连续性护理与管理的医疗服务模式在心血管内科慢性病的应用  

Medical service mode and effects of continuous nursing management of chronic diseases in cardiovascular internal medicine

作　　者：张艳梅 徐玉兰 Zhang Yanmei;Xu Yulan(Department of Cardiovascular Internal Medicine,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院心血管内科,武汉430022

出　　处：《海军医学杂志》2020年第2期189-192,共4页Journal of Navy Medicine

基　　金：协和医院药技护专项基金课题(02.03.2017-263);湖北省卫生计生委面上项目(WJ2017M108)。

摘　　要：目的 探讨心血管内科慢性病连续性护理和管理的医疗服务模式和效果。方法 选择2015年1月1日至2017年1月1日346例来华中科技大学同济医学院附属协和医院心内科就诊的患者,分为一般护理组和连续护理组,每组173例;连续护理组对患者出院后行健康知识教育、随访和自我护理培训活动等;分别比较2组患者满意度、患者对疾病的了解程度、患者出院后的生活质量、出院后一年再次入院率、年人均医疗费用以及护理人员的满意度。结果 连续护理组的患者满意度、对疾病的了解程度、出院后的生活质量和护理人员的满意度均显著高于一般护理组(P<0.05);而年人均医疗费用和一年再次入院率显著低于一般护理组(P<0.05)。连续护理组患者护理后生活质量显著优于对一般护理组(P<0.05)。结论 连续性护理-管理在心血管内科慢性病的实施,取得了良好的效果,具有可行性和有效性。Objective To explore the mode and effects of continuous nursing management of chronic diseases in cardiovascu?lar internal medicine.Methods Three hundred and forty?six patients who sought medical care in the hospital from January 1,2015 to January 1,2017 were randomly divided into the general nursing group and the continuous nursing management group,each consisting of 173 patients.The patients in the continuous nursing management group received health education,medical follow?ups,self?care training and other activities when discharged from hospital.The indexes of patient satisfaction,patient knowledge of the disease,life quality after discharge hospital,rate of readmission 1 year after discharge,annual medical costs and rate of satisfaction on the part of nursing personnel were compared between the patients of the 2 groups.Results Such indexes as patient satisfaction,knowledge of the disease,life quality after discharge hospital and rate of satisfaction in the continuous nursing management group were all significantly higher than those of the general nursing group(P<0.05),while annual medical costs and rate of readmission 1 year after discharge in the continu?ous nursing management group were obviously lower than those of the general nursing group(P<0.05).Besides life quality in the pa?tients of the former group was considerably superior to that of the latter group(P<0.05).Conclusion The implementation of conti?nuous nursing management of chronic diseases in cardiovascular internal medicine has achieved good results and promises a good future in clinical feasibility and efficacy.

关 键 词：慢性病 心血管内科 连续性护理-管理 医疗服务模式 

分 类 号：R473.5[医药卫生—护理学]