Table 1

Main content of the new mode of mobile internet-based home nursing service for elderly patients

NumberNursing service itemsMain content of the mobile internet-based home nursing service
1Prevention 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.

2Chronic 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.

3General 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.

4Nursing 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.

5Special 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.

8Nursing care for incontinence dermatitis
  • Evaluation of patients with incontinence.

  • Selecting appropriate dressings, nursing supplies, and methods.

  • Providing health guidance to patients and caregivers.

7Nursing 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.

8Nasal feeding care
  • Checking whether the gastric tube is in the stomach.

  • Nasal feeding through the gastric tube.

9Maintenance of peritoneal dialysis tube
  • Environmental assessment.

  • Peritoneal dialysis operation.

  • Evaluation and disinfection of outlet.

  • Dressing replacement and pipeline fixation.

  • Assessment and recording of exudate.

10Maintenance 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.

11Nursing 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.

12Drainage 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.

13Intramuscular 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.

14Subcutaneous 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.

15Blood glucose monitoring
  • Peripheral blood glucose collection.

  • Guiding patients to effectively control blood glucose.

16Venous 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.

17Mid-course urine collection
  • Perineum disinfection.

  • Guidance and retention of urine samples during the collection method.

  • Specimen transport.

18Collection of common specimens
  • Routine urine samples, sputum specimens, fecal samples, and other collection methods guidance and retention.

  • Specimen delivery.

19Atomization inhalation
  • Selection of atomizer.

  • Atomization inhalation operation.

  • Observation of disease condition.

  • Guidance on cleaning after atomization.

20Oxygen inhalation
  • Evaluation of the environment, hypoxia, and nasal cavity.

  • Guidance on the method of oxygen inhalation.

21Monitoring 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.

22Physical cooling
  • Evaluation.

  • Selection of physical cooling tools.

  • Guidance on contraindications for cooling.

  • Remeasurement of body temperature.

23Nursing 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.

24Bladder irrigation
  • Evaluation of patients’ condition and the patency of urinary catheter.

  • Clamping the catheter for bladder irrigation.

  • Dealing with complications and other abnormal conditions.

  • 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.

26Health guidance for chronic diseases
  • Health guidance for chronic diseases such as hypertension, coronary heart disease, stroke, malignant tumor, diabetes, etc.

27Home 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.

28Pain care
  • Evaluation of location, nature, degree, and cause of pain.

  • Taking effective pain relief measures.

  • Relieving pain pressure by psychological nursing.

29Physical 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.