| 敖梅,陈日喜,阮舒华,王碧映,关双弟.医联体内1+N驿站管理模式在冠心病患者延伸服务中的应用效果[J].上海护理,2020,20(11): |
| 医联体内1+N驿站管理模式在冠心病患者延伸服务中的应用效果 |
| Application effect of 1+N station management mode in medical association in extension service of patients with coronary heart disease |
| DOI： |
| 中文关键词: 医联体 驿站管理 冠心病 延伸服务 |
| 英文关键词:Medical union station management coronary heart disease extension service |
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| 中文摘要: |
| 目的：探讨医联体内1+N驿站管理模式在冠心病患者延伸服务中的应用效果。方法：将2018年1-6月我院心内科收治的162例冠心病患者出院后按地域下转回基层医疗机构,医联体外的79例设为对照组,给予常规的出院指导和随访；医联体内的83例设为观察组,在常规出院指导的基础上,应用医联体内1+N驿站管理模式,对下转基层的冠心病患者进行持续追踪和延伸服务,比较两组患者的基层就诊情况、心血管事件发生率、疾病危险因素控制情况。结果：医联体内1+N驿站管理模式的实施,医联体内冠心病患者的基层就诊情况、疾病危险因素控制情况优于医联体外的患者,心血管事件发生率较医联体外的患者低,差异有统计学意义(P＜0.05)。结论：医联体内1+N驿站管理模式应用于冠心病患者的院外延伸服务,可有效改善冠心病患者的院外管理,改善患者预后,减少心血管事件发生率,并提高患者对基层医院的信心和基层就诊率,促进基层首诊。 |
| 英文摘要: |
| Objective:To explore the application effect of the 1+N station management mode in the medical association in the extended service of patients with coronary heart disease.Methods:162 patients with coronary heart disease admitted to our department of cardiology from January to June in 2018 were discharged to the primary medical institutions according to the region. 79 patients in vitro were set as the control group, and routine discharge guidance and follow-up were given. 83 cases in the body were set as observation group. Based on the routine discharge guidance, the 1+N station management mode of the medical association was used to carry out continuous tracking and extension services for patients with coronary heart disease who underwent the lower level, and the primary group patients were compared. The situation, the incidence of cardiovascular events, and the control of disease risk factors.Results:The implementation of the 1+N station management mode in the medical association, the control of the primary level and the risk factors of the patients with coronary heart disease in the medical association are better than those of the medical team. The incidence of cardiovascular events is lower than that of the patients outside the medical association. Statistically significant (P <0.05). Conclusion: The 1+N station management mode in the medical association is applied to the out-of-hospital extension service of patients with coronary heart disease, which can effectively improve the out-of-hospital management of patients with coronary heart disease, improve the prognosis of patients, reduce the incidence of cardiovascular events, and improve the confidence and basic level of patients in primary hospitals. The rate of visits promotes the first consultation at the grassroots level. |
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