Abstract:

Objective To build an inpatient hospital discharge preparation service management platform，to explore its application outcomes，and to enhance the quality of discharge preparation service management. Methods A research team was set up，and the literature was referenced. The platform was built on the basis of connecting and optimizing various existing information systems in the hospital，including 6 modules：evaluation，implementation of nursing，referral，monitoring feedback，follow-up，and continued nursing. Patients admitted to a tertiary comprehensive hospital were conveniently selected as research subjects in Shandong Province from August 2023 to January 2024. The 97 patients included after the platform application（November 2023 to January 2024） were selected as an experimental group，and the 97 patients included before the platform application（August to October 2023） were selected as a control group. The rate of unplanned readmission within 30 days，the utilization rate of “Internet + Nursing Services”，and the time for assessing the demand for discharge planning service were compared between the 2 groups. In addition，in February 2024，300 healthcare professionals from the same hospital were selected to evaluate their satisfaction with the use of the platform. Results There were 7 cases dropping out in each of the 2 groups. The rate of unplanned readmission within 30 days in the experimental group was lower than that in the control group；the utilization rate of “Internet + Nursing Services” was higher than that in the control group；the time for assessing the demand for discharge planning service was less than that in the control group，with statistically significant differences（P<0.05）. In the satisfaction survey of medical staff on the use of the platform，the effective questionnaire response rate was 94.67%，and the score of the clinical nursing information system effectiveness evaluation scale was（100.84±16.48） points. Conclusion The use of this platform can reduce the unplanned readmission rate of patients within 30 days，promote the development of “Internet + Nursing Services”，reduce the time for assessing the needs of discharge planning services，and medical staff are highly satisfied with the use of the platform.

Key words: Hospitalized Patients, Hospital Discharge Preparation, Management Platform, Nursing Administration Research

摘要：

目的 构建住院患者出院准备服务管理平台，探讨其应用效果，以提升出院准备服务的管理质量。方法 成立研究团队，参考相关文献，在串联、优化医院现有的各种信息系统的基础上构建平台，包括评估、护理、转介、监测反馈、随访、延续护理6个模块。便利选取2023年8月—2024年1月在山东省某三甲综合医院住院的患者作为研究对象，将平台应用后（2023年11月—2024年1月）纳入的97例患者作为试验组，平台应用前（2023年8—10月）纳入的97例患者作为对照组。比较两组30 d内非计划再入院率、“互联网+护理”服务使用率、出院计划服务需求评估时间。另外，于2024年2月便利选取同一所医院的300名医护人员，采用临床护理信息系统有效性评价量表评价其对平台使用的满意度。结果 两组各脱落7例。试验组30 d内非计划再入院率低于对照组、“互联网+护理”服务使用率高于对照组、出院计划服务需求评估时间少于对照组，差异均具有统计学意义（P<0.05）。医护人员对平台使用的满意度调查中，有效问卷回收率为94.67%，临床护理信息系统有效性评价量表得分为（100.84±16.48）分。结论 使用该平台可降低患者30 d内非计划再入院率，提升“互联网+护理”服务使用率，减少出院计划服务需求评估时间，医护人员对平台使用的满意度较高。

关键词: 住院患者, 出院准备, 管理平台, 护理管理研究