摘要
文章综述了从医院到家庭的延续护理常规模式,即护理转移干预模式、延续护理模式、老年人安全转移优化效果模式、重新设计的出院模式等;分析了慢性病延续护理无效的根本原因及质量改进策略,即对执行延续护理的人员进行培训与资质认证考核、明确发送方与接收方的职责、开发并利用电子通讯体系进行患者信息的转移、管理人员监控延续护理的质量、促进护理人员之间及护患之间的沟通与协作、鼓励患者参与护理计划并采用"回教"的方法检验健康教育效果,以期为我国大规模开展延续护理提供指导和帮助。
This paper summarized the common transitional care models from hospital to home,including the care transitions intervention model( CTA),transitional care model( TCM),Brtter outcomes for older adults through safe transitions( BOOST),re-engineered discharge( RED),guided care( GC) and Geriatric Resources for Assessment and Care of Elders( GRACE). Paper also analyzed the root causes of ineffective transitional care of patients with chronic diseases and strategies of quality improvement,including training and quality certification of transitional care professional staff,defining the responsibilities of transmitter and receptor,developing corresponding communication system,quality control of transitional care,enhancing the communication and cooperation of nursenurse and nurse-patient,and encouraging patients to participate care plan and adopting reverse demonstration to test the effects of health education,so as to provide guidance for the practice of transitional care in our country.
出处
《护理管理杂志》
2013年第11期795-797,共3页
Journal of Nursing Administration
基金
首都医学发展科研基金项目(2009-3171)
关键词
慢性病
延续护理
护理质量
持续改进
chronic disease
transitional care
nursing quality
continuous quality improvement
