老年慢性病患者延续护理中信息延续的研究进展

延续护理中的信息延续是近年来国内外的研究热点。信息延续通过促进患者关键信息在不同机构与个人之间准确传递，可减少患者不良结局的发生和医疗资源的浪费，促进医疗机构的良性运转。本文对老年慢性病患者延续护理中出院计划、出院计划中病史信息和用药信息的内容和形式、存在的问题与对策进行综述，旨在加强医护工作者对信息延续的认知，促进其方法创新，从而提高老年慢性病延续护理服务质量。

Advances in Information Continuity in Transitional Care for Elderly Patients with Chronic Diseases

Information continuation in transitional care has become a research hotspot in recent years.By promoting the accurate transmission of patient's key information between institutions and individuals，it can reduce the possibilities of having poor outcomes and waste of medical resources，and facilitate the sound operation of healthcare institutions.This paper reviews the main contents and forms of information continuation，one part of transitional care，including the main contents and forms of discharge plan，medial history and drug therapy in discharge plan，as well as the existing problems and countermeasures in chronic disease elderly patients，aiming at strengthening the recognition and facilitating the innovation of information continuation among physicians and nurses，by which the quality of transitional care for older adults with chronic diseases can be improved.