上海市社区护士及慢病患者"互联网+护理服务"期望模式及服务项目的调查分析

目的调查上海市社区护士及慢病患者对"互联网+护理服务"模式及服务项目的期望情况,以期为完善上海市"互联网+护理服务"提供理论参考。方法采用便利抽样法,于2021年1—2月选取上海市静安区15家社区卫生服务中心的255名护士及150例慢病患者为研究对象,分别采用护士"互联网+护理服务"调查问卷和患者"互联网+护理服务"调查问卷对其进行调查。本研究共发放护士"互联网+护理服务"调查问卷255份,回收有效问卷250份,有效回收率为98.0%(250/255);共发放患者"互联网+护理服务"调查问卷150份,回收有效问卷148份,有效回收率为98.7%(148/150)。结果250名社区护士中有31.6%(79/250)的护士了解"互联网+护理服务";29.6%(74/250)的护士愿意参与"互联网+护理服务"。148例慢病患者中有50.0%(74/148)的患者不了解"互联网+护理服务";48.0%(71/148)的患者表示愿意参与"互联网+护理服务"。慢病患者需求较多的服务项目为血糖监测(27.0%,40/148)、皮下注射(25.0%,37/148)、肌内注射(23.6%,35/148);社区护士执行意愿较高的服务项目为血糖监测(42.0%,105/250)、静脉血采集(41.2%,103/250)、肌内注射(40.0%,100/250)。社区护士与慢病患者在期望的执业护士职称、期望的执业护士工作年限方面比较,差异均有统计学意义(P<0.05)。结论社区护士及慢病患者对"互联网+护理服务"的认知水平有待提高,有关部门应通过媒体、网络等手段提升"互联网+护理服务"知晓度,在完善"互联网+护理服务"规章制度时,应对护患供需双方进行充分调研,以数据导向作为政策的落脚点,切实满足患者需求,保障患者健康。

"Internet+nursing service"expectation model and service items for community nurses and patients with chronic diseases in Shanghai

Objective To investigate the expectations of community nurses and patients with chronic diseases in Shanghai on the"Internet+nursing service"model and programs,in order to provide a theoretical reference for improving"Internet+nursing service"in Shanghai.Methods Using the convenient sampling method,a total of 255 nurses and 150 patients with chronic diseases from 15 community health service centers in Jing'an District of Shanghai were selected as the research objects from January to February 2021.They were investigated by"Internet+nursing service"questionnaire for nurses and"Internet+nursing service"questionnaire for patients.In this study,a total of 255"Internet+nursing service"questionnaires for nurses were issued and 250 valid questionnaires were returned.The effective response rate was 98.0%(250/255).A total of 150"Internet+nursing service"questionnaires for patients were issued and 148 valid questionnaires were returned.The effective response rate was 98.7%(148/150).Results Among the 250 community nurses,31.6%(79/250)nurses understood"Internet+nursing service"and 29.6%(74/250)of nurses were willing to participate in"Internet+nursing service".Among the 148 patients with chronic diseases,50.0%(74/148)of the patients did not understand the"Internet+nursing service"and 48.0%(71/148)of the patients expressed their willingness to participate in the"Internet+nursing service".The service items that patients with chronic diseases requires more were blood glucose monitoring(27.0%,40/148),subcutaneous injection(25.0%,37/148)and intramuscular injection(23.6%,35/148).The service items that community nurses were more willing to perform were blood glucose monitoring(42.0%,105/250),venous blood collection(41.2%,103/250)and intramuscular injection(40.0%,100/250).There were statistical differences between community nurses and patients with chronic diseases in the expected professional title of nurse practitioners and expected working years of nurse practitioners(P<0.05).Conclusions Community nurses and patients with chronic diseases need to improve their cognition of"Internet+nursing service".Relevant departments should increase the awareness of"Internet+nursing service"through the media and the Internet.When improving rules and regulations for"Internet+nursing service",they should conduct full research on both the supply and demand sides of nurses and patients and take data orientation as the goal of the policy to effectively meet the needs of patients and ensure their health.