基于远程平台的区域协同管理在农村患者冠状动脉介入治疗中的应用  

Application of remote platform based regional collaboration to rural patients undergoing coronary intervention

作　　者：黄峥[1] 白井双 蔡立柏[2] 王颖[1] 申泱泱[1] Huang Zheng;Bai Jingshuang;Cai Libai;Wang Ying;Shen Yangyang(Department of Cardiology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院心血管内科,河南郑州450052 [2]郑州大学第一附属医院护理部,河南郑州450052

出　　处：《护理学杂志》2021年第14期19-22,共4页Journal of Nursing Science

基　　金：河南省高等学校重点科研项目(20B320052)。

摘　　要：目的设计心血管介入远程支持平台,探讨在跨区域农村行冠状动脉介入手术诊疗中的应用效果。方法将首次就诊于基层心血管联盟医院,后转诊至上级医院行冠状动脉介入手术的118例农村患者按照诊治时间分为A组与B组各59例。A组按照传统模式实施会诊与转诊;B组通过心血管介入远程支持平台实施会诊与转诊,制定区域协同术后运动康复方案。比较两组患者的救治效率。结果B组转诊决策时间、冠状动脉介入手术治疗决策时间、术后卧床时间及住院时间显著短于A组,康复锻炼依从性显著高于A组(均P<0.01)。结论基于心血管介入远程支持平台的应用可规范联盟医院间远程会诊、转诊流程,减少农村冠状动脉介入手术患者治疗决策延迟和转诊决策延迟时间,促进患者早期康复。Objective To design a remote platform to support coronary intervention,and to explore the application effect in rural patients undergoing percutaneous coronary intervention(PCI)across regions.Methods A total of 118 rural patients initially attending primary care settings of a Cardiology Alliance and then being transferred to a tertiary hospital for PCI were divided into two groups according to time sequence.Group A was given routine consultation and referral,while group B received consultation and referral using remote platform,and protocol for regional collaboration in exercise rehabilitation post-PCI was developed.Results The decision-to-referral time,decision to PCI treatment time,duration of postoperative bed rest,and length of hospital stay were significantly shorter,whereas compliance with rehabilitation training was significantly higher in group B compared with group A(P<0.01 for all).Conclusion Application of remote platform can standardize the process of remote consultation and referral between alliance memberships,shorten decision time to treatment and referral,thus to benefit patients′recovery.

关 键 词：冠心病 农村患者 冠状动脉介入手术 信息平台 医联体 康复护理 分级诊疗 

分 类 号：R473.5[医药卫生—护理学]