延续护理服务规范 CodeforcontinuingcareservicesDB5117 四川省（达州市）地方标准 DB5117/T70-2023 2023-02-27发布 达州市市场监督管理局发布2023-03-01实施CCSA16 ICS03.080.01 CCSA16 DB5117/T70-2023 I目次 前言···························································································································································Ⅱ 引言···························································································································································Ⅲ 1范围·························································································································································1 2规范性引用文件·····································································································································1 3术语与定义··············································································································································1 4服务对象·················································································································································1 5服务流程·················································································································································1 6服务内容及要求·····································································································································4 7服务保障·················································································································································5 8应急预案·················································································································································6 9服务质量管理·········································································································································6 附录A（资料性）延续护理服务审核申请单·····················································································8 附录B（资料性）延续护理服务前风险评估单···············································································10 附录C（资料性）延续护理服务知情同意书···················································································11 附录D（资料性）延续护理服务首次评估单···················································································12 附录E（资料性）延续护理服务记录单···························································································15 附录F（资料性）延续护理服务终止记录单···················································································16 附录G（规范性）延续护理服务访视包必备物资清单···································································18 附录H（资料性）延续护理服务访视包可选物资清单··································································19 附录I（资料性）延续护理服务访视包清洁保养记录单································································20 附录J（资料性）延续护理服务评价及意见征集单········································································21 DB5117/T70-2023 II前言 本文件按照GB/T1.1-2020《标准化工作导则第1部分：标准化文件的结构和起草规则》 给出的规则起草。 请注意本文件的某些内容可能涉及专利。本文件的发布机构不承担识别专利的责任。 本文件由达州市中西医结合医院提出。 本文件由达州市卫生健康委员会归口。 本文件起草单位：达州市中西医结合医院、达州市中心医院、达州市妇女儿童医院、通川区 人民医院、通川区中医院、达川区人民医院、达川区中医院、达州市职业技术学院、三里坪街道 社区卫生服务中心、马房坝社区卫生服务站。 本文件主要起草人：李容华、苏晓梅、潘梅英、王善玲、张贵清、喻培、周灵静、金露、胡 海燕、袁铭、廖梅茵、周俊汝、万金豆、马娜娜、张中翠、杨达清、杜芳、邓武生、李学艳、孙 良丽、彭圣、石华平、李霞、张永娟、冯秀红、潘玲、闫春晓、袁雪梅、孙晋宗。 DB5117/T70-2023 III引言 随着经济的发展和人民生活水平的不断提高，人民对美好生活的向往日益增长，加之人口老 龄化程度持续加深，失能、半失能老年人口数日益增长，对专业的医疗、护理、药学、安宁疗护 等医疗服务呈现庞大而刚性的需求，现有医疗卫生资源难以满足群众健康需求，开展延续护理服 务成为解决此问题的重要方式之一。近年来，国家政策对延续护理的重视不断增加：《关于促进 护理服务业改革与发展的指导意见》、《全国护理事业发展规划（2021-2025年）》等文件均指 出，要拓展护理服务领域，开展和推进延续护理服务，将护理服务延伸至社区、家庭。 延续护理作为医疗机构服务的延伸，为有照护需求的服务对象提供专业、便利的护理服务， 可作为住院治疗模式的延续和补充，达到预防疾病、促进健康及维护健康的目标。目前由于延续 护理服务流程、服务内容及方法、服务保障及服务质量管理等相关内容缺乏统一要求，使得延续 护理长期以来难以规范化管理。 为明确延续护理的服务流程、服务内容及要求、服务保障、服务质量管理，特制定本文件。