以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (4): 7-10.doi: 10.16460/j.issn1008-9969.2020.04.007

• 护理管理 • 上一篇    下一篇

以专科服务小组为主导的“互联网+护理服务”模式构建与实践

陈海婷a, 岳利群a, 陈汝文a, 肖生翠b   

  1. 广东医科大学附属医院 a.护理部; b.消化内科,广东 湛江 524001
  • 收稿日期:2019-10-23 出版日期:2020-02-25 发布日期:2020-07-14
  • 通讯作者: 岳利群（1963-）,女,湖南邵阳人,本科学历,主任护师,护理部主任。
  • 作者简介:陈海婷（1988-）,女,广东湛江人,硕士,主管护师。

Development of Specialist Service Team-dominated “Internet plus Nursing Service” Mode and Its Practice

CHEN Hai-ting a, YUE Li-qun a, CHEN Ru-wen a, XIAO Sheng-cui b   

  1. a. Dept. of Nursing Administration; b. Dept. of Gastroenterology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
  • Received:2019-10-23 Online:2020-02-25 Published:2020-07-14

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摘要： 目的 构建以专科服务小组为主导的“互联网+护理服务”模式,开展居家护理服务,提高护理服务质量。方法 组建专科服务小组,包括管道、静疗、伤口造口、母婴、康复及中医6个小组,通过多种形式对小组成员进行培训,考核通过后对居家患者开展“互联网+护理服务”。服务结束后使用满意度评价表调查患者对“互联网+护理服务”的满意程度。结果 2019年7月15日—9月15日共开展了61例居家护理服务,其中母婴小组26例,伤口造口小组8例,管道小组14例,静疗小组3例,康复小组6例,中医小组4例;98%的患者对居家护理服务满意,患者认同以居家护理服务小组开展“互联网+护理服务”。 结论 以专科服务小组为主导开展的“互联网+护理服务”能为患者提供优质的居家护理服务,患者满意度高,护士自我价值提升。

关键词: 专科护理, 居家护理, 互联网+护理服务

Abstract: Objective To develop a specialist service team-dominated “internet plus nursing service” mode, to provide home nursing service and improve nursing quality. Methods We established six specialist service teams including nurses of catheter, intravenous therapy, ostomy, maternal care, rehabilitation and Chinese medicine. Members of six teams participated in related assessment after various forms of training and those performed excellently in the assessment provided internet plus nursing service for homebound patients. Patients were investigated by using satisfaction assessment scale at the end of the service. Results From 15 July to 15 December 2019, all the six teams provided 61 times of service, of which maternal care team provided services for 26 cases, ostomy team for 8 cases, catheter team for 14 cases, intravenous therapy for 3 cases, rehabilitation team for 6 cases and Chinese medicine for 4 cases. Of the total, 98% of the patients were satisfied with the service mode. Conclusion “Internet plus nursing service” by specialist service teams provides excellent service for homebound patients, improves patients' satisfaction degree and nurses' self-value.

Key words: specialist nursing, home care, internet plus nursing service

中图分类号: 

  • R473.5
[1] 中华人民共和国国家统计局.人口总量平稳增长城镇化水平稳步提高[R/OL].(2019-01-23)[2019-04-09].http://data.stats.gov.cn/tjsj/sjjd/201901/t20190123_1646380.html.
[2] Liu R, Yuan B, Jiang Z.Mathematical Model and Exact Algorithm for the Home Care Worker Scheduling and Routing Problem with Lunch Break Requirements[J].Inter J Product Res, 2016,55(2):558-575.DOI:10.1080/00207543.2016.1213917.
[3] 邓莎. 浅析我国新型居家养老服务模式[J].法制与社会,2011, 4(中):178-179.DOI:10.19387/j.cnki.1009-0592.2011.11.096.
[4] Castor C, Hallström I, Hansson H, et al.Home Care Services for Sick Children: Healthcare Professionals' Conceptions of Challenges and Facilitators[J]. J Clin Nurs, 2017, 26(1/18):2784-2793. DOI:10.1111/jocn.13821.
[5] Lyons I, Blandford A.Safer Healthcare at Home: Detecting,Correcting and Learning From Incidents Involving Infusion Devices[J]. Appl Ergon, 2018, 67(3):104-114. DOI:10.1016/j.apergo.2017.09.010.
[6] 李樱,黄艳,许芮嘉,等.以医院为主体的“互联网+护理服务”模式在出院患者延续护理中的应用[J].中国临床护理,2019,11(3):185-188.DOI:10.3969/j.issn.1674-3768.2019.03.001.
[7] 广东省卫生健康委员会.广东省开展“互联网+护理服务”试点工作实施方案[粤卫函(2019)495号][R/OL]. (2019-03-27)[2019-04-02]. http://wsjkw.gd.gov.cn/gkmlpt/content/2/2268/post_2268434.html.
[8] 边珊珊,刘燕,丁小娥,等.长期护理保险背景下基于HCSI模型的居家护理老人满意度问卷的编制及评价[J].上海医药,2019,40(6):15-43.
[9] 陈静,于清,齐芮宁. “互联网+护理服务”在北京地区的实践与思考[J].中国护理管理,2019,19(7):964-967. DOI:10.3969/j.issn.1672-1756.2019.07.002.
[10] 刘敏,李国宏,张扬.实施医院社区一体化延续护理障碍因素的调查分析[J].护理学杂志,2016,31(19):91-94. DOI:10.3870/j.issn.1001-4152.2016.19.091.
[11] 蒋小剑,朱正刚,阳珍金,等. 居家护理干预方案对人工髋关节置换术患者活动能力及生活质量的影响[J].护理学报,2015, 22(10):65-67.DOI:10.16460/j.issn1008-9969.2015.10.065.
[12] Thomas K, Wen JL, Ellen O, et al.Nurse Practitioner Leadership in Promoting Access to Rural Primary Care[J]. Nurs Economic, 2017, 35(3):119-125.
[13] Lee HJ, Ju YJ, Park EC, et al.Effects of Home-visit Nursing Services on Hospitalization in the Elderly with Pressure Ulcers:A Longitudinal Study[J].Eur J Public Health, 2017, 27(5):822-826. DOI:10.1093/eurpub/ckx110.
[14] 贡浩凌,贾悦,高燕.医联体模式下专科护士使用与管理的探索与实践[J].中国护理管理,2017,17(5):586-588. DOI:10.3969/j.issn.1672-1756.2017.05.004.
[15] Facultad J, Lee GA.Patient Satisfaction with a Hospital-in-the-home Service[J]. Br [J] Community Nurs.2019, 24(4):179-185. DOI:10.12968/bjcn.2019.24.4.179.
[16] Ogunneye O, Rothberg M, Friderici J, et al.Nursing Home Care Quality and 30-day Readmission Rates for Patients with Heart failure[J].Circ Cardiovasc Qual Outcomes, 2012, 5(3):A225B.
[17] Maxine D, Annette S.Hospital in the Home: Construction of the Nursing Role-a Literature Review[J].J Clin Nurs, 2003, 12:852-859. DOI:10.1046/j.1365-2702.2003.00808.x.
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