智能信息技术在甲状腺日间手术后患者随访中的应用效果  

Application effect of intelligent information technology in thyroid day postoperation follow-up patients

作　　者：龚智娴 朱小萍[1] 雷雪英[1] 陈航 曹英[1] GONG Zhixian;ZHU Xiaoping;LEI Xueying;CHEN Hang;CAO Ying(The First Affi liated Hospital of Nanchang University,Nanchang,330006,China)

机构地区：[1]南昌大学第一附属医院日间病房,江西省南昌市330006

出　　处：《护理实践与研究》2023年第15期2249-2253,共5页Nursing Practice and Research

基　　金：江西省教育厅科学技术研究项目(编号:GJJ210211)。

摘　　要：目的 探讨智能信息技术在甲状腺日间手术后患者随访中的临床应用效果。方法 选择2021年6月—2022年1月在医院日间病房行甲状腺手术患者250例作为研究对象,按照组间基本特征匹配的原则分为对照组和观察组,每组125例。对照组采用人工电话进行出院随访,观察组采用智能信息平台进行出院随访。对照组完成随访112例,观察组完成随访123例。比较两组患者的随访结果。结果 观察组患者的随访率高于对照组,差异有统计学意义(P<0.05);随访时,两组患者在颈部不适、声音嘶哑、饮水呛咳、手脚发麻、切口感染和切口血肿等并发症发生率比较差异无统计学意义(P>0.05);观察组不必要再就诊率低于对照组(P<0.05);自身病情熟悉度、应急处理熟悉度、复查计划和用药注意事项评分高于对照组(P<0.05)。结论 智能信息随访平台应用在甲状腺日间手术后随访患者中,能有效克服日间手术量大、患者住院时间短、健康宣教时长及次数不足等缺点,保证患者出院后的安全和快速康复。Objective To explore the clinical application effect of intelligent information technology in the follow-up of patients after thyroid day surgery.Methods 250 patients who underwent thyroid surgery in the daytime ward of the hospital from June 2021 to January 2022 were selected as the study subjects,they were divided into a control group and an observation group of 125 cases each according to the principle of matching the basic characteristics between the groups.The control group applied manual telephone for discharge follow-up,the observation group used intelligent information platform for discharge follow-up.The control group completed the follow-up of 112 cases,and the observation group completed the follow-up of 123 cases.Compare the follow-up results of the two groups of patients.Results The follow-up rate of patients in the observation group was higher than that of the control group,and the diff erence was statistically signifi cant(P<0.05).At the time of follow-up,there was no statistically signifi cant diff erence between the two groups when comparing the rates of complications such as neck discomfort,hoarseness,choking on drinking water,numbness of the hands and feet,incisional infections,and incisional haematomas(P>0.05).The rate of unnecessary revisits in the observation group was lower than that in the control group(P<0.05).The familiarity with themselves'illness condition,emergency treatment familiarity,review plan and medication precautions scores were higher than those of the control group(P<0.05).Conclusion The application of intelligent information follow-up platform in the follow-up of patients after thyroid day surgery could effectively overcome the shortcomings of large volume of day surgery,short hospitalisation time of patients,and insuffi cient time and frequency of health education,and ensure the safety and rapid recovery of patients after discharge.

关 键 词：智能信息技术 日间手术 甲状腺手术 术后随访 延续性护理 

分 类 号：R473.6[医药卫生—护理学]