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

1.	吴玉韶, 党俊武. 中国人口老龄化与老年人状况蓝皮书. 北京: 中国社会出版社, 2014.
2.	中华人民共和国国家卫生健康委员会. 图解: 中国居民营养与慢性病状况报告 (2015 年). (2015-06-30)[2020-10-10]. http://www.nhc.gov.cn/jkj/s5879/201506/4505528e65f3460fb88685081ff158a2.shtml.
3.	中华人民共和国中央人民政府. 国务院关于积极推进“互联网+”行动的指导意见(国发〔2015〕40 号). (2015-07-01)[2020-10-10]. http://www.gov.cn/zhengce/content/2015-07/04/content_10002.htm.
4.	中华人民共和国中央人民政府. 中共中央国务院印发《“健康中国2030”规划纲要》. (2016-10-25)[2020-10-10]. http://www.gov.cn/xinwen/2016-10/25/content_5124174.htm.
5.	杨利娟, 朱记芬, 祝巾玉, 等. 医院-社区-家庭一体化护理管理方案的构建与实施. 护理研究, 2020, 34(3): 519-521.
6.	胡菁. 护士职业获益感概念框架及测评工具研究. 上海: 第二军医大学, 2013.
7.	胡菁, 刘晓虹. 护士职业获益感问卷的编制及其信效度检验. 解放军护理杂志, 2013, 30(22): 1-5.
8.	毛冰佳, 胡艳丽, 刘晓红, 等. 护士职业获益感的认知干预研究. 中华护理杂志, 2016, 51(2): 161-166.
9.	肖晓玲, 胡秋秋, 刘玉萍, 等. 护士职业获益感及其对职业倦怠影响的研究. 中国护理管理, 2014, 14(1): 56-60.
10.	日火英支, 侯星星, 炎艳娜, 等. 护士职业获益感现状调查与分析. 齐鲁护理杂志, 2018, 24(13): 1-4.
11.	石娟, 宋瑰琦, 谢伦芳, 等. 护士职业获益感与主观幸福感关系的研究. 中国护理管理, 2016, 16(3): 315-318.
12.	孟群, 尹新, 陈禹. 互联网+慢病管理的研究与实践. 中国卫生信息管理杂志, 2016, 13(2): 119-123.

1. 吴玉韶, 党俊武. 中国人口老龄化与老年人状况蓝皮书. 北京: 中国社会出版社, 2014.
2. 中华人民共和国国家卫生健康委员会. 图解: 中国居民营养与慢性病状况报告 (2015 年). (2015-06-30)[2020-10-10]. http://www.nhc.gov.cn/jkj/s5879/201506/4505528e65f3460fb88685081ff158a2.shtml.
3. 中华人民共和国中央人民政府. 国务院关于积极推进“互联网+”行动的指导意见(国发〔2015〕40 号). (2015-07-01)[2020-10-10]. http://www.gov.cn/zhengce/content/2015-07/04/content_10002.htm.
4. 中华人民共和国中央人民政府. 中共中央国务院印发《“健康中国2030”规划纲要》. (2016-10-25)[2020-10-10]. http://www.gov.cn/xinwen/2016-10/25/content_5124174.htm.
5. 杨利娟, 朱记芬, 祝巾玉, 等. 医院-社区-家庭一体化护理管理方案的构建与实施. 护理研究, 2020, 34(3): 519-521.
6. 胡菁. 护士职业获益感概念框架及测评工具研究. 上海: 第二军医大学, 2013.
7. 胡菁, 刘晓虹. 护士职业获益感问卷的编制及其信效度检验. 解放军护理杂志, 2013, 30(22): 1-5.
8. 毛冰佳, 胡艳丽, 刘晓红, 等. 护士职业获益感的认知干预研究. 中华护理杂志, 2016, 51(2): 161-166.
9. 肖晓玲, 胡秋秋, 刘玉萍, 等. 护士职业获益感及其对职业倦怠影响的研究. 中国护理管理, 2014, 14(1): 56-60.
10. 日火英支, 侯星星, 炎艳娜, 等. 护士职业获益感现状调查与分析. 齐鲁护理杂志, 2018, 24(13): 1-4.
11. 石娟, 宋瑰琦, 谢伦芳, 等. 护士职业获益感与主观幸福感关系的研究. 中国护理管理, 2016, 16(3): 315-318.
12. 孟群, 尹新, 陈禹. 互联网+慢病管理的研究与实践. 中国卫生信息管理杂志, 2016, 13(2): 119-123.

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