Construction of a home extended care service mode leaded by tertiary hospitals and with internet as the core
Objective To construct a home extended care service mode leaded by tertiary hospitals and with internet as the core,and to provide references for the implementation of personalized nursing service for elderly homebound patients.Methods This was a retrospective study.Sixty patients taking the"internet+"and"combining medical care with home care"nursing mode in Hanzhong People's Hospital from December 2021 to November 2022 were selected as the research objects,including 35 males and 25 females who were(70.34±3.57)years old.There were 125 registered nurses on the platform,including 8 males and 117 females who were(34.12±3.23)years old.There were 60 main caregivers for the patients,including 15 males and 45 females who were(45.23±5.51)years old.The results of completed home care projects were statistically calculated.The patients'satisfaction was investigated.The burden scores of the caregivers and the scores of professional identity of the nurses before and after the implementation of this service were compared.t and x2 tests were applied.Results A total of 60 elderly homebound patients were served,with a total of 155 cases and a patient satisfaction rate of 100.00％.The scores of responsibility burden and personal burden and total score of the patients'primary caregivers were lower after than before the implementation of the"internet+"and"combining medical care with home care"continuous nursing mode[(12.12±2.28)vs.(15.23±3.23),(22.34±4.78)vs.(27.22±5.23),and(35.17±6.23)vs.(43.21±6.56)],with statistical differences(t=4.975,4.356,and 5.621;all P＜0.05).The scores of professional cognition,social support,social communication skills,frustration coping,and self-reflection and total score of the nurses were higher after than before the implementation[(33.24±3.12)vs.(30.23±3.23),(24.24±2.67)vs.(20.23±3.11),(25.45±2.56)vs.(21.12±3.11),(24.34±2.56)vs.(21.23±2.89),(13.68±1.67)vs.(10.23±1.89),and(120.56±5.56)vs.(112.23±4.87)],with statistical differences(t=3.671,5.358,5.888,4.412,7.492,and 6.173;all P＜0.05).Conclusions Under the policy background of medical and nursing integration,the implementation of the"internet+"and"combining medical care with home care"nursing mode can improve the satisfaction of elderly homebound patients,reduce the burden of caregivers,and improve the professional identity of nurses.It can promote the development of the nursing service industry to a higher level.
InternetTertiary hospitalsHomeboundExtended nursing care service
万方数据
维普
