癌症患者护理随访系统的构建与应用  

Establishment and evaluation of nursing follow-up system for cancer patients

作　　者：胡成文 张晓明[2] 唐世芳 丁从兰 黄正芹[3] 占惠鸣[3] 朱小明[3] 陶艳[3] HU Chengwen;ZHANG Xiaoming;TANG Shifang;DING Conglan;HUANG Zhengqin;ZHAN Huiming;ZHU Xiaoming;TAO Yan(Department of Nursing Administration,Provincial Hospital Affiliated to Anhui Medical University,Hefei,230031,China)

机构地区：[1]安徽医科大学附属省立医院护理部,合肥市230031 [2]安徽医科大学附属省立医院信息中心,合肥市230031 [3]安徽省肿瘤医院

出　　处：《中国护理管理》2019年第6期938-941,共4页Chinese Nursing Management

基　　金：安徽省科技厅2017公益性技术应用研究联动计划项目(1704f0804017)

摘　　要：目的:建立癌症患者护理随访系统,分析其应用效果。方法:通过组建团队、搭建系统架构、研发数据库以及功能开发等建立癌症患者护理随访系统并完善。以2 470例癌痛患者为观察对象,通过随访系统观察癌痛患者出院后第1、2、3周的服药依从性、疼痛评分和常见并发症指标来评价该系统的应用效果。结果:开发了集护理随访、康复指导、患者体验、统计分析等为一体的癌症患者护理随访系统并获得国家软件著作权。癌痛患者出院后1周、2周、3周的疼痛程度下降(P<0.05),而服药依从性得分差异无统计学意义(P>0.05)。结论:癌症患者护理随访系统可以较好地维持患者出院后的服药依从性、镇痛效果,减少部分并发症和明显改善患者就医体验,使患者在从医院到家庭的不同照护场所中能得到相对稳定的健康指导与延续性照护。Objective:To establish and evaluate the effects of nursing follow-up system for cancer patients after discharge.Methods:By setting up team,building system frame,setting up the database,and functional exploitation to establish and improve the nursing follow-up system.A total of 2 470 patients with cancer pain were included in the study.The medication compliance,pain scores and common complications were assessed in 1,2 and 3 weeks after discharge,respectively to evaluate effects of the nursing follow-up system.Results:The nursing follow-up system tor cancer patients integrated nursing follow-up,rehabilitation guidance,patient experience and statistical analysis,and was with the national software copyright.The pain degree decreased 1,2 and 3 weeks after discharge(P<0.05).There was no significant difference in medication compliance scores in 1,2 and 3 weeks after discharge(P>0.05).Conclusion:The nursing follow-up system for cancer patients is benefit for medication compliance,pain control,prevention of some complications and patients'medical experience,and the patients can get relatively stable health guidance and continuous care from hospitals to families.

关 键 词：居家 癌症 延续护理 随访 软件开发 

分 类 号：R47[医药卫生—护理学]