医联体合作模式下链式管理在延续护理中的实践  

Practice of chain management assisted continuous nursing care under the model of medical collaboration alliance

作　　者：王非凡[1] 屈红[1] 刘晓轶[1] Wang Feifan;Qu Hong;Liu Xiaoyi(Department of Nursing,The People′s Hospital of China Three Gorges University/The First People′s Hospital of Yichang,Yichang 443000,China)

机构地区：[1]三峡大学人民医院/宜昌市第一人民医院护理部,湖北宜昌443000

出　　处：《护理学杂志》2021年第19期1-4,共4页Journal of Nursing Science

基　　金：湖北省教育厅人文社会科学研究项目(18Y043);湖北省卫健委2019年度联合基金项目(WJ2019H520)。

摘　　要：目的探讨医联体合作模式下“医院-社区-家庭”链式管理在延续护理服务的应用效果。方法成立延续护理服务中心,基于医联体合作模式,应用护理技术、护理人才的双轨制输出方式和多媒体双向反馈,同质化实施“医院-社区-家庭”链式管理的延续护理。比较实施前后基层护理人员对延续护理的知信行评价,患者自护能力及护理满意度。结果链式管理实施后基层医疗机构167名护理人员延续护理知信行评价总分较实施前显著提高(P<0.01)。112例患者自我护理能力评分显著高于实施前(P<0.01)。患者对医联体合作模式链式管理下延续护理服务满意度总体得分为(4.17±0.46)分。结论基于医联体合作模式下的延续护理链式管理能够促进医联体建设,提升基层护理人员的服务能力,提高患者的自我护理能力,提供多层次医疗服务,满足不同层次患者需求。Objective To explore the effect of continuous nursing care assisted by"hospital-community-family"chain management under the model of medical collaboration alliance.Methods The continuing nursing service center was established.Model of medical collaboration alliance,continuous nursing care was carried out in the way of homogenized"hospital-community-family"chain ma-nagement which integrated nursing techniques,nursing talents′dual-track output and multimedia two-way feedback.Before and after the practice,a knowledge,attitude and practice(KAP)survey on continuous nursing care among nurses from grassroot hospitals was conducted,and patients′self-care ability and satisfaction were evaluated.Results KAP survey score among 167 nurses from grassroot hospitals saw significant improvement from baseline(P<0.01).Likewise patients′self-care ability(P<0.01).Patients′overall satisfaction with chain management assisted continuous nursing care scored(4.17±0.46)points.Conclusion Chain management assisted continuous nursing care under the model of medical collaboration alliance can promote the construction of medical alliance,improve service ability ofnurses from grassroot hospitals,improve patients′self-care ability,provide multi-level medical services,and meet the needs of patients at different levels.

关 键 词：延续护理 医联体 链式管理 知信行 满意度 自我护理 同质化护理 

分 类 号：R473.2[医药卫生—护理学]