摘要
目的:探索"三甲医院-下级医院"不孕症联动的辅助生殖专科护理门诊延伸服务的建设内容及模式,实现上下级医院思维同步、知识和信息共享,服务同质、对接和指导无缝隙;同时通过辅助生殖专科护理门诊联动干预来提高患者就诊有效率,减少患者就诊往返次数,帮助患者节约时间成本、经济成本,改善其应对方式,增强治疗信心,提高生活质量,有助于临床妊娠。方法:设立基于医联体智慧医疗平台下的护理门诊实验组和常规护理门诊对照组,分别进行辅助生殖专科护理门诊服务。选取对象为下级医院不孕症患者300例,其中本中心医联体辐射点下级医院患者150例为实验组,非辐射点下级医院患者150例为对照组。周期结束时,对两组患者的门诊就诊次数、健康教育知晓率(就诊流程、按时完成检查、及时进入周期治疗、精准执行医嘱)、医学应对测评和生活质量进行测评。结果:实验组患者门诊就诊次数明显减少,健康教育知晓率明显高于对照组(P<0.05);实验组不孕症患者面对得分高于对照组,屈服得分低于对照组,实验组不孕症患者生活质量明显高于对照组(P<0.05)。结论:基于医联体智慧医疗的辅助生殖专科护理门诊服务模式有利于实现上下级医院护理思维同步、知识和信息共享,对接和指导无缝隙,从而达到同质化护理服务,进而可有效的减少患者往返医院次数,提高患者健康教育知晓率,改善不孕症患者的应对方式,增加患者积极应对方式,减少其消极应对方式,进而全面提高生活质量。
Objective: To explore the content and mode of extended specialized outpatient nursing care(SONC) in assisted reproduction clinics in the joint efforts of the level-Ⅲ grade-A hospital and lower-level hospitals. Methods: We enrolled 300 infertility patients for this study, 150 from the hospitals of our Integrated Healthcare System(IHCS) and the other 150 from other local hospitals, the former receiving extended SONC based on wisdom medicine of the IHCS(the experimental group), and the latter conventional SONC(the control group). At the end of the treatment cycle, we compared the frequency of clinic visits, knowledge of relevant requirements(such as the procedure of consultation, timely completion of examinations, timely initiation of the treatment cycle, and correct execution of doctor’s advice), and scores on the Medical Coping Modes Questionnaire and quality of life(QOL) between the two groups of patients. Results: Compared with the control group, the experimental group showed a significantly lower frequency of clinic visits(P < 0.05), better knowledge of relevant requirements(P < 0.05), higher confrontation score(P < 0.05), lower resignation score(P < 0.05), and higher QOL score(P < 0.05). Conclusion: SONC based on wisdom medicine of IHCS in the assisted reproduction clinic is conducive to synchronization of thinking, sharing of knowledge and information, seamless connection between upper-and lower-level hospitals, and hence the provision of homogenous nursing care.
作者
李晓琴
李敏
孙超峰
王玉
吴鹰
叶黛英
LI Xiao-qin;LI Min;SUN Chao-feng;WANG Yu;WU Ying;YE Dai-ying(Department of Reproductive Medicine, Drum Tower Hospital Affiliated to Nanjing University School of Medicine,Nanjing,Jiangsu 210008, China)
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2019年第8期724-729,共6页
National Journal of Andrology
基金
江苏省医院协会医院管理创新研究项目(JSYGY-3-2018-352)~~
关键词
医联体
专科护理门诊
服务模式
辅助生殖
integrated health care system
specialized outpatient nursing care
service model
assisted reproduction
