智能语音随访系统在缺血性卒中二级预防中的应用分析  

Application analysis of intelligent speech follow-up system in secondary prevention of ischemic strok

作　　者：尹毅丹 杨建萍[1] 孙宁[1] 马宝英[1] 刘小玲[1] YIN Yidan;YANG Jianping;SUN Ning;MA Baoying;LIU Xiaoling(the First Department of Neurology,Shaanxi Provincial People′s Hospital,Xi′an,Shaanxi,710068)

机构地区：[1]陕西省人民医院神经内一科,陕西西安710068

出　　处：《实用临床医药杂志》2023年第22期1-5,共5页Journal of Clinical Medicine in Practice

基　　金：陕西省自然科学基础研究项目(2022JM-483);陕西省人民医院科技发展基金项目(2021HL-18)。

摘　　要：目的分析智能语音随访系统在缺血性卒中(IS)二级预防中的应用。方法采用随机数字表法将842例接受静脉溶栓治疗的IS患者分为智能组和人工组。智能组针对影响IS发生的主要危险因素制订相应智能随访话术模板。智能随访系统依据患者出院时预留信息确定随访日期和时段,自动对患者进行呼出随访,并将应答内容转换为文字模式输出。人工组由经过专业培训的护理人员完成随访,随访内容与智能组相同。整理2组电话呼出情况、高血压和糖尿病患病情况、服药状况、运动情况、平均通话时间和随访满意度。结果2组电话接通率比较,差异无统计学意义(P>0.05)。接通随访电话中,智能组随访内容正确识别率低于人工组,不愿配合率和电话中断率高于人工组,差异有统计学意义(P<0.05);2组自动留言、接听不便、居民死亡、家属无法代回答和号码错误占比差异均无统计学意义(P>0.05);未接通电话中,2组未接通原因分布差异均无统计学意义(P>0.05)。有效随访通话中,2组高血压和糖尿病相关提问回答情况、服药依从性和运动情况差异均无统计学意义(P>0.05)。智能组平均通话时间短于人工组,随访满意度低于人工组,差异有统计学意义(P<0.05)。结论智能语音随访系统一定程度上可替代人工电话随访,帮助医护人员了解IS患者居家血压、血糖、服药、运动情况和二级预防的依从性,相较于人工随访能节省随访时间,提高随访效率,但其在语言识别、提高患者配合度等方面仍有待优化。Objective To analyze the application of intelligent speech follow-up system in secondary prevention of ischemic stroke(IS).Methods A total of 842 IS patients who received intravenous thrombolysis were randomly divided into intelligent group and artificial group.In the artificial group,corresponding intelligent follow-up templates were developed for the main risk factors affecting the occurrence of IS.The intelligent follow-up system determined the follow-up time and period according to the reserved information of patients when they were discharged,automatically called out the patients′home conditions for follow-up,and converted the response contents into text mode for output.The artificial group was followed up by professionally trained nursing staff,and the follow-up content was the same as that of the intelligent group.Call out,hypertension,diabetes,medication,exercise,average call time and satisfaction of follow-up in the two groups were collected.Results The telephone connection rates showed no statistical significances between two groups(P>0.05).During the follow-up calls,the correct recognition rate of follow-up contents in the intelligent group was lower,and therateof unwillingness to cooperate and call interruption rate were higher than those in the control group(P<0.05).There were no statistically significant differences in the percentages of automatic message leaving,inconvenient answering,resident death,family members unable to answer and number error between the two groups(P>0.05),and there was no statistical significance in the distribution of disconnected calls between the two groups(P>0.05).In the effective follow-up calls,there was no statistical significance in the answers to questions related to hypertension and diabetes,compliance and exercise between the two groups(P>0.05).The average call duration in the intelligent group was significantly shorter,and follow-up satisfaction was lower than that in the control group(P<0.05).Conclusion Intelligent voice follow-up system can replace manual tele

关 键 词：缺血性脑卒中 二级预防 随访 智能语音系统 配合率 依从性 

分 类 号：R651[医药卫生—外科学] R743.34[医药卫生—临床医学] R174