"互联网+居家康复护理"服务模式的构建与实践OA

Based on the resources of medical communities,an information platform named"Healthy Brain"was established to develop a tiered service model spanning hospitals,community health service centers,and community health service stations.This model provides home-based hospital beds and rehabilitation nursing services for rural patients during their recovery period.After a trial operation,the program has been formally run-ning for three years,involving a total of 39 495 times of service.These included 3 687 person-time of home-based hospital bed services,4 933 bed setups,26 693 cases of home-based rehabilitation nursing,and 17 075 person-time of nursing(with a follow-up visit rate of 63.97％).No adverse nursing events were reported during the serv-ice.Visiting nurses performed the following tasks:blood pressure monitoring(20 404 times),blood glucose mo-nitoring(6 853 times),pressure injury care(373 times),wound care(4 149 times),stoma care(47 times),PICC maintenance(55 times),subcutaneous injections(486 times),intramuscular injections(353 times),in-dwelling gastric tube placement(21 times),drainage bag replacement(107 times),urethral catheterization(134 times),and guidance on rehabilitation training(1 971 times).As a result,the primary care visit rate in the county increased by 8.3％,the overall grassroots-level medical consultation rate rose by 11.37％,the incidence of chronic disease complications decreased by 7.54％,and the hospitalization rate for chronic diseases dropped by 8.56.These outcomes demonstrate that this service model is feasible and accessible,effectively improving patient health outcomes.However,further optimization of service coverage and public awareness is still needed to benefit more patients.