以专科护士为主导的老年慢病“互联网+护理服务”模式构建与实施  

Establishment of"nursing assistance via the internet"mode for the elderly with chronic diseases dominated by specialist nurses and its implementation

作　　者：卢璇 张建薇[1] 邓小岚[1] 许玲[2] LU Xuan;ZHANG Jianwei;DENG Xiaolan;XU Ling(Department of Geriatric Medicine,Drum Tower Hospital Affiliated to Medical School of Nanjing University,Nanjing,Jiangsu,210008;Department of Nursing,Drum Tower Hospital Affiliated to Medical School of Nanjing University,Nanjing,Jiangsu,210008)

机构地区：[1]南京大学医学院附属鼓楼医院老年医学科,江苏南京210008 [2]南京大学医学院附属鼓楼医院护理部,江苏南京210008

出　　处：《实用临床医药杂志》2021年第9期86-89,93,共5页Journal of Clinical Medicine in Practice

基　　金：江苏省干部保健科研课题(BJ18009);南京大学医院管理研究所课题项目(NDYG2020010)。

摘　　要：目的探讨构建以专科护士为主导的老年慢病"互联网+护理服务"模式与实施的效果。方法通过多学科协作,组建以专科护士为主导的多学科护理小组,并实施"互联网+护理服务"。评估老年慢病"互联网+护理服务"开展情况及患者满意度、护士职业认同感。结果选取接受"互联网+护理服务"的69例患者,共服务147次,其中经外周静脉穿刺中心静脉置管术(PICC)/输液港维护21例,基础护理操作17例,慢性病健康教育11例,慢性伤口换药8例,康复护理7例,安宁疗护5例。患者对"互联网+护理服务"满意度高于94.0%。实施该模式后,护士的把握感、自我效力感、有意义感、一致感、自我决定感及各维度总均分高于实施前,差异有统计学意义(P<0.05)。结论以专科护士为主导的"互联网+护理服务"模式可满足老年慢病群体多元化、专业化的居家照护需求,降低再入院率。该模式在提高患者满意度的同时,也提升了护士的职业认同感。Objective To explore the effect of constructing the"nursing assistance via the internet"mode for the elderly with chronic diseases dominated by specialist nurses and its implementation.Methods Through multidisciplinary collaboration,a multidisciplinary nursing team led by specialized nurses was established and implemented.Implementation conditions of"nursing assistance via the internet"for chronic diseases in the elderly,satisfaction of patients and nurse professional identity were evaluated.Results"Nursing assistance via the internet"was carried out in 69 patients,with a total of 147 times of service,including 21 cases of peripherally inserted central catheter(PICC)and infusion port maintenance,17 cases of basic nursing operation,11 cases of chronic health education,8 cases of chronic wound dressing change,7 cases of rehabilitation nursing and 5 cases of hospice care.Patients’satisfaction with"nursing assistance via the internet"was higher than 94.0%.After the implementation of the model,the nurses’sense of mastery,self-efficacy,sense of meaning,sense of consistency,sense of self-determination and the total mean score of all dimensions were significantly higher than before implementation(P<0.05).Conclusion The mode of"nursing assistance via the internet"led by specialized nurses can meet the diversified and professional home care needs of the elderly with chronic diseases,and reduce the readmission rate of patients.In addition,this model not only improves patients’satisfaction,but also enhances nurses’professional identity.

关 键 词：“互联网+护理服务” 老年慢病 专科护士 居家护理 

分 类 号：R472[医药卫生—护理学] R473[医药卫生—临床医学]