目的 对川南地区重症专科联盟认知与需求进行调查，为该地区重症专科联盟建设提供参考。方法 采用分层随机抽样，在川南地区（乐山、宜宾、泸州、自贡）31个区县的二级医院内随机抽取213名医务人员作为调查对象。采用自制问卷收集调查对象基本情况，并评估其对重症医学专科联盟概念的认知情况，通过开放式问卷收集调查对象对重症医学专科联盟的需求。根据认知评估结果将研究对象分为了解充分组与了解不充分组，比较两组基本情况，并用多因素Logisitic回归筛选出独立性影响因素。结果 在纳入的213名医护人员中有68名（31.92%）对重症专科联盟了解不充分，单因素分析显示：两组在性别、年龄、工作岗位、职务及职称差异均具有统计学意义（P＜0.05）。多因素Logistic回归分析显示：性别、学历为本科 、学历为博/硕士研究生、工作岗位、职务为中层干部、院领导职务及职称为川南地区重症专科联盟认知的独立性影响因素（P＜0.05）。川南地区重症专科联盟需求排名前9位依次：派出专家技术指导、派出管理干部开展业务管理、接收联盟单位人员培训、协助开展新技术、为联盟单位成员开展培训与讲座、业务资源共享、接收联盟单位转诊、开展远程医疗、科研项目申报指导。结论 川南地区重症专科联盟认知情况主要与性别、学历、工作岗位、职务、职称及基层对于专家技术指导、管理干部业务指导及技能培训的需求较大。

      Objective To investigate the awareness and demand for the Critical Care Specialty Alliance in Southern Sichuan，providing a reference for the development of the alliance in this region．Methods Using stratified random sampling，213 medical staff were randomly selected from secondary hospitals in 31 districts/counties of the Southern Sichuan region（Leshan，Yibin，Luzhou，Zigong）as survey subjects．A self-designed questionnaire was used to collect basic information from the respondents，assess their understanding of the concept of the Critical Care Specialty Alliance，and gather their demands for the alliance through open-ended questions．Based on the assessment results，respondents were divided into a well-informed group and a poorly informed group．The basic characteristics of the two groups were compared，and multivariate logistic regression was used to identify independent influencing factors．Results Among the 213 medical staff included in the study，68（31.92%）had insufficient understanding of the Critical Care Specialty Alliance．Univariate analysis revealed statistically significant differences（P＜0.05）in gender，age，job position，administrative role，and professional title between the group with sufficient understanding and the group with insufficient understanding．Multivariate Logistic regression analysis showed that gender，undergraduate education，master’s/doctoral education，job position，middle management role，hospital leadership role，and professional title were independent influencing factors for the awareness of the Critical Care Specialty Alliance in the Southern Sichuan region（P＜0.05）．The top nine demands for the alliance in Southern Sichuan were dispatching experts for technical guidance，sending management cadres for operational management，providing training for personnel from alliance units，assisting in the development of new technologies，organizing training and lectures for alliance unit members，sharing business resources，accepting referrals from alliance units，implementing telemedicine，and providing guidance on research project applications．Conclusions Awareness of the Critical Care Specialty Alliance in Southern Sichuan is primarily associated with gender，educational background，job position，and professional title．There is significant demand at the primary level for expert technical guidance，operational management guidance from cadres，and skills training．

目的 探讨基于区域专科联盟模式,在联盟医院内建立淋巴水肿专科干预小组的有效策略及其对患者干预效果的影响。方法 对区域医联体内7家联盟医院（包括德阳市人民医院、广汉市人民医院、罗江区人民医院、广汉妇幼保健院、德阳肿瘤医院、中江妇幼保健院、什邡市妇幼保健院）20名医护人员进行淋巴水肿知识及干预技能培训,建立区域性淋巴水肿专科干预小组,制定小组工作职责、实施专科质量控制。选取2024年5—8月淋巴水肿专科干预小组干预模式开展期间作为观察组, 选取2024年1—4月淋巴水肿专科干预小组干预模式开展前作为对照组。对比两组医护人员淋巴水肿相关知识掌握合格率、住院患者淋巴水肿风险筛查率、淋巴水肿高风险患者措施落实率、出院随访患者上肢功能评定评分及患者就医满意度。结果 干预后,护理人员淋巴水肿知识各维度得分[基础知识（17.36±2.54）、诊断与评估（25.66±4.34）、治疗与管理（25.08±4.73）、预防与康复（15.36±2.53）、总分（85.36±8.52）]均高于干预前[基础知识（11.35±2.29）、诊断与评估（17.87±3.18）、治疗与管理（18.28±3.85）、预防与康复（10.39±2.24）、总分（55.35±7.56）]（t=7.859, P<0.001; t=6.475, P<0.001; t=4.986, P<0.001; t=6.578, P<0.001; t=11.782, P<0.001）; 观察组住院患者淋巴水肿风险筛查率高于对照组（80.72% vs 61.24%）, 对比差异有统计学意义（χ²=31.454, P<0.001）; 观察组患者出院时及出院后1月上肢功能评定（DASH）量表评分[（23.36±8.63）（20.16±7.34）分]低于对照组[（25.32±9.16）（22.25±7.67）分], 对比差异有统计学意义（t=2.884, P=0.004; t=3.646, P=0.001）; 观察组患者出院时患者就医满意度评分（83.36±8.63）高于对照组（71.37±10.33）, 对比差异有统计学意义（t=16.460, P<0.001）。结论 基于区域专科联盟体的联盟医院淋巴水肿专科干预小组能够有效地实现三级医院优质干预资源下沉, 在联盟内可实现淋巴水肿防治同质化、专科人才培训基地建设,整体提升区域内淋巴水肿防控效果,提高患者就医满意度。

Objective To explore effective strategies for establishing a lymphoedema specialty nursing team within alliance hospitals based on a regional specialty alliance and assess its impact on patient care outcomes．Methods A regional lymphedema specialty nursing team was established by training 20 healthcare professionals from 7 hospitals（Deyang City People’s Hospital,Guanghan People’s Hospital, Luojiang People’s Hospital, Guanghan Maternal and Child Health Hospital, Deyang Tumor Hospital, Zhongjiang Maternal and Child Health Hospital, and Shifang Maternal and Child Health Hospital）in a regional medical consortium, focusing on lymphedema knowledge and intervention skills．The team’s responsibilities and nursing quality control protocols were standardized．The observation group included data from May to August in 2024（post-intervention period）, while the control group comprised data from January to April in 2024（pre-intervention period）．Comparisons were made between the two groups regarding healthcare professionals’qualification rate in lymphedema knowledge,inpatients’ lymphedema risk screening rate, implementation rate of preventive measures for high-risk patients, upper extremity function assessment scores（using the Disabilities of the Arm,Shoulder and Hand [DASH] scale）at discharge and 1-month post-discharge, and patient satisfaction．Results After the intervention, healthcare professionals’ lymphedema knowledge scores significantly improved across all domains：basic knowledge（17.36±2.54 vs 11.35±2.29）, diagnosis/assessment（25.66±4.34 vs 17.87±3.18）, treatment/management（25.08±4.73 vs 18.28±3.85）,prevention/rehabilitation（15.36±2.53 vs 10.39±2.24）,and total score（85.36±8.52 vs 55.35±7.56）（t=7.859, P<0.001; t=6.475, P<0.001; t=4.986, P<0.001; t=6.578, P<0.001; t=11.782, P<0.001）．The observation group demonstrated a higher lymphedema risk screening rate（80.72% vs 61.24%,χ2=31.454,P<0.001）．DASH scores in the observation group were significantly lower than the control group at discharge（23.36±8.63 vs 25.32±9.16）and 1-month post-discharge（20.16±7.34 vs 22.25±7.67）（t=2.884, P=0.004; t=3.646, P=0.001）．Patient satisfaction scores at discharge were higher in the observation group（83.36±8.63 vs 71.37±10.33, t=16.460, P<0.001）．Conclusions The lymphoedema specialty nursing team in alliance hospitals based on a regional specialty alliance effectively facilitates the high-quality nursing resources homogenization in primary hospitals．Within the alliance, it achieves homogenization of lymphoedema prevention and treatment, establishes a training base for specialty talents, and overall enhances lymphoedema prevention and control within the region, thereby improving patient satisfaction with healthcare．