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互联网+延伸护理模式在骨科患者出院康复中的应用研究

Application research of internet plus extended care mode in rehabilitation of orthopedic patients ;discharged

摘要:

目的:探讨基于互联网+延伸护理模式的延伸护理一体化服务平台在骨科出院患者中的应用效果。方法将286例在骨科病区住院患者按随机数字表法随机分为试验组144例和对照组142例,对照组采取电话随访的延伸护理服务模式,试验组采取延伸护理一体化服务平台作为服务载体。2组患者均由10年以上骨科工作经验的主管护师为主导的团队进行管理和指导,采用生命质量量表(Short Form 36 Questionnaire,SF-36)和延伸护理满意度调查表测量。结果基于互联网+延伸护理模式的试验组患者出院3个月和6个月获得的延伸护理满意度评分分别为(74.4±5.3)分和(76.2±8.1)分,对照组患者出院3个月和6个月获得的延伸护理满意度评分分别为(69.4±9.9)分和(70.1±12.2)分,2组比较差异有统计学意义(t=7.40、6.37,P<0.01)。出院后3、6个月试验组患者生理功能、生理职能、社会功能得分高于对照组,出院后1、3个月试验组患者活力高于对照组,出院后1个月试验组患者情感职能高于对照组,差异有统计学意义(t=2.366~8.211,P<0.05)。结论应用互联网+延伸护理模式的一体化平台较电话随访的延伸护理模式应用效果好,患者延伸护理满意度和生命质量明显提高,强化了延伸护理的效果。

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abstracts:

Objective To evaluate the effect of integrated service platform of extensional care&nbsp;based on the combined internet and extensional care model in the orthopedics nurse care. Methods Two hundred and eighty six hospitalized patients in the orthopedic department were randomly divided into two groups including experimental group (144 cases) and control group (142 cases) according to the random number table method. Patients in the control group received extensional care by traditional telephone follow-up, patients in the experimental group received extensional care by using the integrated service platform combing internet and extensional care. All the patients were evaluated using the self-made extensional care satisfaction questionnaire and Short Form 36 Questionnaire. Results The extensional care satisfaction scores of experimental group using internet plus extended care mode were respectively ( 74.4 ± 5.3) points and (76.2 ± 8.1) points at the time points of 3 months and 6 months after discharge from hospital;The extensional care satisfaction scores of control group were respectively (69.4±9.9) points and (70.1±12.2) points at the time points of 3 months and 6 months after discharge from hospital;The two groups had statistically comparative difference (t=7.40, 6.37, P<0.01). There was a statistically significant improvement of extensional care satisfaction and physical function score and role-physical score and social function score in the experimental group compared with the control group both at the time points of 3 months and 6 months after discharge from hospital. There was a statistically significant improvement of vitality score and role-emotion score in the experimental group compared with the control group both at the time points of 1 month and 3 months after discharge from hospital (t=2.366-8.211, P<0.05). Conclusions The effect of integrated service platform of extensional care based on the combined internet and extensional care model is better than traditional telephone follow-up, patients′satisfaction is higher. This new mode of service platform could greatly deepen the connotation of quality nursing, intensify the effect of extensional care, and reduce the working strength of nurse who did extensional care as while.

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作者: 刘巧慧 [1] 曹英娟 [1] 付玲玲 [1] 王春燕 [1]
栏目名称: 临床护理 -- 外科护理
DOI: 10.3760/cma.j.issn.1672-7088.2016.32.007
发布时间: 2017-02-16
基金项目:
山东大学齐鲁医院科研基金
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