Discussion on the "Hospital-Community-Home" hospice care service model and its effects from the perspective of medical consortium
医联体视域下“医院-社区-居家”安宁疗护服务模式与效果探讨

摘要

目的 研究医联体视域下“医院-社区-居家”安宁疗护服务模式的应用效果。方法 将2023年9月至2025年5月到我院治疗的124例终末期患者分为两组。观察组62例，对照组62例。对照组采取常规护理，观察组则采用医联体视域下“医院-社区-居家”安宁疗护服务。护理后，比较两组患者的生活质量（生理情况、情感状况、功能状况）、疼痛介质指标（P物质、前列腺素E₂、多巴胺水平）、家属照护负担（家庭/经济负担、治疗负担、照护负担）与心理状态评分。结果 护理后，观察组的生理情况、情感状况、功能状况等生活质量均高于对照组（P＜0.05），P物质（SP）、前列腺素E₂（PGE₂）、多巴胺（DA）水平均稳定于对照组（P＜0.05），家庭/经济负担、治疗负担、照护负担与心理状态评分均低于对照组（P＜0.05）。结论 对终末期患者使用医联体视域下"医院-社区-居家"安宁疗护服务模式，能有效改善患者在生活和心理上的困难，减轻患者家庭的负担，改善患者的生活质量。

Abstract

bjective To study the application effect of the "hospital-community-home" palliative care service model under the perspective of medical alliances.
Methods 124 patients with terminal illness who were treated in our hospital from September 2023 to May 2025 were divided into two groups. The observation group had 62 cases, and the control group had 62 cases. The control group received conventional care, while the observation group was provided with the "hospital-community-home" palliative care service under the perspective of medical alliances. After the care, the quality of life (physical condition, emotional status, functional status), pain mediator indicators (substance P, prostaglandin E₂, dopamine levels), family care burden (family/economic burden, treatment burden, care burden), and psychological state scores of the two groups were compared.
Results After the care, the quality of life of the observation group, including physical condition, emotional status, and functional status, was higher than that of the control group (P < 0.05). The levels of substance P (SP), prostaglandin E₂ (PGE₂), and dopamine (DA) were more stable in the observation group than in the control group (P < 0.05). The family/economic burden, treatment burden, care burden, and psychological state scores of the observation group were all lower than those of the control group (P < 0.05).
Conclusion   The application of the "hospital-community-home" palliative care service model under the perspective of medical alliances for patients with terminal illness can effectively alleviate their physical and psychological difficulties, reduce the burden on their families, and improve their quality of life.