主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (12): 1871-1875.doi: 10.3969/j.issn.1672-1756.2025.12.022

• 延续护理 • 上一篇    下一篇

舟山市整合型安宁疗护服务模式的构建与实践

李东波 俞晓利 周臻慧   

  1. 舟山市普陀区人民医院内分泌科,316100 浙江省舟山市(李东波,周臻慧);中医治未病中心(俞晓利)
  • 出版日期:2025-12-15 发布日期:2025-12-15
  • 作者简介:李东波,本科,副主任护师,大内科护士长,E-mail:1804631701@qq.com
  • 基金资助:
    舟山市普陀区公益类科技项目(2024GY002)

Construction and practice of the integrated hospice care service model in Zhoushan

LI Dongbo, YU Xiaoli, ZHOU Zhenhui   

  1. Department of Endocrinology, Zhoushan Putuo District People's Hospital, Zhoushan, Zhejiang province, 316100, China
  • Online:2025-12-15 Published:2025-12-15

摘要: 目的:探索整合型安宁疗护服务模式,为安宁疗护体系的构建和推广提供参考。方法:基于系统文献检索和“互联网+护理服务”安宁疗护试点项目实践反馈以及质性访谈,梳理服务开展过程中存在的社区响应不及时、服务缺乏多样性和针对性、跨机构协同效率低等问题,并据此优化服务模式。便利选取在舟山市2024年5月至2025年3月接受整合型安宁疗护服务模式的35例患者及其家属进行效果评估。结果:患者平均等待上门服务的时间从项目初期的3.6 h缩短至1.8 h;“互联网+护理服务”平台使用率提升了90.5%;患者及家属对安宁疗护服务满意度达96.6%,生活质量满意度为96.0%,照护体验满意度为98.3%。结论:整合型“互联网+安宁疗护”模式强化多机构协同与服务标准化,显著提升安宁疗护服务的可及性、连续性与患者满意度,具备推广应用的价值。

关键词: 安宁疗护;互联网+护理服务;整合型服务模式;响应效率;患者满意度

Abstract: Objective: To explore an integrated hospice care service model, and provide a reference for the construction and promotion of the hospice care system. Methods: Based on the previous systematic literature retrieval, the practice of the "Internet Plus Nursing Service" hospice care pilot project implemented by the author's team and interviews, problems existing in the service development process were sorted out, such as insufficient community responsiveness, lack of diversity and pertinence in services, and low inter-institutional collaboration efficiency. The service model was optimized accordingly. Thirty-five patients and their family caregivers who received this service model from May 2024 to March 2025 in Zhoushan were conveniently selected for effect evaluation. Results: The integrated model effectively improved service responsiveness, reducing average wait time from 3.6 to 1.8 hours. The utilization rate of the "Internet Plus Nursing Service" platform increased by 90.5%. Satisfaction of patients and their family caregivers with service content reached 96.6%, quality-of-life satisfaction was 96.0%, and care experience satisfaction reached 98.3%. Conclusion: The integrated "Internet Plus" hospice care model enhanced inter-institutional coordination and service standardization, markedly improving the accessibility, continuity, and patient satisfaction of hospice care services, and has value for broader application.

Key words: hospice care; Internet Plus Nursing Service; integrated service model; response efficiency; patient satisfaction

中图分类号:  R47;R197