移动医疗APP在延续护理中的应用效果与启示

介绍移动医疗APP的概念、在延续护理中的应用效果和启示,以期为移动医疗APP在延续护理领域的发展提供参考。     

移动信息技术在全膝关节置换术患者延续护理中的研究进展

移动通信技术的快速发展,促进了移动医疗在患者医疗保健中的应用。通过移动信息技术建立院外患者随访系统,实现便捷的延续护理,可以提高医疗资源利用率和患者治疗依从性。文章综述了移动医疗的发展、全膝关节置换术患者延续护理服务的需求现状,基于移动通信技术的延续护理服务的应用效果以及其局限性,以期为我国全膝关节置换术患者延续性护理干预提供参考依据。     

移动医疗在慢性阻塞性肺疾病患者延续护理中的现状与应用

介绍国内外各移动医疗干预方式在慢性阻塞性肺疾病患者延续护理中的应用现状,总结移动医疗在慢性阻塞性肺疾病患者延续护理中的应用效果,分析影响其使用的因素,以期为移动医疗在慢性阻塞性肺疾病患者延续护理中的发展提供参考。     

农村脑卒中病人康复期延续服务研究进展

阐述脑卒中延续护理的概述,综述农村脑卒中病人康复期延续服务研究进展,包括农村脑卒中康复期延续服务的必要性及延续服务模式、移动医疗应用程序(APP)在脑卒中康复期延续服务中的应用、医疗联合体在脑卒中延续服务模式中的作用,以期为农村脑卒中康复期病人延续服务提供依据。     

移动医疗在癌痛延续护理中的应用进展

对移动医疗在癌痛延续护理中的应用现状进行综述,阐述了癌痛延续护理对移动医疗的需求,介绍了移动医疗在癌痛延续护理中的应用领域,并对其可用性和应用效果进行分析与总结,提出有针对性的改进建议及未来发展方向,以期为运用移动医疗技术更好地服务于癌痛患者提供参考。     

移动医疗在脑卒中患者延续护理中的应用现状

介绍移动医疗在脑卒中患者延续护理中的必要性,总结移动医疗在脑卒中患者延续护理中用药、监测、康复知识、康复指导等方面的应用,提高脑卒中患者的康复效果.同时分析并指出了移动医疗目前存在的问题和其在脑卒中患者延续护理中应用的发展,以期为脑卒中患者开展延续护理提供更多参考.     

移动医疗在维持性血液透析病人延续护理中的应用进展

介绍国内外各种移动医疗干预手段在维持性血液透析病人延续护理中的应用现状,分析现存问题,展望其未来发展前景,以期为移动医疗在维持性血液透析病人延续护理中的发展提供参考。     

延续护理APP的设计与应用研究

目的构建延续护理APP,利用移动互联网,创新延续护理模式。方法设计延续护理APP用户接入层、外网业务服务层和内网数据交互层构架,设置多个栏目板块,探讨其应用效果。结果延续护理APP可以创新延续护理模式、优化患者复诊流程、实现健康服务前移,拓宽护理人员职业发展的领域。结论延续护理APP是护理服务模式改革的客观需求,也是信息化建设的必然趋势。     

移动医疗在高血压患者延续护理中的应用进展

移动医疗具有节约人力、物力和财力,不受时间、空间限制等优点,在延续护理中的应用日趋广泛,本文对移动医疗在高血压患者延续护理中的应用形式以及效果进行综述,旨在为高血压患者延续护理实践和后续研究提供借鉴。     

南充地区食管癌病人居家照护与健康管理数据平台的建设

通过互联网技术建立云端数据库,联动延续护理服务中心、社区医疗机构,持续收集食管癌病人的健康数据上传至云端进行数据分析与处理,动态地记录食管癌康复期病人生理、心理、疾病状况及家庭情况,评估病人的依从性、对疾病的认知和应对能力。南充地区食管癌病人居家照护与健康管理数据平台的建设有利于推动医疗信息化建设的发展,实现区域医疗资源重构,实现医院、社区与家庭间延续护理服务的有效衔接,为南充地区食管癌病人提供低成本、高效率的民生服务,减少居民的医疗负担和降低国家的医疗总成本。南充地区食管癌病人居家照护与健康管理数据平台是延续护理有效开展并延伸到家庭的重要措施。     

慢性阻塞性肺疾病延续护理移动医疗APP平台的构建及应用效果评价

目的构建及研发慢性阻塞性肺疾病(COPD)延续护理移动医疗APP平台,并验证其效果。方法于2017年9月成立研究小组,(1)采用文献回顾法、专家咨询法构建APP模块框架。经软件工程师与研究者与用户的多轮测试及修正,开发Android及iOS系统的患者端、医护端APP两个端口。(2)选取呼吸内科60例出院的稳定期COPD患者为研究对象。二病区为对照组,给予常规延续护理;一病区为观察组,在对照组基础上实施移动医疗APP延续护理,分别干预3个月。比较干预前后两组患者生活质量,并调查患者对使用APP的评价及满意度。结果 (1)APP患者端包括:专家库、我的消息、数据上传、最新资讯、电子病历5大模块;医护端包括:待办事项及我的患者两大模块。(2)干预前两组患者生活质量差异无统计学意义(P>0.05);干预后观察组患者生活质量优于对照组,差异有统计学意义(P<0.05)。患者对使用APP评价居前3位的依次是资讯内容实用性、护理指导针对性及医护人员服务态度。结论移动医疗APP提供了科学、高效的延续护理手段,提高了COPD患者生活质量及满意度,为开展相关研究提供了实践经验。     

Multi‐professional communication for older people in transitional care: a review of the literature

Aims and objectives. To synthesise research‐reporting literature about multi‐professional communication between health and social care professionals within transitional care for older people, with particular attention on outcomes, enabling contextual factors and constraints. Background. Older adults experience high rates of morbidity and health care usage, and frequently transit between health services, and community and social care providers. These transition episodes place elders at increased risk of adverse incidents due to poor communication of information. Integrated multi‐professional models of care built on enhanced communication have been widely promoted as a strategy to improve transitional care for older people. However, a range of findings exist in the literature to guide service providers and researchers. Design. Comprehensive literature search and review strategies were employed to identify, describe and synthesise relevant studies. Ten databases were searched in addition to Google Scholar. Conclusions. Specified discharge worker roles, multi‐professional care coordination teams, and information technology systems promote better service satisfaction and subjective quality of life for older people when compared with standard hospital discharge. Improved multi‐professional communication reduces rates of re‐admission and length of stay indicating greater cost effectiveness and efficiency for the health and social care systems. Systems of care emphasizing information exchange, education and negotiation between stakeholders facilitate communication in transitional care contexts for older adults. Conversely, lack of dialogue and lack of understanding of others’ roles are barriers to communication in transitional care. Implications for practice. Enhanced multi‐professional communication, transitional pathways, and role clarity are required to improve the quality, sustainability and responsiveness of aged care into the future. Recommendations for further research include: (i) Investigation of pathways promoting person‐centred care planning including the older person, their family and relevant practitioners; (ii) Development of interventions aimed at improving multi‐professional communication and transitional aged care with marginalised and socially disadvantaged elders on indicators of equity and access; (iii) Investigation of changing roles for practitioners in multi‐professional teams with a focus on community‐based teams including nurses specialising in aged care and general practice.     

Contrasting experiences with child health care services by mothers and professional caregivers in transitional housing.

The study examined experiences of mothers and health care providers with preventive child health care services using qualitative methods at a primary care clinic located in transitional housing for homeless families in an urban community with predominantly Black American residents. Participants were 20 mothers and 4 health care professionals. Three major domains emerged: (a). the infrastructure of the clinic and health care delivery poses barriers to mothers' access and use of services for their children; (b). specialized, biomedical-driven care produces fragmented care delivery not responsive to the comprehensive nature of problems of mothers and their children; and (c). organizational strategies for improving access and use of health care services are directed by health care providers' value orientations. Findings support existence of infrastructural characteristics of the health care system that maintains differential value orientations and power structure, and care delivery processes that are non responsive to racially diverse and poor mothers.     

Mobile health technology and home hospice care: promise and pitfalls

With the increasing use of mobile devices (e.g., smart phones, tablets) in our everyday lives, people have the ability to communicate and share information faster than ever before. This has led to the development of promising applications aimed at improving health and healthcare delivery for those with limited access. Hospice care, which is commonly provided at home, may particularly benefit from the use of this technology platform. This commentary outlines several potential benefits and pitfalls of incorporating mobile health (mHealth) applications into existing home hospice care while highlighting some of the relevant telemedicine work being done in the palliative and End-of-Life care fields.     

Perspectives of health workers regarding primary health care delivery to the rural population in the Bothaville district

This article reports on the views of public health workers regarding recent changes in the delivery of primary health care to people living and working in the Bothaville rural area. These changes in mobile health care form part of the Initiative for Sub-District Support's programme to provide sustained, concerted support to sub-districts to bring about improvements in health care management and health care delivery. Main shortcomings of the recent changes were identified as inadequate transportation facilities in rural areas, insufficient information dissemination to rural dwellers and lack of farmers' participation in rural health matters. Furthermore, poor communication and co-operation between different public health services prevailed and the need for an integration of these services was emphasised.     

移动医疗应用于我国延续护理的文献计量分析

目的探讨我国移动医疗应用于延续护理的相关研究文献资料,了解该领域的研究现状及发展趋向。方法利用中国期刊全文数据库、万方数据知识服务平台和维普中文科技期刊数据库,对自建库至2018年12月国内正式发表的移动医疗应用于延续性护理的文献进行检索,对发表年份、地域、作者、机构、期刊、关键词、突变词、研究内容等进行计量学分析。结果纳入文献647篇;江苏、广东、河南、湖北、浙江5省发文量较多,共288篇(44.51%);文献合著率为68.62%;发文集中在医院,共609篇(94.13%);文献刊载量前3位的期刊是《当代护士》《全科护理》《齐鲁护理杂志》,共有252篇(38.95%)文献发表在护理相关期刊上;突变关键词为健康教育、微信群、乳腺癌、2型糖尿病、自我护理、高血压,乳腺癌、冠心病、脑卒中、糖尿病是疾病高频关键词;癌症、心脏疾病及四肢脊柱疾病等方面为研究热点对象;研究的热点主题为生活质量、依从性、护理满意度、并发症发生率、自我护理能力。结论国内关于移动医疗应用于延续护理的研究总体呈增长趋势,研究地域分布分散,研究深度、广度以及质量不够,医院与社区之间的合作有待加强,其在护理工作中的应用广泛,仍然是当前护理研究的热点。     

老年日间手术患者延续护理需求现状及影响因素研究

目的 调查老年日间手术患者的延续护理需求现状,并分析其影响因素。方法 2020年11月—12月,采用便利抽样法选取上海市2所三级甲等医院的289例老年日间手术患者作为调查对象,采用一般资料调查表、老年日间手术患者延续护理需求评估问卷对其进行调查。结果 老年日间手术患者对延续护理的需求程度较高,得分为（88.92±14.59）分。其中,各维度的需求得分按条目均分从高到低依次为：健康教育需求、医疗沟通与支持需求、服务方式需求、社会支持需求、心理护理需求。合并其他疾病种类、家庭人均月收入、婚姻状况、就诊科室是延续护理需求情况的影响因素（P<0.05）。结论 老年日间手术患者对延续护理的需求程度较高,其需求情况受多种因素影响。护理人员应基于患者的实际需求,完善延续护理方案,从而为不同特征的老年日间手术患者提供针对性的延续护理服务。     

Mobile computing in critical care

Handheld computing devices are increasingly used by health care workers, and offer a mobile platform for point-of-care information access. Improved technology, with larger memory capacity, higher screen resolution, faster processors, and wireless connectivity has broadened the potential roles for these devices in critical care. In addition to the personal information management functions, handheld computers have been used to access reference information, management guidelines and pharmacopoeias as well as to track the educational experience of trainees. They can act as an interface with a clinical information system, providing rapid access to patient information. Despite their popularity, these devices have limitations related to their small size, and acceptance by physicians has not been uniform. In the critical care environment, the risk of transmitting microorganisms by such a portable device should always be considered.     

健康中国背景下新型医养结合养老服务模式及优化策略

在健康中国战略指引下，构建新型医养结合养老服务模式是对人口老龄化的重大回应，是优化医养结合服务体系的必由之路。在医养结合养老发展创新过程中，“虚拟养老院”、“时间银行”与“互联网+”三种新型模式脱颖而出，并在信息化管理、市场化管理、组织化管理等方面形成显著特色。作者致力研究医养结合养老服务体系，提出要推进我国医养结合养老服务的创新与发展，需要切实加大政策引导、信息平台建设与社会组织激励的力度。