摘要目的:互联网视域下构建以延续护理服务中心为主导的居家老年患者"互联网+护理服务"模式，为老年患者不同类型的专业居家护理服务提供参考。方法:2019年3月至2021年12月，依托延续护理服务中心，华中科技大学同济医学院附属武汉中心医院将"出院准备—出院随访—上门服务—在线诊疗—机构复诊—健康指导"6个环节互联互通，构建居家老年患者"互联网+护理服务"模式，总结该模式实施后"互联网+护理服务"工作量，并调查149例患者满意度和112名居家服务护士赞成度。结果:模式实施2年9个月，团队共为居家老年患者提供糖尿病足换药、PICC导管维护、更换留置导尿管、伤口护理、造口护理、居家腹膜透析治疗等11项居家护理服务；为149例患者提供居家护理服务452例次，患者满意度为（94.47 ± 3.07）分；112名居家服务护士对该模式赞成度为（4.69 ± 0.43）分。结论:以延续护理服务中心为主导的居家老年患者"互联网+护理服务"模式满足了居家老年患者延续性护理需求，同时拓展了护士执业空间，提升了护士专业价值，对促进护理服务业的发展起到积极的推动作用。

abstractsObjective:To construct an "Internet+nursing service" model for elderly patients at home led by the continuing care service center from the perspective of the Internet, and to provide reference for different types of professional home care services for elderly patients.Methods:From March 2019 to December 2021, relying on the continuing care service center, six links of "discharge preparation, discharge follow-up service, home care service, online diagnosis and treatment, institutional return visit, health guidance" in Wuhan Central Hospital, Tongji Medical College, Huazhong University of Science and Technology were interconnected to construct a closed-loop "Internet+nursing service" model for elderly patients at home. Summarized the workload after the implementation of "Internet+nursing service", and investigated the satisfaction of 149 patients and 112 home sevice nurses.Results:After 2 years and 9 months of implementation, the team provided 11 home care services for elderly patients with diabetes foot dressing change, PICC catheter maintenance, replacement of catheter, wound stoma care and home membrane dialysis etc, and provided 452 home care services for 149 patients. Patient satisfaction was (94.47 ± 3.07) points; the approval of this model by 112 home service nurses was (4.69 ± 0.43) points.Conclusions:The "Internet+nursing service" model for elderly patients at home, which is dominated by the continuous nursing service center, can meet the continuous nursing needs of elderly patients at home. At the same time, expanding nurses′ practice space and enhancing nurses′ professional value will play a positive role in promoting the development of nursing service industry.