“互联网+护理服务”平台的构建及应用研究

doi:10.3761/j.issn.0254-1769.2020.10.017

摘要/Abstract

摘要：

目的设计开发“互联网+护理服务”平台（以下简称“平台”）,并评价其应用效果,以期为“互联网+护理服务”的开展提供借鉴。方法以“互联网+护理服务”试点工作方案为指导,设计开发的平台具有用户端、护士端、平台管理系统3个端口,可提供基础护理、母婴护理、专科护理3个方面共22项服务内容及30项检验服务,选择1所市级医院、5所乡镇卫生院作为合作单位试运行平台,采用焦点小组访谈法进行效果评价。结果截止至2020年3月,该平台共有注册护士247名、用户7 411名,完成服务1 941单,排名前3位的服务项目分别是新生儿经皮胆红素测定、更换胃管及鼻饲、普通换药。系统评价好评率及电话随访满意度均为100%,护士认为平台满足了居家患者的专业照护需求,促进了居家患者健康,提升了护士的专业价值感,但平台应用实践中存在的问题亟需解决。结论 “互联网+护理服务”平台的运行为保障患者居家健康及提供延续性护理服务提供创新渠道,但还需进一步完善平台运行机制及服务人员配置,以保障平台的有效运行。

关键词: 互联网+, 社区保健护理, 平台构建, 护理管理研究, 信息系统

Abstract:

Objective To design and develop an Internet Nursing Service Platform（herein after referred to as the platform）and to evaluate its application effects,in order to provide references for the development of internet nursing services. Methods The platform was designed and developed based on Internet Nursing Service Pilot Program with 3 ports for clients,nurses and platform management system,22 services including basic care,maternal and child care,specialist care,and 30 inspection services. 1 municipal hospital and 5 township-level hospitals were selected for trial operation,and the focus group interview was used to evaluate the platform effects. Results As of March 2020,the platform had a total of 247 registered nurses,7 411 users and 1 941 completed orders. The top 3 services were the determination of neonatal percutaneous bilirubin,replacement of gastric tube and nasal feeding,and general dressing change. The systematic evaluation rate and telephone follow-up satisfaction were both 100%. 4 themes were summarized from the focus group interviews,namely meeting the professional care needs of home patients,promoting the home health of patients,enhancing professional sense of value,unsolved platform problems in application practice. Conclusion The operation of the platform provides an innovative access to ensure the health of patients at home,and provides continuous nursing services. However,the operating mechanism and service staffing need to be further improved to ensure the effective operation of this platform.

Key words: Internet, Community Health Nursing, Platform Construction, Nursing Administration Research, Information systems

田雨同,张艳,侯小花,任海燕,张艳丽,牛淑芹,邱晓慧,谭何艳. “互联网+护理服务”平台的构建及应用研究[J]. 中华护理杂志, 2020, 55(10): 1537-1542.

TIAN Yutong,ZHANG Yan*,HOU Xiaohua,REN Haiyan,ZHANG Yanli,NIU Shuqin,QIU Xiaohui,TAN Heyan. Research on the construction and application of Internet Nursing Service Platform[J]. Chinese Journal of Nursing, 2020, 55(10): 1537-1542.

图/表 1

参考文献 16

[1]	国家卫健委. 《关于开展“互联网+护理服务”试点工作方案》[EB/OL]. (201902-12)[201908-12]. http//www.nhc.gov.cn/yzygj/s7657g/201902/bf0b25379ddb48949e7e21edae2a02da.shtml.
	National Health Commission of the People’s Republic of China: Regarding the pilot program of Internet Nursing Service[EB/OL]. (201902-12)[201908-12]. http//www.nhc.gov.cn/yzygj/s7657g/201902/bf0b25379ddb48949e7e21edae2a02da.shtml.
[2]	上海市卫健委. 《上海市““互联网+护理服务””试点工作实施方案》[EB/OL]. (201906-28)[201908-12]. http//wsjkw.sh.gov.cn/yzgl3/20190715/64673.html.
	Shanghai Municipal Health Commission. Implementation plan for the pilot work of Internet+Nursing Service in Shanghai[EB/OL]. (201906-28)[201908-12]. http//wsjkw.sh.gov.cn/yzgl3/20190715/64673.html.
[3]	黄蓓. 浙江试水“互联网+护理服务”[J]. 中医药管理杂志, 2019,27(10):71.
	Huang B. Zhejiang tests the Internet+Nursing Service[J]. J Trad Chin Med Manag, 2019,27(10):71.
[4]	朱琴, 颜巧元. 互联网用于老年患者延续护理的研究进展[J]. 中华护理杂志, 2016,51(10):1221-1225.
	Zhu Q, Yan QY. The research progress of internet used in the continued care of elderly patients[J]. Chin J Nurs, 2016,51(10):1221-1225.
[5]	崔萍, 赵淑红, 张秀云. “互联网+”在门诊高血压患者延伸护理中的应用[J]. 齐鲁护理杂志, 2019,25(13):97-99.
	Cun P, Zhao SH, Zhang XY. Application of “Internet+” in extended nursing care of patients with hypertension in outpatient department[J]. J Qilu Nurs, 2016,51(10):1221-1225.
[6]	王娜, 郑书雅, 李龙倜, 等. 互联网+PICC延续性护理运行模式构建与实践[J]. 湖北医药学院学报, 2019,38(5):504-507.
	Wang N, Zheng SY, Li LT, et al. Construction and practice of Internet + PICC continuous nursing operation mode[J]. J Hubei Univ Med, 2019,38(5):504-507.
[7]	陈静, 于清, 齐芮宁. “互联网+护理服务”在北京地区的实践与思考[J]. 中国护理管理, 2019,19(7):964-967.
	Chen J, Yu Q, Qi RN. Practice and thought about “Internet + Nursing Service” in Beijing[J]. Chin Nurs Manag, 2019,19(7):964-967.
[8]	李鑫, 秦月兰, 胡婉琴, 等. 三级医院护士开展“互联网+护理服务”意愿及需求的质性研究[J]. 护理学杂志, 2019,34(20):61-64.
	Li X, Qing YL, Hu WQ, et al. Qualitative study on the willingness to and needs for providing Internet+ nursing service among nurses in tertiary hospitals[J]. J Nurs Sci, 2019,34(20):61-64.
[9]	徐晓明. 广东省老龄人群“互联网+护理服务”探索[J]. 心电图杂志(电子版), 2019,8(4):260-261.
	Xu XM. Exploration of Internet+ Nursing Service for the elderly in Guangdong province[J]. J Electrocardio(Electron Edi), 2019,8(4):260-261.
[10]	吴小华, 肖勇, 田双桂, 等. 基于“互联网+医联体”的日间手术延伸护理服务模式探讨[J]. 医学信息学杂志, 2019,40(8):28-31,57.
	Wu XH, Xiao Y, Tian SG, et al. Discussion on the extended care service mode of day surgery based on “Internet + Medical Alliance”[J]. J Med Inform, 2019,40(8):28-31,57.
[11]	王莉, 付阿丹, 黄艳, 等. “互联网+”医院-社区-家庭合作型护理服务模式的建立与实践[J]. 中国护理管理, 2019,19(11):1617-1621.
	Wang L, Fu AD, Huang Y, et al. Establishment and implementation of an “Internet+” hospital-community-family collaborative nursing service model[J]. Chin Nurs Manag, 2019,19(11):1617-1621.
[12]	Xing QD, Pu LY, Hei J. Design and optimization of Internet + home care service model[C]// Proceedings of the 2018 2nd International Conference on Education Science and Economic Management(ICESEM 2018). August 25-26,2018. Xiamen,China.Paris,France: Atlantis Press, 2018: 292.
[13]	Pang ZB, Zheng LR, Tian JZ, et al. Design of a terminal solution for integration of in-home health care devices and services towards the Internet-of-Things[J]. Enterp Inf Syst, 2015,9(1):86-116. DOI URL
[14]	骆惠玉, 张风贞, 齐榕, 等. “互联网+”肿瘤患者健康教育方案的构建[J]. 中华护理杂志, 2017,52(12):1482-1485.
	Luo HY, Zhang FZ, Qi R, et al. The establishment of “Internet Plus” health education programme for cancer patients[J]. Chin J Nurs, 2017,52(12):1482-1485.
[15]	贾媛, 李超红, 陶蓉. 上海市公立三甲医院护理人员配置现状研究[J]. 中国医院管理, 2016,36(12):44-45.
	Jia Y, Li CH, Tao R. Research of configuration rationality of nursing staffing status of Shanghai tertiary class-A public hospitals[J]. Chin Hosp Manag, 2016,36(12):44-45.
[16]	何捷, 陈玉琴, 杜娇. “互联网+”背景下护理养老服务发展趋势研究与思考[J]. 护理研究, 2018,32(10):1604-1605.
	He J, Chen YQ, Du J. Research and thinking on the development trend of elderly nursing care service under background of “Internet+”[J]. Chin Nurs Res, 2018,32(10):1604-1605.