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作 者:王金莲[1] 宋晓 Wang Jinlian;Song Xiao(Department of Neurology,Yongcheng People’s Hospital,Shangqiu,Henan,476600,China)
机构地区:[1]永城市人民医院神经内科,河南商丘476600
出 处:《黑龙江医学》2024年第2期228-230,共3页Heilongjiang Medical Journal
摘 要:目的:探讨互联网背景下的信息化管理在慢性伤口、造口、失禁患者中的应用效果,旨在为患者提供高质量的院外延伸护理服务,提高患者预后质量。方法:回顾性分析2019年6月—2021年1月永城市人民医院收治的197例伤口造口失禁患者临床资料,根据患者院后护理方案的不同分为研究组(98例,院后接受互联网背景下的信息化管理)与对照组(99例,接受常规院后延续性护理),干预时间均为院后6个月。对比两组患者干预前后生活能力(ADL)评分、护理满意度及造口并发症。结果:干预后,研究组患者ADL-进阶能力、ADL-基本能力、ADL-总分高于对照组,差异有统计学意义(t=26.470、6.260、8.799,P<0.05);研究组患者满意率高于对照组,差异有统计学意义(χ^(2)=5.593,P<0.05);研究组总并发症率低于对照组,差异有统计学意义(χ^(2)=4.834,P<0.05)。结论:互联网背景下的信息化管理平台可提慢性伤口造口失禁患者自我健康管理能力及生活质量,有助于提高临床患者院后伤口造口管理水平。Objective:To investigate the effect of information management in the context of the Internet in patients with chronic wounds,stoma,and incontinence,with the aim of providing high-quality out-of-hospital extended care services for patients and improving the quality of their prognosis.Methods:The clinical data of 197 patients with wound stoma incontinence admitted to the hospital from June 2019 to January 2021 were retrospectively analyzed,and the patients were divided into a study group(98 cases,who received information management in the context of the Internet in the post-hospital period)and a control group(99 cases,who received conventional post-hospital continuity of care)according to the difference in their post-hospital care regimens,with the intervention time being 6 months post-hospital.The ability daily living(ADL)scores,satisfaction with care,and stoma complications were compared between the two groups before and after the intervention.Results:After the intervention,the ADL-Advanced Ability,ADL-Basic Ability,and ADL-Total scores of the study group were higher than those of the control group,and the differences were statistically significant(t=26.470,6.260,8.799,P<0.05).The satisfaction rate of the study group was higher than that of the control group,and the difference was statistically significant(χ^(2)=5.593,P<0.05).The total complication rate of the study group was lower than that of the control group,and the difference was statistically significant(χ^(2)=4.834,P<0.05).Conclusion:An information-based management platform in the context of the Internet can improve the self-health management ability and quality of life of chronic wound stoma incontinence patients,and help to improve post-hospital wound stoma management in clinical patients.
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