依托医联体平台的护理延伸服务对孢子丝菌感染患者遵医行为的研究  

Study on medical compliance behavior of patients with sporothrix infection based on extended care on the platform of regional medical consortium

作　　者：杨磊[1] 王丹丹[2] 许美佳 马莉[2] YANG Lei;WANG Dandan;XU Meijia;MA Li(Department of Dermatology,The Second Hospital of Jilin University,Changchun 130041,China;Department of Emergency Medicine,Second Hospital,Jilin University,Changchun 130041,China)

机构地区：[1]吉林大学第二医院皮肤科,长春130041 [2]吉林大学第二医院急救医学科,长春130041

出　　处：《长春中医药大学学报》2020年第5期1070-1073,共4页Journal of Changchun University of Chinese Medicine

基　　金：吉林省自然科学基金项目(201215062)。

摘　　要：目的探讨基于医联体平台的护理延伸服务在孢子丝菌感染患者遵医行为中的应用效果。方法选择2017年1月-6月就诊于我院皮肤科患者111例为对照组,2017年7月-12月的就诊患者107例为干预组。干预组运用医联体平台实施护理延伸服务,对照组进行常规健康宣教。在干预后1个月、3个月、6个月分别进行遵医行为、服药依从性测评。在干预后1个月、3个月实施疾病相关知识知晓率的评价。结果2组在干预后1个月、3个月、6个月的遵医行为得分、服药依从性测评结果、疾病相关知识知晓率的比较,差异均具有统计学意义(P<0.05)。2组的遵医行为及服药依从性随时间的延长逐渐降低,干预组疾病相关知识知晓率随时间的迁移无明显变化,对照组逐渐降低。结论应用医联体平台实施护理延伸服务可提高患者的遵医行为,在临床推广实施中还需克服难点问题以保证其可持续发展。Objectives To discuss the application effect of medical compliance behavior of patients with sporothrix infection based on extended care on the platform of regional medical consortium.Methods We selected 111 patients admitted to the dermatology department of our hospital from January to June 2017 as the control group,and 107 patients admitted from July to December 2017 as the intervention group.It was carried out with extended care on the platform of regional medical consortium in the control group,otherwise it was carried out with routine health education in the intervention group.Medical compliance behavior and medication compliance were assessed at 1,3and 6 months after intervention.The awareness rates of disease-related knowledge were evaluated at 1 and 3 months after intervention.Results There were statistically significant differences between the two groups in medical compliance behavior scores,medication compliance assessment results and awareness rates of disease-related knowledge at 1,3 and 6 months after intervention(P<0.05).The medical compliance behavior and medication compliance of patients in the two groups gradually decreased with the extension of time.The awareness rate of disease-related knowledge in the intervention group did not change significantly with the migration of time,while that gradually decreased in the control group.Conclusion The application of extended care on the platform of regional medical consortium can improve the medical compliance behavior,and some difficult problems should be overcome to ensure its sustainable development in clinical promotion.

关 键 词：医联体 护理延伸服务 孢子丝菌 遵医行为 

分 类 号：R473.5[医药卫生—护理学]