but it was difficult to end in ancient times; Community nursing should provide medical, preventive and health care services for groups and families, so she is omnipotent. However, most pre-oral community nurses are hospital triage staff. Low professional skills, lack of community nursing system and formal training. Therefore, the existing level of nursing technology can not meet the growing demand for community services. 2.2 Nursing management is not suitable. At present, there is still a lack of a set of scientific and standardized community nursing management methods. Because the management organization and system are not perfect, the oral label and responsibility of community nursing are not clear, and the problem of nursing going out of the hospital and facing the society has not been well solved. Many community health service stations and {_ level hospitals under their jurisdiction have to. I am decoupled, the ratio of doctors and nurses in health service stations is unreasonable, and the overloaded soil in community nursing does not have enough business study time. It also reflects that the management of community nursing in J has not kept up. 3 Some thoughts on strengthening community nursing service. 1 know {_ in place, health institutions at all levels should fully understand and pay attention to the importance of nursing service in the whole community health service and its irreplaceable special role; It is necessary to effectively solve the phenomenon of "paying more attention to medical care than nursing care", create a good environment conducive to the development of community nursing service, and implement it in the reform practice and various specific projects of community nursing service. 3.2 Strengthening Management In order to ensure the normal operation and in-depth development of community health services, relevant departments should strengthen the standardized management of community nursing, establish and improve the management organization and institutional basis, and provide solutions to practical problems as soon as possible. At present, most young nurses don't want to go to the community, because their economic benefits and learning JL clubs can't be equated with hospital care. Therefore, we should pay attention to and care about community offline nursing from policy measures and management methods, effectively solve the worries of community nursing, attract young nurses to take the initiative to serve in the community, and constantly improve the professional level of nursing in practice, so that community health undertakings and people's health security can produce double benefits. 3.3 Pay close attention to personnel training (1) and strive to expand the community nursing team: the number of nurses in community health institutions is generally insufficient, and even fewer nurses graduated from schools with community nursing majors can not meet the actual needs before oral intake. In this case, education, health and other departments should start from social needs, broaden the channels of talent sources, and actively take measures to strengthen the construction of community nursing teams. (2) Orientation of community nursing education: The orientation of education label should be within the scope of community nursing first. This means taking the overall service to family, group and community care and the required health knowledge and nursing skills as oral labels, clarifying the business content of community-centered and praising STD prevention and management, and mastering the technology, nursing procedures and soil-based methods of community care after learning. Educational content should be designed from the combination of theory and practice. Focus on cultivating nursing professional technical knowledge, be familiar with community nursing business, and be able to provide diversified, multi-level and all-round health services, including health education and psychological nursing services, for different people in the community by using modern nursing and technology.