市级医院“互联网+”延续护理模式构建及效果评价

Construction and effect evaluation of“Internet+”continuous nursing model in municipal hospitals

目的研究分析“互联网+”延续护理模式对住院患者因相同疾病再住院率、满意率、服药依从性的影响,为市级医院规范实施延续护理干预提供思路。方法采用便利抽样法收集2018年9月1日至2019年8月31日老年慢病患者50例为干预组;对照组为同期入院的50例老年慢病患者按1∶1配对,配对条件为性别相同、年龄相近、合并疾病相似。干预组实施“互联网+”延续护理等服务,对照组给予常规护理措施。比较两组患者的再住院率,满意率及服药依从性。结果两组患者再住院率、满意率、服药依从性比较差异均有统计学意义(P<0.05),通过“互联网+”延续护理干预的患者因相同疾病再住院率下降,满意率提高,服药依从性增强。结论“互联网+”延续护理干预模式的构建,能降低住院患者再住院率,提高满意率和服药依从性,值得推广。

Objective To study and analyze the influence of the“Internet+”continuous nursing model on the re-hospitalization rate,satisfaction rate,and medication compliance of inpatients with the same disease,so as to provide ideas for the standardized implementation of continuous care intervention in municipal hospitals.Methods Convenience sampling method was used to collect data from 50 elderly patients with chronic disease from September 1,2018 to August 31,2019 as an intervention group.The control group consisted of 50 elderly patients with chronic diseases admitted to the hospital at the same time.The experiment group and the control group were matched at 1:1.Matching conditions included the same gender,similar age,and similar comorbid diseases.The intervention group were implemented services such as“Internet+”continuation of nursing care,and the control group was based on routine nursing measures.The patient re-hospitalization rate,patient satisfaction rate,and medication compliance were compared between the two groups.Results There were significant differences in the re-hospitalization rate,the patient satisfaction rate,and the medication compliance between the two groups(P<0.05).The re-hospitalization rate of patients who received the“Internet+”continuous nursing intervention for the same disease was decreased,the satisfaction rate was increased and the medication compliance was enhanced.Conclusion The construction of the“Internet+”continuation of the nursing intervention model in general hospitals can reduce the re-hospitalization rate and improve the satisfaction rate and medication compliance.It is worthy of promotion.