Abstract:BackgroundInrecentyears,withthedevelopmentofmobilemedicineandtelemedicinetechnology,healthmanagementmodelssuchasInternethospitals,onlineandofflinecooperationhavegraduallybecomeadevelopmenttrend.However,theelderlyhavelimitationsintheuseof"Internet+"technology,whichaffectsthemobilehealthoftheelderly,anddevelopsaremotemanagementmodelbasedonfamilymembers,helpingimprovethecoverageandefficiencyofhealthmanagementfortheelderly.
Toconstructan"Internet+"familynursingmanagementmodelfortheelderly,focusingonthecontractingproblemoftheelderlyinthecontextofcontractedfamilydoctorservices.
FromJune2020toFebruary2021,the"Internet+"familynursingmanagementmodelfortheelderlywaspreliminarilyformulatedaccordingtothepoliciesrelatedtothehealthmanagementoftheelderly,combinedwithdomesticandforeignliteratureresearchandpreliminarybasicresearch.ApplyingtheDelphimethod,15expertswereselectedfortworoundsofexpertconsultation,formingthefinaldraftofthe"Internet+"familynursingmanagementmodelfortheelderly.
Thepositivecoefficientsofthetworoundsofexpertconsultationwere100%,withtheauthoritycoefficientsof0.87forboth,andKendallcoordinationcoefficientsof0.253and0.226,respectively(P<0.001).Thefinal"Internet+"familynursingmanagementmodelfortheelderlyconsistingof5parts,includingtheserviceobjects,managementteammembers,theselectionandtrainingcontentoffamilycaregivers,implementationmethod,managementcontentwithatotalof46itemswasestablished.
Thisstudyfocusesonthepracticalproblemsofelderlyhealthmanagement,andthe"Internet+"familynursingmanagementmodelconstructedfortheelderlynotonlyconformstothedevelopmentof"Internet+medicalcare"technology,butalsorealizestheparticipationoftheelderlyinremotehealthmanagement,whichisscientificandreliable,andcanbeusedasatoolforremotecaremanagementoftheelderlyinthecommunity.
表1专家函询问卷
Table1Expertletterquestionnaire
表2两轮专家的积极程度
Table2Thedegreeofmotivationofexpertsinthetworounds
表3两轮专家的权威程度
Table3Thedegreeofauthorityofexpertsinthetworounds
表4两轮专家函询后各项条目可行性评分及变异系数
Table4Feasibilityscoreandvariationcoefficientofeachitemaftertworoundsofexpertconsultation
图1老年人"互联网+"家庭护理管理模式管理流程图
Figure1Managementflowchartof"Internet+"familynursingmanagementmodelfortheelderly