区域医联体内结直肠癌患者延续性智慧护理服务模式的效果评估  

Evaluation of the effect of continuous intelligent nursing service model for colorectal cancer patients in regional medical consortium

作　　者：兰文霞[1] 白伟利 闫慧楠 LAN Wenxia;BAI Weili;YAN Huinan(Department of Colorectal Oncology,Shanxi Provincial People’s Hospital,Shanxi Province,Taiyuan 030012,China;School of Nursing,Shanxi University of Chinese Medicine,Shanxi Province,Jinzhong 030619,China)

机构地区：[1]山西省人民医院结直肠肿瘤科,山西太原030012 [2]山西中医药大学护理学院,山西晋中030619

出　　处：《中国医药导报》2025年第4期183-188,共6页China Medical Herald

基　　金：山西省科技战略研究专项项目(202304031401118)。

摘　　要：目的探讨区域医联体延续性智慧护理服务模式在结直肠癌患者中的应用效果。方法选取2023年5月至2024年5月山西省人民医院结直肠肿瘤科出院患者104例,根据随机数字表法将其分为对照组和干预组,各52例。对照组实施常规院外服务,干预组通过医联体随访监测平台进行管理。比较两组干预前和干预3个月后生活质量、随访率、非计划再入院率和患者满意度。结果干预后,干预组生活质量评分高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。干预组随访率高于对照组,非计划再入院率低于对照组,差异有统计学意义(P<0.05)。干预组术后并发症处理、随访服务质量、复诊安排满意度评分及总体满意度评分高于对照组,差异有统计学意义(P<0.05)。结论基于区域医联体的结直肠癌延续性智慧护理服务模式能够提高患者满意度和随访率,降低再入院率,提高患者生活质量。Objective To explore the effect of continuous intelligent nursing service model for colorectal cancer patients in regional medical consortium.Methods A total of 104 patients discharged from the Department of Colorectal Oncology,Shanxi Provincial People’s Hospital from May 2023 to May 2024 were selected.According to random number table method,they were divided into control group and intervention group,with 52 cases in each group.The control group received routine post-discharge services,while the alppication intervention group was managed through a medical consortium follow-up monitoring platform.The quality of life,follow-up rate,unplanned readmission rate,and patient satisfaction were compared between the two groups before and three months after the intervention.Results After intervention,the quality of life scores of intervention group was higher than before intervention,and the intervention group was higher than the control group,and the differences were statistically significant(P<0.05).The follow-up rate of the intervention group was higher than that of the control group,and the unplanned readmission rate was lower than that of the control group,the difference was statistically significant(P<0.05).The postoperative complication management,follow-up service quality,visit arrangement satisfaction score and overall satisfaction score of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The continuous smart nursing service model based on a regional medical consortium for colorectal cancer can improve patient satisfaction and follow-up rates,reduce readmission rates,and improve patients’quality of life.

关 键 词：区域医联体 结直肠癌 延续性护理 智慧护理 随访管理 

分 类 号：R473[医药卫生—护理学]