系统性红斑狼疮患者应用"互联网+"慢性病管理模式效果评价  

Effect evaluation of"Internet plus"chronic disease management model in patients with systemic lupus erythematosus

作　　者：刘琳[1] 万承贤[2] 杨莉[3] 张夏云[3] 胡竹芳[3] Liu Lin;Wan Chengxian;Yang Li;Zhang Xiayun;Hu Zhufang(Department of Nursing,Jiangxi Provincial People′s Hospital,Nanchang 330006,China;Department of Neurosurgery,Jiangxi Provincial People′s Hospital,Nanchang 330006,China;Department of Rheumatology and Immunology,Jiangxi Provincial People′s Hospital,Nanchang 330006,China)

机构地区：[1]江西省人民医院护理部,南昌330006 [2]江西省人民医院神经外科,南昌330006 [3]江西省人民医院风湿免疫科,南昌330006

出　　处：《国际护理学杂志》2024年第10期1894-1898,共5页international journal of nursing

基　　金：江西省卫生健康委科技计划(202210133)。

摘　　要：目的观察采用"互联网+"慢性病管理模式在系统性红斑狼疮患者中的应用效果。方法选取在江西省人民医院收治并转为家庭护理的SLE患者作为研究对象。将2021年7~12月出院的60例患者设为对照组,接受常规微信延续护理管理;将2022年1~6月出院的60例患者设为观察组,在对照组的基础上接受"互联网+"慢性病管理,两组患者随访干预时间均为6个月。比较两组患者干预前后疾病认知程度、自我管理依从性和生活质量。结果与对照组相比,干预后观察组患者疾病认知程度更高,差异有统计学意义(P<0.01)。观察组患者自我管理依从性(包含合理饮食、戒烟禁酒、合理运动、按时服药、按时复诊5个方面)均高于对照组,差异均有统计学意义(均P<0.01)。观察组患者生活质量(包含环境、社会、心理、生理4个维度)均高于对照组,差异均有统计学意义(均P<0.01)。结论采用"互联网+"慢性病管理模式可提高SLE患者疾病认知程度,改善SLE患者的自我管理依从性,从而提高SLE患者生活质量。Objective To observe the effect of"Internet plus"chronic disease management model in patients with systemic lupus erythematosus.Methods SLE patients who were admitted to our hospital and transferred to home care were selected as the research object.Sixty patients discharged from hospital from July to December 2021 were set as the control group and accepted the routine WeChat continuous nursing management.The sixty patients discharged from the hospital from January to June 2022 were set as the observation group.On the basis of the control group,they received the"Internet plus"chronic disease management.The follow-up intervention time of both groups was 6 months.The degree of disease cognition,self-management compliance and quality of life were compared between the two groups before and after the intervention.Results Compared with the control group,the patients in the observation group had a higher degree of disease cognition after intervention,and the difference was statistically significant(P<0.01).The self-management compliance of the patients in the observation group(There are five aspects:reasonable diet,smoking and alcohol cessation,reasonable exercise,taking medicine on time and returning to the hospital on time)was higher than that in the control group,and the difference was statistically significant(all P<0.01).The quality of life(There are 4 dimensions:environmental,social,psychological and physiological dimensions)of the patients in the observation group was higher than that in the control group,and the difference was statistically significant(all P<0.01).Conclusions "Internet plus"chronic disease management model can improve SLE patients′disease awareness,improve SLE patients′self-management compliance,and thus improve SLE patients′quality of life.

关 键 词：互联网 慢性病 管理模式 系统性红斑狼疮 

分 类 号：R473.5[医药卫生—护理学]