互联网+医疗平台对门诊慢性萎缩性胃炎患者健康相关生活质量的影响研究  

Study on the Effect of“Internet+Healthcare”Platform on Health-related Quality of Life in Patients with Chronic Atrophic Gastritis

作　　者：赵曲川[1] 池添雨[1] Zhao Quchuan;Chi Tianyu(Department of Gastroenterology,Xuanwu Hospital of Capital Medical University,Beijing,100053,China;不详)

机构地区：[1]首都医科大学宣武医院,北京市100053

出　　处：《中国病案》2022年第9期48-51,83,共5页Chinese Medical Record

摘　　要：目的通过随机平行对照临床研究互联网+医疗平台远程医疗对门诊慢性萎缩性胃炎(CAG)患者的健康相关生活质量的影响。方法2021年1月1日-2021年6月1日某院门诊行胃镜检查初次确诊CAG患者228人纳入临床试验。最终入组符合标准患者198人,排除患者30人。采用分层随机化办法,互联网+医疗平台远程医疗联合常规治疗为试验组有99例,常规治疗为对照组有99例,对2组患者治疗前后的健康相关生活质量进行比较分析,最终应用多元逐步线性分析确定影响CAG患者健康相关生活质量的因素。结果治疗前后试验组与对照组躯体疼痛[(71.6±14.4to92.0±9.3)vs.(71.6±11.7to87.0±9.2),P=0.002]、一般健康[(55.6±15.8to82.5±10.3)vs.(55.2±13.8to74.8±13.1),P<0.001]、精力[(54.2±10.7to77.8±10.2)vs.(56.2±12.0to76.5±9.3),P=0.041]、精神健康[(56.7±13.2to85.2±8.3)vs.(54.5±12.8 to 76.0±11.0),P<0.001]评分变化幅度有差别,试验组评分提高幅度大于对照组,差异有统计学意义。多元逐步线性回归分析显示互联网+医疗平台远程医疗[B(95%CI)=1.587(0.223~2.951),P=0.023]与治疗后CAG患者躯体健康总评评分相关,互联网+医疗平台远程医疗[B(95%CI)=4.380(2.653~6.108),P<0.001]与治疗后CAG患者精神健康总评评分相关。结论互联网+医疗平台远程医疗可以有效地改善门诊CAG患者的躯体健康以及精神健康,提高患者的健康相关生活质量。Objectives This study aims to elucidate whether Internet+Healthcare platform can improve health-related quality of life in patients with chronic atrophic gastritis through a randomized parallel controlled clinical trial.Methods Thisclinical trial included 228 patients who were enrolled with initially diagnosed CAG by gastroscopy in a hospital from January 1,2021 to June 1,2021.198 patients who met the standard were finally selected and 30 patients were excluded.The enrolled patients were assigned into the“Internet+Healthcare”platform and conventional treatment group(experimental group,n=99 cases)and the conventional treatment group(control group,n=99 cases)by stratified randomization.The health-related quality of life(HRQOL)of patients in the two groups was compared and analyzed before and after treatment.Finally,the factors affecting the HRQOL of patients with CAG were determined by multivariate stepwise linear analysis.Results Before and after treatment,there was a difference between the experimental group and the control group in the aspects of change of bodily pain[(71.6±14.4 to 92.0±9.3)vs.(71.6±11.7 to 87.0±9.2),P=0.002],general health[(55.6±15.8 to 82.5±10.3)vs.(55.2±13.8 to 74.8±13.1),P<0.001],vitality[(54.2±10.7 to 77.8±10.2)vs.(56.2±12.0 to76.5±9.3),P=0.041]and mental health[(56.7±13.2 to 85.2±8.3)vs.(54.5±12.8 to 76.0±11.0),P<0.001].The scores of the experimental group were significantly higher than those of the control group.Multiple stepwise linear regression analysis showed that the Internet+Healthcare platform remote treatment[B(95%CI)=1.587(0.223~2.951),P=0.023]was related to the physical component summary of CAG patients after treatment.The Internet+Healthcare platform remote treatment[B(95%CI)=4.380(2.653~6.108),P<0.001]was related to the mental component summary of CAG patients after treatment.Conclusions Internet+Healthcare platform combined with conventional treatment more effectively improves the physical and mental health of patients with chronic atrophic gastritis and e

关 键 词：慢性萎缩性胃炎 健康相关生活质量 互联网+医疗 

分 类 号：R573.32[医药卫生—消化系统]