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应用计算机决策支持系统为老年血液透析患者制定护理策略。

Application of a Computerized Decision Support System to Develop Care Strategies for Elderly Hemodialysis Patients.

机构信息

The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu, China.

出版信息

J Healthc Eng. 2021 Jun 19;2021:5060484. doi: 10.1155/2021/5060484. eCollection 2021.

Abstract

In this paper, the strategy of elderly haemodialysis patients' care is analysed by the computer's decision system to conduct an in-depth research machine. Maintenance haemodialysis patients have a high demand for continuation care, and healthcare workers should provide personalized and specialized seamless continuation care services for patients according to patients' needs, by reasonably using the hospital, community, and other health resources and with the help of emerging network technologies, such as information platforms and wearable devices to prolong the survival period of patients and improve their self-management ability and quality of life. The service provision and compensation strategy of the combined healthcare model should be optimized to improve the health protection of the elderly and promote health equity. On the one hand, it should target strengthening the service provision of healthcare integration, guide the elderly to reasonably choose the healthcare integration model, and pay attention to the spiritual and cultural needs and end-of-life care services for the elderly. On the other hand, we should expand the financing channels of medical insurance, optimize the design of compensation mechanisms, explore the role of health risk sharing, and accelerate the development of long-term care insurance, independent of basic medical insurance. The reliability of the scale was found to be 0.916 for the total Cronbach alpha coefficient, 0.798-0.919 for each dimension, and 0.813 for the fold-half reliability of the scale; the validity indicated that the correlation coefficient range of each article day with the total scale score was 0.27-0.72, and the correlation coefficient range of each dimension with the total scale was 0.56-0.72. The validation factor analysis was used to verify the structure of the scale. The validation factor analysis indexes met the fitting criteria after correction. The model fitted better with the actual model after correction, indicating that the scale has good reliability.

摘要

本文通过计算机决策系统分析老年血液透析患者的护理策略,对机器进行深入研究。维持性血液透析患者对延续性护理有较高的需求,医护人员应根据患者的需求,合理利用医院、社区等卫生资源,并借助新兴网络技术,如信息平台和可穿戴设备,为患者提供个性化、专业化的无缝延续护理服务,延长患者的生存期限,提高其自我管理能力和生活质量。应优化组合式医疗保健模式的服务提供和补偿策略,以改善老年人的健康保障,促进健康公平。一方面,应针对加强医疗保健一体化服务提供,引导老年人合理选择医疗保健一体化模式,注重老年人的精神文化需求和临终关怀服务;另一方面,应扩大医疗保险的融资渠道,优化补偿机制设计,探索健康风险分担的作用,加快发展独立于基本医疗保险的长期护理保险。该量表的总 Cronbach α 系数的可靠性为 0.916,各维度的可靠性为 0.798-0.919,量表的折半可靠性为 0.813;效度表明各条目与总分的相关系数范围为 0.27-0.72,各维度与总分的相关系数范围为 0.56-0.72。验证性因子分析验证了量表的结构。校正后的验证性因子分析指标符合拟合标准。校正后的模型与实际模型拟合更好,表明该量表具有良好的可靠性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2138/8238583/a0562e663493/JHE2021-5060484.001.jpg

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