基于“互联网+”神经源性膀胱骶神经调控患者智慧化管理模式构建  

Construction of Intelligent Management Mode Based on"Internet Plus"Sacral Nerve Modulation of Neurogenic Bladder Patients

作　　者：金宗兰[1] 陈萍萍[1] 李磊[1] 刘玲莉[1] 陈梅霞[1] 刘玲[1] 任海迪 韩东[1] 郝宗耀[1] 胡少华[2] JIN Zonglan;CHEN Pingping;LI Lei(The First Affiliated Hospital of Anhui Medical University, Hefei,Anhui,230022,China)

机构地区：[1]安徽医科大学第一附属医院,安徽合肥230022 [2]安徽医科大学第一附属医院护理部,安徽合肥230022

出　　处：《中国卫生质量管理》2021年第5期79-84,共6页Chinese Health Quality Management

基　　金：4K(5G)腹腔镜系统关键技术与产业化(项目编号:GXXT-2019-014);安徽省中央引导地方科技发展专项任务书(项目编号:2019b07030004)。

摘　　要：按照课题研究型品管圈活动步骤,针对神经源性膀胱骶神经调控患者管理现状与攻坚点进行分析,经过科学循证、专家指导等,从医院、社区、家庭各环节无缝衔接,基于互联网+,着眼于资源配置优化,打造智慧化管理系统,完善骶神经调控全过程服务环节,建立多维网络化健康教育体系并延伸护理服务内涵等,使医护人员知识水平由60%提升至91%,多学科会诊及时率由72%提升至98%,患者医院焦虑抑郁发生率由55%下降至35%,患者术后切口感染发生率由13%降至3%,骶神经刺激器植入术二期植入率由59%提升至75%,患者间歇导尿掌握率提高,生活自理能力评分提高,生活质量影响指数下降,术后随访率提高,促进了患者康复,提高了患者生活质量。According to the steps of the research-oriented quality control circle,the management status and key points of patients with neurogenic bladder sacral nerve modulation were analyzed.Through scientific evidence-based and expert guidance,focused on the seamless link from the hospital,community and family,based on the Internet plus and focused on the optimization of resource allocation,measures were taken to create an intelligent management system,to improve the whole process of service link of sacral nerve modulation,to establish a multidimensional network health education system and extended nursing service connotation.It made the medical staff knowledge rate increased from 60%to 91%,the multidisciplinary consultation timely rate increased from 72%to 98%,the incidence of hospital patients with anxiety depression decreased from 55%to 35%,incision infection rate decreased from 13%to 3%,patients with sacral neuromodulation phase-two implantation rate increased from 59%to 75%.The mastery rate of intermittent catheterization was improved,the score of self-care ability of life was improved,the influence index of quality of life was decreased,and the postoperative follow-up rate was increased,which promoted the rehabilitation of patients and improved the quality of life of patients.

关 键 词：品管圈 课题研究型品管圈 神经源性膀胱 骶神经调控 互联网+ 智慧化管理 

分 类 号：R197.323[医药卫生—卫生事业管理] R69[医药卫生—公共卫生与预防医学]