基于智慧医院的个案管理云服务在肺癌化疗患者中的应用  

Effect of case management cloud service based on smart hospital in patients with lung cancer undergoing chemotherapy

作　　者：王春慧 徐凯佳 李慧锋 王丽[1] 贾芳芳 李洁瑶[1] Wang Chunhui;Xu Kaijia;Li Huifeng;Wang Li;Jia Fangfang;Li Jieyao(Department of Oncology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院肿瘤内科三病区,郑州450000

出　　处：《中华现代护理杂志》2022年第30期4246-4250,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于智慧医院的个案管理云服务在肺癌化疗患者中的应用效果。方法采用便利抽样法选择2019年3月—2020年6月在郑州大学第一附属医院化疗的148例肺癌患者,随机分为对照组和观察组,各74例。对照组采取常规个案管理,观察组采取基于智慧医院的个案管理云服务。比较化疗前后两组患者的生活质量、治疗依从性。结果148例患者中,有17例化疗期间死亡,未完成全部化疗疗程,包括观察组4例及对照组13例。对照组化疗前后的生理状况、社会和(或)家庭状况、功能状况及生活质量总分比较,差异有统计学意义(P<0.05);观察组化疗前后的生理状况、功能状况及生活质量总分比较,差异有统计学意义(P<0.05);观察组化疗后的生理状况、情绪状况、功能状况及生活质量总分高于对照组,差异有统计学意义(P<0.05)。观察组的治疗依从性优于对照组,差异有统计学意义(P<0.05)。结论与常规个案管理相比,基于智慧医院的个案管理云服务在维持肺癌化疗患者生活质量、提高治疗依从性方面更具优势。Objective To explore the effect of case management cloud service based on smart hospital in patients with lung cancer undergoing chemotherapy.Methods From March 2019 to June 2020,a total of 148 patients with lung cancer who received regular chemotherapy in the First Affiliated Hospital of Zhengzhou University were selected by convenience sampling method,and randomly divided into the control group and the observation group with 74 cases in each group.The control group received routine case management,and the observation group received case management cloud service based on smart hospital.Quality of life,treatment compliance and mortality were compared between the two groups.Results Of the 148 patients,17 cases died and did not complete the whole course of chemotherapy,including 4 cases in the observation group and 13 cases in the control group.The survival rates of the observation group and the control group during chemotherapy were 94.6%and 82.4%,respectively.There were statistically significant differences in physiological status,social and/or family status,function and total scores of quality of life of the control group before and after chemotherapy(P<0.05).There were statistically significant differences in physiological status,function and total score of quality of life of the observation group before and after chemotherapy(P<0.05).After chemotherapy,physiological status,emotional status,functional status,total score of quality of life and treatment compliance of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Compared with conventional case management,case management cloud service based on smart hospital has more advantages in maintaining quality of life,improving treatment compliance and survival prognosis of patients with lung cancer undergoing chemotherapy.

关 键 词：肺肿瘤 化疗 智慧医院 个案管理 

分 类 号：R473.73[医药卫生—护理学]