基于专科联盟的慢性伤口管理模式构建及实施
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女,硕士,助教

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重庆市科学技术委员会技术创新与应用示范(社会民生类)一般项目(cstc2018jscx-msybX0025);重庆医科大学附属第二医院护理骨干科研项目(201902)


Construction and practice of chronic wound management model based on specialized alliance
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    目的 以需求为导向构建基于专科联盟的慢性伤口管理模式,运行并评价其实施成效。 方法 在实地调研、问卷调查和质性访谈的基础上构建基于专科联盟的慢性伤口管理模式,并将其运用于联盟区域内慢性伤口管理。10个月后从联盟工作开展情况、患者就医成本以及患者基层医院就诊满意度3方面评价管理模式初步实施效果。 结果 管理模式运行期间牵头单位共对联盟成员医院进行现场技术指导13次,开展远程会诊102次,现场会诊6次,在线教学6次,接收进修人员23人次,培养伤口专科护士57人。慢性伤口患者下转至联盟成员单位后平均经济成本和时间成本显著降低(均P<0.01);管理模式运行后患者对基层医院就诊满意度显著提高(P<0.05,P<0.01)。 结论 基于专科联盟的慢性伤口管理降低了患者就医成本,提高了患者基层医院就诊满意度,有利于联盟区域内卫生资源整合,从而实现区域内慢性伤口的高效管理。

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    Objective To construct a demand-oriented chronic wound management model based on specialized alliance, and to evaluate its practice effect. Methods According to field investigations, questionnaire surveys and qualitative interviews, a chronic wound management model based on specialized alliance was constructed, which was then applied to the chronic wound management in the alliance area.The practice effect of the constructed model was evaluated according to the implementation of the alliance work, the cost of patient treatment and patient satisfaction in grass-root hospitals after application for 10 months. Results During the running period of the model, the leading hospital conducted 13 times on-site technical guidance for the alliance member hospitals, 102 times remote consultation, 6 times on-site consultation and online teaching, received 23 person-times further education, and cultivated 57 wound care specialty nurses.The average economic and time cost of chronic wound patients were significantly lower, and their satisfaction in grass-root hospitals was significantly higher than those before application of the management model (P<0.05,P<0.01). Conclusion The chronic wound management model based on specialized alliance reduces patients′ medical cost, improves patient satisfaction in grass-root hospitals, so it is conducive to the integration of health resources in the alliance region, then realize high-efficient management for chronic wound in the region.

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董敏,殷学利,黄素群,李敏,罗成琴,毕科.基于专科联盟的慢性伤口管理模式构建及实施[J].护理学杂志,2021,36(1):7-10

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  • 收稿日期:2020-07-14
  • 最后修改日期:2020-09-15
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  • 在线发布日期: 2022-09-17