The Construction And Application Of Stress Injury Management System For Community Residents Under The Mode Of Specialized Medical Association

Objective Construct a community-based stress injury management system for the community-based medical practitioners and explore the effects of applying this management system in the care of patients with community-based stress injuries.Methods1.Establishing a stress management system for community residents under the specialist medical consortium model: Taking urban medical group units as the starting point,and a third-class hospital as the lead unit,uniting 2 community hospitals and 8 community health service stations in the region to build a community Resident stress injury management system.2.Application of the specialist medical conjoint model for community residents' stress injury management system: Select the stress injuries of 2 community hospitals and 8community service stations affiliated to the medical consortium of a top three hospital from January 2019 to December 2019 128 patients and their caregivers were taken as the research object.Based on the regional division,the pressure injury patients in the community hospital area of one of the community hospitals implementing the specialist medical consortium model management system were set as the intervention group,and the other did not implement the management system.The patients with stress injury in the community hospital area were the control group.The intervention group consisted of the pressure injury team of the top three hospitals and the community nursing staff who passed the specialized training assessment to implement the specialized nursing based on the specialist medical consortium model.The control group received routine community care by untrained community caregivers.Analyze the difference in professional knowledge of community nursing staff before and after training;evaluate the healing status of stress injuries and the caregiver's cognitive level,care behavior,and burden of care in the two groups.Results1.Established a community-based stress injury management system for community residents under the specialist medical consortium model,including a three-level management structure,management system,consultation system,work process,and job responsibilities,etc.,combined online and offline,with specialist lectures,workshops,and study tours,Video learning and other forms of training.Improving the specialized knowledge of stress injuries in community nursing staff.The scores before construction of community nursing staff about stress injury(34.60±3.17)were higher than the scores after construction(79.00±3.92).The difference was statistically significant(t=-48.66,P<0.001).2.Applied research:? Comparison of the healing rates of stage 3 and above stress injuries between the two groups: 14 cases of stage 3 and above stress injuries in the intervention group,12 cases of healing,85.7% healing rate,and stage 3 and above stages of stress in the control group 13 cases were injured,6 cases were healed,and the healing rate was 46.2%.The healing rate of the intervention group was higher than that of the control group,and the difference was statistically significant(P=0.046).?Comparison of the average healing time of stress injuries between the two groups: the intervention group(7.64±2.11)days and the control group(9.72±2.78)days.The healing time of the intervention group was shorter than that of the control group,and the difference was statistically significant(t =-9.43,P<0.05).?A comparison of the cognitive status of caregiver's stress injury between the tw o groups of patients: after intervention,the score of the intervention group(48.41±4.26)was higher than that of the control group(41.38±4.23),and the difference was statist ically significant(t=9.325,P<0.001).?Comparison of caregiver behavior between two groups of patients: The total score of caregiver behavior in the intervention group(43.42±3.20)was higher than the total score of the control group(36.41±3.46)after the intervention.The score of the skin care dimension intervention group(8.38±1.62)was not different from that of the control group(7.92±1.44),and there was no statistical significance(t =1.670,P=0.097).?Comparison of the caregiver's care burden between the two groups: The score of the caregiver's caregiver intervention group(39.78±4.88)was lower than the control group's score(45.83±6.37)after the intervention,and the difference was statistically significant(t=-6.0,P<0.001).Conclusion This study takes the specialist medical consortium as the guide to construct a community-based stress injury management system for residents,with a reasonable structure,a sound system,and comprehensive content.It has improved the level of specialist knowledge of stress injuries in community nursing staff and promoted the development of community specialized nursing.Improved the effectiveness of community nursing staff's health guidance for patients with stress injuries,broadened the service content of community nursing staff,improved community residents' chronic disease management files,improved the wound healing rate,shortened the healing time,and increased stress in community stress patients Cognitive level of caregivers for patients with sexual injuries to stress injuries reduces the caregiver's burden of care.