Article Figures & Data
Figures
- Figure 1
Flow chart of the processes involved in the new mode of mobile internet-based home nursing service.
- Figure 2
Application for the new mode of mobile internet-based home nursing service.
Tables
- Table 1
Main content of the new mode of mobile internet-based home nursing service for elderly patients
Number Nursing service items Main content of the mobile internet-based home nursing service 1 Prevention 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.
2 Chronic 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.
3 General 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.
4 Nursing 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.
5 Special 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.
8 Nursing care for incontinence dermatitis Evaluation of patients with incontinence.
Selecting appropriate dressings, nursing supplies, and methods.
Providing health guidance to patients and caregivers.
7 Nursing 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.
8 Nasal feeding care Checking whether the gastric tube is in the stomach.
Nasal feeding through the gastric tube.
9 Maintenance of peritoneal dialysis tube Environmental assessment.
Peritoneal dialysis operation.
Evaluation and disinfection of outlet.
Dressing replacement and pipeline fixation.
Assessment and recording of exudate.
10 Maintenance 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.
11 Nursing 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.
12 Drainage 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.
13 Intramuscular 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.
14 Subcutaneous 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.
15 Blood glucose monitoring Peripheral blood glucose collection.
Guiding patients to effectively control blood glucose.
16 Venous 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.
17 Mid-course urine collection Perineum disinfection.
Guidance and retention of urine samples during the collection method.
Specimen transport.
18 Collection of common specimens Routine urine samples, sputum specimens, fecal samples, and other collection methods guidance and retention.
Specimen delivery.
19 Atomization inhalation Selection of atomizer.
Atomization inhalation operation.
Observation of disease condition.
Guidance on cleaning after atomization.
20 Oxygen inhalation Evaluation of the environment, hypoxia, and nasal cavity.
Guidance on the method of oxygen inhalation.
21 Monitoring 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.
22 Physical cooling Evaluation.
Selection of physical cooling tools.
Guidance on contraindications for cooling.
Remeasurement of body temperature.
23 Nursing 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.
24 Bladder irrigation Evaluation of patients’ condition and the patency of urinary catheter.
Clamping the catheter for bladder irrigation.
Dealing with complications and other abnormal conditions.
25 Enema 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.
26 Health guidance for chronic diseases Health guidance for chronic diseases such as hypertension, coronary heart disease, stroke, malignant tumor, diabetes, etc.
27 Home 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.
28 Pain care Evaluation of location, nature, degree, and cause of pain.
Taking effective pain relief measures.
Relieving pain pressure by psychological nursing.
29 Physical 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 number Classification of the major reasons to use mobile internet-based home nursing services among elderly patients Cases of home nursing service (n) Constituent ratio (%) 1 Nursing care for pressure ulcers (prevention and nursing of stress injury) 319 61.35 2 Nursing care for PICC (maintenance of PICC) 150 28.85 3 Subcutaneous injection 32 6.15 4 General stoma care 10 1.92 5 Intramuscular injection 2 0.38 6 Psychological care 7 1.35 PICC, peripherally inserted central catheter.
