基于互联网+互动医疗医院信息平台的应用对腹主动脉瘤手术患者服药依从性及随访期间生活质量的影响  

The effects of application of hospital information platform of interactively medical treatment based on “Internet +” on medication compliance and quality of life during follow-up of patients with abdominal aortic aneurysm surgery

作　　者：王冰[1] 王海洋[2] 孙辉[1] 郑艳[1] WANG Bing;WANG Hai-yang;SUN Hui(Qunli Outpatient Operating Room,The First Affiliated Hospital of Harbin Medical University,Harbin 150001,China;不详)

机构地区：[1]哈尔滨医科大学附属第一医院群力门诊手术室,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第一医院心血管外科,黑龙江哈尔滨150001

出　　处：《中国医学装备》2020年第9期35-39,共5页China Medical Equipment

基　　金：国家自然科学基金(81570424)“miR-103a-1靶向调控ADAM10在腹主动脉瘤治疗中的实验研究”。

摘　　要：目的:构建基于互联网+互动医疗医院信息平台,探究其对腹主动脉瘤手术患者服药依从性及随访期间生活质量的影响。方法:采用Java2平台企业版(J2EE)编程,浏览器与服务器(B/S)架构,构建互联网+互动医疗医院信息平台,并选取医院收治的82例腹主动脉瘤手术患者,按就诊时间顺序分为对照组和观察组,每组41例。对照组应用常规方法进行随访,观察组应用基于互联网+互动医疗医院信息平台对患者进行随访。采用癌症患者生活质量评估量表(QLQ-52)及医院自制"服药依从性和随访满意度调查问卷"对两组患者的服药依从性、随访期间生活质量及患者对随访的满意度进行对比分析。结果:观察组的服药依从性高于对照组,差异有统计学意义(x^2=9.331,P<0.05);观察组随访期间功能、症状和整体生活质量评分均高对照组,差异有统计学意义(t=10.246,t=15.330,t=13.727;P<0.05);观察组对疗效效果满意度、检验方式满意度、健康信息满意度、医患沟通满意度及药物调整及时性满意度评分均高于对照组,差异有统计学意义(t=5.863,t=6.084,t=9.974,t=8.846,t=10.486;P<0.05)。结论:基于互联网+互动医疗医院信息平台应用于腹主动脉瘤手术患者的随访中,能显著提高患者服药依从性,改善随访期间患者生活质量,并获得更好的随访满意度。Objective: To build an interactively medical treatment hospital information platform based on "Internet +" so as to explore its effects on medication compliance and quality of life of patients underwent abdominal aortic aneurysm surgery. Methods: Java 2 platform enterprise edition(J2 EE) program and browser/server(B/S) architecture were adopted to construct hospital information platform of interactively medical treatment based on "internet +". And 82 patients who admitted to hospital and underwent abdominal aortic aneurysm surgery were selected and were divided into control group and observation group according to the sequence of clinical time, with 41 cases in each group. The control group adopted routine method to implement follow-up and the observation group adopted hospital information platform of interactively medical treatment based on "internet+" to implement follow-up for patients. And the development of quality of life questionnaire for cancer patients(QLQ-52) and self-made "medication compliance and follow-up satisfaction questionnaire" were adopted to compare and analyze the medication compliance, quality of life during follow-up and the satisfaction of patients for follow-up between two groups. Results: The medication compliance of observation group was significantly higher than that of control group(x^2=9.331, P<0.05). The scores of function, symptom and entire quality of life during follow-up of observation group were significantly higher than those of control group(t=10.246, t=15.330, t=13.727, P<0.05). And the scores of series of satisfaction included curative effect, test methods, health information, doctor-patient communication and timeliness of medicine adjustment of observation group were significantly higher than those of control group(t=5.863, t=6.084, t=9.974, t=8.846, t=10.486, P<0.05). Conclusion: The application of hospital information platform of interactively medical treatment based on "internet+" in the follow-up of patients who undergo abdominal aortic aneurysm surgery can significan

关 键 词：互联网 互动医疗 医院信息平台 腹主动脉瘤 手术 服药依从性 

分 类 号：R572[医药卫生—消化系统]