腹膜透析数据库及其关联APP在随访管理中的应用效果  

Application of Peritoneal Dialysis Database and its Associated APP in Follow-up Management

作　　者：杨聪[1] 梁玉婷[1] 夏嘉一 钟晓红[1] 易枝秀[1] 何彦芳[1] 唐丹[1] 龚妮容[1] YANG Cong;LIANG Yuting;XIA Jiayi;ZHONG Xiaohong;YI Zhixiu;HE Yanfang;TANG Dan;GONG Nirong(Department of Nephrology,Nanfang Hospital,Southern Medical University,Guangdong Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院肾内科

出　　处：《中国医药导刊》2019年第8期506-510,共5页Chinese Journal of Medicinal Guide

基　　金：南方医科大学护理科研专项项目(项目编号Q2017002;项目名称:规范化健康教育在腹膜透析管理中的应用研究);国家自然科学基金面上项目(项目编号81770765;项目名称:MMP7在腹膜透析超滤中的作用及其机制研究);南方医科大学南方医院院长基金(项目编号2016H003;项目名称:腹膜透析随访管理手机APP的研发和应用);南方医科大学南方医院院级信息化推广项目(项目编号:2017-xxh-16;项目名称:腹膜透析随访管理手机APP的研发和应用)

摘　　要：目的:探讨腹膜透析数据库及其关联APP在腹膜透析患者随访管理中的应用效果。方法:对我院91例腹膜透析患者通过腹膜透析数据库及其关联APP进行随访信息化管理。调查随访患者进行数据库及其关联APP管理干预前和干预后患者自我护理能力(ESCA)得分,患者随访满意度,收集干预前后随访期间患者腹膜透析相关不良事件及并发症发生情况,随访管理效率情况。结果:实施数据库及其关联APP信息化管理12个月后,干预后患者ESCA总分及各因子得分均高于干预前(P<0.01),患者对随访管理满意度总分及各项目评分均高于干预前(P<0.01),患者发生不良事件及并发症情况,干预后患者发生出口感染均低于干预前(P<0.05),水肿发生率低于干预前(P<0.05),干预后导管移位、腹膜炎发生情况与干预前差异均无统计学意义(P>0.05),随访管理工作效率高于干预前(P<0.01)。结论:利用数据库及其关联APP对患者进行腹膜透析随访管理,可有效提升患者自我护理能力,提高患者满意度,减少患者居家腹膜透析不良事件及并发症,提高随访管理工作效率,是改善腹膜透析随访管理的有效方法。Objective:To explore the application effect of peritoneal dialysis database and its associated APP in follow-up management of peritoneal dialysis patients.Methods:91 cases of peritoneal dialysis patients in our hospital were followed up by information management through peritoneal dialysis database and its associated APP.To investigate the score of patients′self-care ability(ESCA)before and after the intervention of database and related APP management,patients′follow-up satisfaction,the occurrence of adverse events and complications related to peritoneal dialysis during the follow-up period before and after the intervention,and follow-up management efficiency.Results:12 months after the implementation of database and related APP information management,the total score of ESCA and each factor of patients after intervention were higher than those before intervention(P<0.01).The total score of patients′satisfaction with follow-up management and each item score were higher than those before intervention(P<0.01).The occurrence of adverse events and complications of patients after intervention was lower than that before intervention(P<0.05).The incidence of edema after intervention was lower than that before intervention(P<0.05).There was no significant difference in the occurrence of catheter displacement and peritonitis after intervention(P>0.05).The efficiency of follow-up management was higher than that before intervention(P<0.01).Conclusion:Using database and its associated APP for follow-up management of patients with peritoneal dialysis can effectively improve the patient′s self-care ability,improve patient satisfaction,reduce adverse events and complications of home-based peritoneal dialysis,and improve the efficiency of follow-up management.It is an effective way to improve the follow-up management of peritoneal dialysis.

关 键 词：腹膜透析 随访管理 APP 

分 类 号：R473.5[医药卫生—护理学]