“健康管家+PGR系统”延伸服务体系的构建及临床应用  

Construction and clinical application of extended service system of"health manager+PGR system"

作　　者：贺彩玲[1] 张佳惠 郭利晓 赵娜[1] 武月花 HE Cailing;ZHANG Jiahui;GUO Lixiao;ZHAO Na;WU Yuehua(Shanxi Provincial People's Hospital,Shanxi 030012 China)

机构地区：[1]山西省人民医院,山西030012

出　　处：《护理研究》2025年第8期1330-1336,共7页Chinese Nursing Research

基　　金：2024年山西省政府重大决策咨询课题,编号:ZB20242964。

摘　　要：目的:以院外延伸服务为视角,探索“健康管家+PGR系统”的院外延伸护理服务路径并探讨实施效果。方法:将2023年10月—12月在我院进行关节置换病人75例作为对照组,将2024年1月—2月在我院进行关节置换病人72例作为观察组。对照组实施常规的“电话+微信”随访,观察组实施“健康管家+PGR系统”的院外延伸护理服务。比较两组病人手术前后疼痛得分、日常生活能力得分、关节功能得分、术后并发症发生情况、病人满意度及护士满意度。结果:术后1个月及3个月两组病人疼痛、日常生活能力、关节功能评分及病人满意度、护士满意度比较差异均有统计学意义(P<0.05)。结论:实施“健康管家+PGR系统”的院外延伸服务可以提高病人院外的遵医行为,加快康复进程,及早恢复关节功能,提高生存质量。Objective:From the perspective of out-of-hospital extended service,to explore the path of"health manager+PGR system"and to discuss the implementation effect.Methods:A total of 75 patients underwent joint replacement in our hospital from October to December 2023 were selected as the control group.And 72 cases underwent joint replacement in our hospital from January to February 2024 were selected as the observation group.The control group was accepted routine"phone+WeChat"follow-up.And the observation group was provided extended nursing service of"health manager+PGR system".Pain Visual Analogue Scale(VAS)scores,Daily Living Ability(ADL)scores,the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scores,Harris Hip Score(HHS)scores,American Shoulder and Elbow Surgeons'Form(ASES)scores,postoperative complications,patient and nurse satisfaction were compared between the two groups.Results:One month and three months after surgery,there were significant differences in terms of pain VAS scores,ADL scores,WOMAC scores,HHS scores,ASES scores,patient satisfaction and nurse satisfaction between the two groups(P<0.05).Conclusions:The extension service of"health manager+PGR system"could improve patients'compliance behavior outside hospital,accelerate rapid rehabilitation process,recover joint function early,and improve their quality of life.

关 键 词：健康管家 PGR系统 出院管理 延续护理 

分 类 号：R473.6[医药卫生—护理学]