Construction of specialized transitional care process and effect evaluation
10.3760/j.issn.1674-2907.2014.23.003
- VernacularTitle:专科延伸护理服务流程的构建及实施效果评价
- Author:
Yi JIN
1
;
Xiao SUN
;
Meifang GONG
;
Jianlin GUO
;
Ming CHEN
Author Information
1. 200072 上海市第十人民医院门诊部
- Keywords:
Transitional care;
Process;
Effect evaluation
- From:
Chinese Journal of Modern Nursing
2014;20(23):2877-2879
- CountryChina
- Language:Chinese
-
Abstract:
Objective To build the specialized transitional care process and evaluate its effect . Methods Firstly,the specialized transitional care organization structure was constructed , to make clear the responsibility of the member;to develop the specialized transitional care process .The transitional care content , medical costs including expense and time cost , patients’ satisfaction, and nurses’ satisfaction were investigated through self-made questionnaire .Results The main transitional care programs provided by the professional team were ordered from high to low: catheter care ( including PICC maintenance , stomach tube, catheter, etc., 27.3%), wound care (including colostomy care, 25.5%), pressure ulcers care(21.8%), peritoneal dialysis care ( 16.4%), function exercise guidance ( including surgery, hemiplegia after stroke, diabetic foot, postpartum breast massage guidance , etc., 9.0%).There were statistically significant differences about medical expense [(195.73 ±114.77) vs (95.11 ±25.68)] and time cost [(195.73 ±12.00)h vs (3.95 ± 1.68)h] before and after the operation of specialized transitional care process (t=69.71,80.93,respectively;P<0.05).Conclusions Building the specialized transitional care process is helpful to reduce the medical expense and time cost ,and to improve patients ’ satisfaction to nursing service .In the future it is necessary to optimize transitional care process based on the hospital-community-family ternary linkage .
