Practice and exploration of “Internet+” chronic disease management based on patients’ demand_West China Medical Journal

Authors：

LI Hong ¹ ,  LI Guirong ² , LI Xixi ³ , DENG Lanlan ⁴

1. Department of Internal Medicine, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;
2. Nursing Department, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;
3. Department of Burn Orthopaedics, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;
4. Department of Immunology, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;

Corresponding?author：

LI Guirong, Email: 384895848@qq.com

Keywords：

Internet+; Chronic disease management; Continuing nursing; Management mode

DOI：

10.7507/1002-0179.202010154

Video：

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Objective Use information technology to establish an “Internet+” chronic disease management model to provide patients with a full process, seamless, and convenient services. Explore a new model of “Internet+” chronic disease management and care services in the region. Methods Patients with chronic diseases treated in Mianyang Central Hospital from May 2018 to April 2019 were selected. The patients were randomly divided into intervention group and control group according to the single and even number at the end of hospitalization number. The control group adopted the traditional chronic disease management mode, and the intervention group adopted the “Internet+” chronic disease management mode based on the patients’ needs. And select the nursing experts who provide “Internet+” online nursing services. Compared with the effective management before and after the implementation of “Internet+” chronic disease management, the number of patients with chronic diseases, clinical outcome indicators, the number of health education readings, the number of Internet nursing services, and the sense of professional benefit of nurses and other indicators, etc. Results A total of 143 patients were included, including 78 in the control group and 65 in the intervention group. A total of 28 nursing experts were investigated. The effective management rate of patients with chronic diseases was 78.7%. The WeChat public account “Slow Disease Window” has read nearly 90 000 person-times, and the Internet Hospital “Nursing Professional Online” has nearly 2 000 online nursing services. After participating in “Internet+” chronic disease management, the disease activity and functional status of chronic disease patients were significantly improved (P<0.05). Nursing professionals have a strong sense of professional benefits (P<0.05). Conclusions With the development of “Internet+” chronic disease management, a new mode of chronic disease management was explored to promote the management of chronic disease more convenient and efficient, so that the health education work can be homogenized, the clinical outcome of the patients was effectively improved. At the same time the career planning of nursing staff can be broadened.

Citation： LI Hong, LI Guirong, LI Xixi, DENG Lanlan. Practice and exploration of “Internet+” chronic disease management based on patients’ demand. West China Medical Journal, 2021, 36(11): 1585-1590. doi: 10.7507/1002-0179.202010154 Copy

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11.	石娟, 宋瑰琦, 謝倫芳, 等. 護士職業獲益感與主觀幸福感關系的研究. 中國護理管理, 2016, 16(3): 315-318.
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1. 吳玉韶, 黨俊武. 中國人口老齡化與老年人狀況藍皮書. 北京: 中國社會出版社, 2014.
2. 中華人民共和國國家衛生健康委員會. 圖解: 中國居民營養與慢性病狀況報告 (2015 年). (2015-06-30)[2020-10-10]. http://www.nhc.gov.cn/jkj/s5879/201506/4505528e65f3460fb88685081ff158a2.shtml.
3. 中華人民共和國中央人民政府. 國務院關于積極推進“互聯網+”行動的指導意見(國發〔2015〕40 號). (2015-07-01)[2020-10-10]. http://www.gov.cn/zhengce/content/2015-07/04/content_10002.htm.
4. 中華人民共和國中央人民政府. 中共中央國務院印發《“健康中國2030”規劃綱要》. (2016-10-25)[2020-10-10]. http://www.gov.cn/xinwen/2016-10/25/content_5124174.htm.
5. 楊利娟, 朱記芬, 祝巾玉, 等. 醫院-社區-家庭一體化護理管理方案的構建與實施. 護理研究, 2020, 34(3): 519-521.
6. 胡菁. 護士職業獲益感概念框架及測評工具研究. 上海: 第二軍醫大學, 2013.
7. 胡菁, 劉曉虹. 護士職業獲益感問卷的編制及其信效度檢驗. 解放軍護理雜志, 2013, 30(22): 1-5.
8. 毛冰佳, 胡艷麗, 劉曉紅, 等. 護士職業獲益感的認知干預研究. 中華護理雜志, 2016, 51(2): 161-166.
9. 肖曉玲, 胡秋秋, 劉玉萍, 等. 護士職業獲益感及其對職業倦怠影響的研究. 中國護理管理, 2014, 14(1): 56-60.
10. 日火英支, 侯星星, 炎艷娜, 等. 護士職業獲益感現狀調查與分析. 齊魯護理雜志, 2018, 24(13): 1-4.
11. 石娟, 宋瑰琦, 謝倫芳, 等. 護士職業獲益感與主觀幸福感關系的研究. 中國護理管理, 2016, 16(3): 315-318.
12. 孟群, 尹新, 陳禹. 互聯網+慢病管理的研究與實踐. 中國衛生信息管理雜志, 2016, 13(2): 119-123.

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