基于移动健康平台的自我管理干预在青光眼日间手术患者中的应用  

Application of self-management intervention based on mobile health platform in glaucoma patients undergoing day surgery

作　　者：邓诗裔 徐晓叶[1] 郑维鑫 杨春艳[1] 李欣妍[1] 郑玲玲[2] 黄文敏[2] DENG Shiyi;XU Xiaoye;ZHENG Weixin;YANG Chunyan;LI Xinyan;ZHENG Lingling;HUANG Wenmin(Department of Glaucoma,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou,510000,China)

机构地区：[1]中山大学中山眼科中心青光眼科,广州市510000 [2]中山大学中山眼科中心护理部,广州市510000

出　　处：《中国护理管理》2022年第12期1849-1855,共7页Chinese Nursing Management

基　　金：广东省医学科学技术研究基金项目(A2019253)。

摘　　要：目的:分析基于移动健康平台的自我管理干预在青光眼日间手术患者中的应用效果。方法:构建青光眼患者自我管理移动健康平台,患者端包含自我管理教育、自我管理反馈、医患沟通、院后随访4个模块。将80例青光眼患者随机分为对照组和干预组各40例,对照组采用常规护理,干预组在此基础上实施基于移动健康平台的自我管理干预,分别于干预前、干预1个月和3个月后,比较两组患者的青光眼认知水平及自我管理行为。结果:干预组干预1个月和3个月后的青光眼认知水平得分均显著高于对照组(P<0.05)。干预组干预后1个月的自我管理行为总分、干预后1个月和3个月生活调适维度得分均显著高于对照组(P<0.05)。广义线性混合模型结果显示,两组青光眼认知水平总分在时间效应、组间效应以及交互效应有统计学意义(P<0.05);两组自我管理行为总分在组间效应有统计学意义(P<0.05)。结论:基于移动健康平台的自我管理干预可有效提高青光眼患者的疾病认知水平和自我管理能力。Objective:To analyze the application effect of self-management intervention based on mobile health platform in glaucoma patients undergoing day surgery.Methods:A mobile health platform for glaucoma patients which consists 4 modules of self-management education,self-management feedback,physician-patient communication and outpatient follow-up was constructed.A total of 80 glaucoma patients were randomized assigned into control group and intervention group,receiving either usual care or self-management intervention based on mobile health platform.The disease cognition and self-management behavior were compared before and at the end of 1 month and 3 months after the intervention.Results:The scores of disease cognition in the intervention group after 1 month and 3 months were significantly higher than those in the control group(P<0.05).The total score of self-management behavior in the intervention group after 1 month was significantly higher than those in the control group(P<0.05),while the scores of life adjustment after 1 month and 3 months were significantly higher than those in the control group(P<0.05).The results of generalized linear mixed model showed that the total scores of disease cognition in the two groups were statistically significant in time effect,grouping effect and interaction effect(P<0.05),the total scores of self-management behavior in the two groups were statistically significant in grouping effect(P<0.05).Conclusion:The self-management intervention based on mobile health platform can effectively improve patients’disease cognition and self-management.

关 键 词：青光眼 日间手术 移动健康平台 自我管理 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]