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三级联动延续护理模式在慢性非传染性疾病患者管理中的应用进展
Application progress on three⁃tier linkage continuous nursing mode in the management of patients with chronic non⁃infectious disease

广西医学 页码:1251-1256

作者机构:李若雨,在读硕士研究生,护师,研究方向为老年护理。

DOI:10.11675/j.issn.0253⁃4304.2025.09.04

  • 中文简介
  • 英文简介
  • 参考文献

随着人口结构的变化,慢性非传染性疾病(简称慢病)的发病率不断升高,传统的慢病管理模式难以满足患者需求。三级联动延续护理模式通过整合医院、社区卫生服务中心和家庭的资源,提供全周期的慢病管理服务,可显著提高患者的治疗依从性和生活质量。本文对三级联动延续护理模式在慢病不同阶段的运行机制,以及在不同慢病管理中的应用效果、面临挑战进行综述,旨在为完善我国慢病管理体系提供理论依据。

With the changing demographic structure, the incidence rate of chronic non⁃infectious diseases (hereinafter referred to as chronic diseases) continues to rise, making traditional chronic disease management modes inadequate to meet patient needs. The three⁃tier linkage continuous nursing mode, which integrates resources from hospitals, community health service centers, and households to provide full⁃cycle chronic disease management services, can significantly improve patients' treatment compliance and quality of life. This paper reviews the operation mechanisms of the three⁃tier linkage continuous nursing mode at different stages of chronic diseases, as well as its application effects and challenges in managing various chronic diseases, aiming at providing a theoretical basis for improving China's chronic disease management system.

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