Continuity of Nursing Service Platform under "Smart Elderly Care" and Its Application Value in Family Nursing of Elderly Patients after Discharge.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Xiaomei Tan, Xiumei Su
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引用次数: 0

Abstract

To explore the effect of continuity of nursing (CON) service platform application under "smart elderly care (SEC)" on family nursing of elderly patients with chronic diseases (CDs) after discharge. 200 elderly patients with CDs treated in Medical Care Ward, Zhejiang Hospital were included and grouped into the control group (CG) and experimental group (EG) in line with the sequential order of admission (100 cases per group). After discharge, routine nursing and smart CON services were given, respectively. 36-Item Short Form Questionnaire (SF-36) score of quality of life (QOL), Barthel index (BI) score of activity of daily living (ADL), Self-rating Depression Scale (SDS) score of depression, Self-rating Anxiety Scale (SAS) score of anxiety, compliance, and nursing satisfaction were compared. Compared to CG, SF-36 score and BI score were highly increased in EG 0 months (mo) and 3 mo after discharge, while SDS and SAS scores were greatly decreased (all P < .001). The compliance rate was 70% in CG and 93% in EG during the follow-up period. The nursing satisfaction rate of CG reached 92%, while that of EG was 97%. Compared with CG, the compliance and nursing satisfaction rates of EG were notably higher (P < .001). It was illustrated that the smart CON service model could enhance the effect of discharged family nursing for elderly patients with CDs, improve patients' mental status and QOL, and raise nursing compliance. Therefore, it was conducive to the rehabilitation of patients. The findings of this study highlight the transformative potential of smart CON service models in enhancing the effectiveness of family nursing for elderly patients with CDs post-discharge. Embracing these innovative approaches has the potential to not only improve individual patient outcomes but also contribute to the advancement of patient-centered care practices and healthcare delivery systems on a broader scale.

智慧养老 "下的延续护理服务平台及其在老年患者出院后家庭护理中的应用价值。
目的 探讨 "智慧养老(SEC)"下的连续性护理(CON)服务平台应用对老年慢性病(CDs)患者出院后家庭护理的影响。纳入浙江医院医养病房收治的 200 例老年慢性病患者,按照入院先后顺序分为对照组(CG)和实验组(EG)(每组 100 例)。出院后分别给予常规护理和智能 CON 服务。比较两组患者的生活质量(QOL)36 项简表(SF-36)评分、日常生活活动能力(ADL)巴特尔指数(BI)评分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、依从性和护理满意度。与 CG 相比,EG 在出院后 0 个月和 3 个月的 SF-36 评分和 BI 评分均大幅上升,而 SDS 和 SAS 评分则大幅下降(均 P < .001)。随访期间,CG 的依从率为 70%,EG 为 93%。CG 的护理满意度为 92%,EG 为 97%。与 CG 相比,EG 的依从率和护理满意度明显更高(P < .001)。说明智能CON服务模式可提高老年CDs患者出院家庭护理的效果,改善患者的精神状态和生活质量,提高护理依从性。因此,有利于患者的康复。本研究结果凸显了智能CON服务模式在提高老年CD患者出院后家庭护理效果方面的变革潜力。采用这些创新方法不仅有可能改善患者的个人疗效,还能在更大范围内促进以患者为中心的护理实践和医疗服务体系的发展。
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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