利用信息系统对慢病患者进行远程护理管理的评价研究  

An evaluation study on application of infonnation system in remote nursing management of patients with chronic diseases

作　　者：何平[1] 方琴[2] 魏萍[3] 杨阳[4] 方进博[5] He Ping;Fang Qin;Wei Ping;Yang Yang;Fang Jinbo(Department of Nursing,The People's Hospital of Jianyang City,Jianyang,Sichuan,641400,China;Mass Work Department,The People's Hospital of Jianyang City,Jianyang,Sichuan,641400,China;Department of Nephrology,The People's Hospital of Jianyang City,Jianyang,Sichuan,641400,China;Department of Neurosurgery,The People's Hospital of Jianyang City,Jianyang,Sichuan,641400,China;West China School of Nursing,Sichuan University,Chengdu,Sichuan,610041,China)

机构地区：[1]简阳市人民医院护理部,四川简阳641400 [2]简阳市人民医院群工部,四川简阳641400 [3]简阳市人民医院肾内科,四川简阳641400 [4]简阳市人民医院神经外科,四川简阳641400 [5]四川大学华西护理学院

出　　处：《西南国防医药》2020年第6期555-557,共3页Medical Journal of National Defending Forces in Southwest China

基　　金：2017年四川省卫生和计划生育委员会科研课题(普及应用项目)立项课题(17PJ36)。

摘　　要：目的探讨信息系统在慢病患者远程护理管理中的实施效果.方法将1763例慢性病患者随机分为对照组(n=831)和试验组(n=932).对照组给予出院后常规电话回访一次,试验组采用信息系统对慢病患者进行远程护理管理.运用延续性护理测评量表(care transitions measure,CTM)比较两组患者在一般自护准备能力、疾病书面计划能力、医患沟通效果、患者症状管理等方面的差异.结果试验组患者的一般自护准备、书面计划、医患沟通、症状管理指标评分分别是(38.05±2.93)分、(9.66±0.70)分、(19.17±1.59)分、(14.20±1.40)分,高于对照组的(37.33±3.08)分、(9.53±0.85)分、(18.92±1.66)分、(13.97±1.47)分(P<0.05).结论利用信息化工具,实施慢病患者远程护理管理模式可提高慢性病患者的一般自护准备能力、疾病书面计划能力、医患沟通效果、患者症状管理,值得临床推广应用.Objective To explore the effect of application of information system in remote nursing management of patients with chronic diseases.Methods A total of 1763 patients with chronic diseases were randomly divided into a control group(n=831)and an experimental group(n=932).The control group received a routine follow-up phone call after discharge,and the experimental group received remote nursing management with an information system.The Care Transitions Measure(CTM)was used to compare the differences between the two groups in terms of capability of preparation for general self-care,capability of written planning for disease,doctor-patient communication and symptom management.Results The scores of capability of preparation for general self-care,capability of written planning for disease,doctor-patient communication and symptom management in the experimental group were 38.05±2.93,9.66±0.70,19.17±1.59 and 14.20±1.40,respectively,higher than that in the control group,which were 37.33±3.08,9.53±0.85,18.92±1.66 and 13.97±1.47(i5<0.05).Conclusion Application of information tools in remote nursing management for patients with chronic disease can improve their capability of preparation for general self-care,capability of written planning for disease,doctor-patient communication and symptom management,which deserves clinical application.

关 键 词：信息系统 慢病患者 远程护理管理 评价研究 

分 类 号：R472[医药卫生—护理学]