“互联网 + 护理服务”在骨科术后患者延续护理中的应用进展
Application Progress of “Internet plus Nursing Service” in Transitional Care for Postoperative Orthopedic Patients
DOI: 10.12677/ns.2026.158277, PDF,    科研立项经费支持
作者: 王 娇, 陈 福, 李荣光, 邓 美, 杜晓明*：成都中医药大学附属眉山医院/眉山市中医医院，四川 眉山
关键词: 互联网 + 护理服务；骨科；术后患者；延续护理；质量安全；实施挑战；Internet plus Nursing Service； Orthopedics； Postoperative Patients； Transitional Care； Quality and Safety； Implementation Challenge
摘要: 骨科术后患者康复周期较长，出院后仍需持续接受伤口观察、疼痛管理、功能锻炼指导、用药指导、并发症识别和生活方式管理等护理支持。随着快速康复外科理念的推广，传统出院宣教和电话随访难以完全满足居家康复连续管理需求。“互联网 + 护理服务”依托互联网平台、移动终端和线上线下协同机制，为骨科术后患者提供伤口监测、疼痛与用药管理、远程康复、并发症预警及中医护理健康指导等服务。本文采用叙述性综述方法，系统检索中英文数据库及国家政府部门官方网站，在总结政策背景、应用场景和实施模式的基础上，重点分析技术可及性、护理人员能力、法律责任、数据安全与隐私以及价格支付机制等推广挑战，并提出分层数字支持、岗位胜任力培训、权责清单、数据全生命周期管理和多元支付等可操作策略，以期为骨科专科护士开展规范、安全、可持续的互联网延续护理提供参考。
Abstract: Orthopaedic surgery patients often require prolonged rehabilitation and continued nursing support after discharge, including wound monitoring, pain management, functional exercise guidance, medication counselling, complication identification, and lifestyle management. With the widespread adoption of Enhanced Recovery After Surgery (ERAS), conventional discharge education and telephone follow-up may no longer fully meet patients’ needs for continuous home-based rehabilitation management. “Internet plus Nursing Services,” supported by internet-based platforms, mobile devices, and coordinated online-offline care mechanisms, can provide postoperative orthopaedic patients with wound monitoring, pain and medication management, remote rehabilitation guidance, complication alerts, and traditional Chinese medicine nursing and health education. This narrative review systematically searched Chinese and international databases, as well as official websites of national government departments. After summarising the relevant policy background, application scenarios, and implementation models, it focused on major challenges to wider adoption, including technological accessibility, nurses’ professional competencies, legal liability, data security and privacy, and pricing and reimbursement mechanisms. Practical strategies are proposed, including stratified digital support, competency-based training, clear delineation of roles and responsibilities, full-lifecycle data governance, and diversified payment mechanisms. This review aims to provide a reference for orthopaedic specialist nurses in delivering standardised, safe, and sustainable internet-enabled transitional nursing care.
文章引用：王娇, 陈福, 李荣光, 邓美, 杜晓明. “互联网 + 护理服务”在骨科术后患者延续护理中的应用进展[J]. 护理学, 2026, 15(8): 330-339. https://doi.org/10.12677/ns.2026.158277

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