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Open Access

Investigating the demands for mobile internet-based home nursing services for the elderly

Yu Gong, Jianyuan Zhou, Fang Ding
DOI: 10.1136/jim-2021-002118 Published 6 December 2021
Yu Gong
1Department of Internal Medicine, Telemedicine Center, Division of Nephrology, Shanghai Municipal Eighth People's Hospital, Shanghai, China
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Jianyuan Zhou
2Department of Internal Medicine, Shanghai Municipal Eighth People's Hospital, Shanghai, China
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Fang Ding
3Department of Nursing Management, Shanghai Municipal Eighth People's Hospital, Shanghai, China
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  • Figure 1
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    Figure 1

    Flow chart of the processes involved in the new mode of mobile internet-based home nursing service.

  • Figure 2
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    Figure 2

    Application for the new mode of mobile internet-based home nursing service.

Tables

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  • Table 1

    Main content of the new mode of mobile internet-based home nursing service for elderly patients

    NumberNursing service itemsMain content of the mobile internet-based home nursing service
    1Prevention and nursing care for stress injury
    • Assessment of possibility of stress injury.

    • Guidance on prevention of stress injury.

    • Taking preventive measures, such as turning over and cleaning the skin.

    2Chronic wound care
    • Evaluation of chronic wound types and grades (pressure injury, diabetic foot).

    • Cleaning the wound surface and removing necrotic tissue.

    • Changing the dressing and dressing.

    3General stoma care
    • Evaluation of stoma site (stomach, intestine, bladder) and the surrounding skin.

    • Routine cleaning and maintenance of the skin around the stoma.

    • Guidance on prevention of complications.

    4Nursing care for difficult stoma
    • Evaluation of stoma site (stomach, intestine, bladder) and the surrounding skin.

    • Treatment of stoma and its surrounding complications

    • Selection of appropriate stoma care supplies and replacement of chassis and pouch.

    5Special stoma care
    • Evaluation of the special stoma sites and skin, such as cholecystostomy.

    • Cleaning and maintaining the skin around the colostomy.

    • Dealing with related problems.

    • Replacement of chassis and pouch.

    • Prevention of complications and other precautions.

    8Nursing care for incontinence dermatitis
    • Evaluation of patients with incontinence.

    • Selecting appropriate dressings, nursing supplies, and methods.

    • Providing health guidance to patients and caregivers.

    7Nursing care for indwelling catheter
    • Perineum disinfection.

    • Replacement of urinary catheter and urine collection bag.

    • Implementation of catheterization technique (female).

    • Fixation of urinary catheter.

    • Training of bladder function and guidance for pelvic floor muscle exercise.

    8Nasal feeding care
    • Checking whether the gastric tube is in the stomach.

    • Nasal feeding through the gastric tube.

    9Maintenance of peritoneal dialysis tube
    • Environmental assessment.

    • Peritoneal dialysis operation.

    • Evaluation and disinfection of outlet.

    • Dressing replacement and pipeline fixation.

    • Assessment and recording of exudate.

    10Maintenance of PICC
    • Checking the position of PICC pipeline.

    • Disinfecting the wound.

    • Changing the dressing.

    • Pulse positive pressure sealing tube.

    • Providing routine management and maintenance guidance for patients and caregivers.

    11Nursing care for gastrostomy and enterostomy
    • Evaluation of the tube.

    • Flushing of the fistula tube.

    • Skin care around the fistula and fixation of the tube.

    • Replacement of the fixed film.

    • Enteral nutrition in the fistula tube.

    • Health education.

    12Drainage tube nursing
    • Evaluation of the tube and drainage fluid.

    • Care of the skin around the drainage tube and dressing replacement.

    • Replacement of drainage bag, drainage ball, and drainage bottle.

    • Health education.

    13Intramuscular injection
    • Evaluation of the type of injection drugs, injection site, allergic history of patients, etc.

    • Selection of the appropriate injection site according to the specific situation of patients.

    • Injection operation.

    14Subcutaneous injection
    • Evaluation of the type of injection drugs, injection site, allergic history of patients.

    • Selection of the appropriate injection site according to the specific situation of patients.

    • Injection operation.

    15Blood glucose monitoring
    • Peripheral blood glucose collection.

    • Guiding patients to effectively control blood glucose.

    16Venous blood collection
    • Evaluation of the blood collection site and blood vessels of patients.

    • Skin disinfection and blood collection.

    • Guidance on matters needing attention after blood collection.

    • Transport of blood samples.

    17Mid-course urine collection
    • Perineum disinfection.

    • Guidance and retention of urine samples during the collection method.

    • Specimen transport.

    18Collection of common specimens
    • Routine urine samples, sputum specimens, fecal samples, and other collection methods guidance and retention.

    • Specimen delivery.

    19Atomization inhalation
    • Selection of atomizer.

    • Atomization inhalation operation.

    • Observation of disease condition.

    • Guidance on cleaning after atomization.

    20Oxygen inhalation
    • Evaluation of the environment, hypoxia, and nasal cavity.

    • Guidance on the method of oxygen inhalation.

    21Monitoring of vital signs
    • Evaluation of the patient’s condition.

    • Measurement of body temperature, pulse, respiration, and blood pressure correctly.

    • Interpretation of measurement data and guidance on related knowledge.

    • Disinfection of the thermometer.

    22Physical cooling
    • Evaluation.

    • Selection of physical cooling tools.

    • Guidance on contraindications for cooling.

    • Remeasurement of body temperature.

    23Nursing care for sputum suction
    • Evaluation of awareness, oxygen saturation, blood pressure, respiratory secretions, and other conditions of patients.

    • Selection of the appropriate suction tube and the appropriate negative pressure.

    • Oxygen supply, humidification, and sputum suction.

    • Observation of vital signs and disease changes of patients.

    24Bladder irrigation
    • Evaluation of patients’ condition and the patency of urinary catheter.

    • Clamping the catheter for bladder irrigation.

    • Dealing with complications and other abnormal conditions.

    25Enema
    • Evaluation of awareness and contraindications in patients.

    • Selection of the appropriate enema method and drug according to patients’ condition and the purpose of enema.

    • Inform the attention after enema.

    26Health guidance for chronic diseases
    • Health guidance for chronic diseases such as hypertension, coronary heart disease, stroke, malignant tumor, diabetes, etc.

    27Home nutrition support
    • Evaluation of gastrointestinal symptoms and nutritional status of patients.

    • Evaluation of daily nutritional intake of patients.

    • Formulation of home nutrition support program.

    • Carrying out health education on nutrition support.

    28Pain care
    • Evaluation of location, nature, degree, and cause of pain.

    • Taking effective pain relief measures.

    • Relieving pain pressure by psychological nursing.

    29Physical rehabilitation guidance
    • Evaluation of limb function of patients.

    • Formulation of a rehabilitation plan according to different limb parts.

    • Training, supervising, and guiding the rehabilitation function of the limbs.

    • Evaluation and adjustment of the effect.

    • Publicizing and guiding related knowledge on limb rehabilitation.

    • PICC, peripherally inserted central catheter.

  • Table 2

    Constituent ratio of the major reasons to use the new mode of mobile internet-based home nursing service among elderly patients (aged ≥60)

    Order numberClassification of the major reasons to use mobile internet-based home nursing services among elderly patientsCases of home nursing service (n)Constituent ratio (%)
    1Nursing care for pressure ulcers (prevention and nursing of stress injury)31961.35
    2Nursing care for PICC (maintenance of PICC)15028.85
    3Subcutaneous injection326.15
    4General stoma care101.92
    5Intramuscular injection20.38
    6Psychological care71.35
    • PICC, peripherally inserted central catheter.

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Journal of Investigative Medicine: 70 (4)
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Investigating the demands for mobile internet-based home nursing services for the elderly
Yu Gong, Jianyuan Zhou, Fang Ding
Journal of Investigative Medicine Dec 2021, jim-2021-002118; DOI: 10.1136/jim-2021-002118

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Investigating the demands for mobile internet-based home nursing services for the elderly
Yu Gong, Jianyuan Zhou, Fang Ding
Journal of Investigative Medicine Dec 2021, jim-2021-002118; DOI: 10.1136/jim-2021-002118
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Investigating the demands for mobile internet-based home nursing services for the elderly
Yu Gong, Jianyuan Zhou, Fang Ding
Journal of Investigative Medicine Dec 2021, jim-2021-002118; DOI: 10.1136/jim-2021-002118
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