基于“互联网+”减重代谢手术患者全周期护理管理平台的构建与实践  

Construction and practice of a full-cycle management platform for patients undergoing weight loss and metabolic surgery based on"Internet+"

作　　者：魏宵 方方[2] 王道荣[2] 袁海娟[2] 陈心怡 王婉萍 王天秀 华铭波 WEI Xiao;FANG Fang;WANG Daorong;YUAN Haijuan;CHEN Xinyi;WANG Wanping;WANG Tianxiu;HUA Mingbo(Nursing College of Yangzhou University,Yangzhou 225009,China;Northern Jiangsu People's Hospital,Yangzhou 225000,China)

机构地区：[1]扬州大学护理学院,江苏省扬州市225009 [2]江苏省苏北人民医院,江苏省扬州市225000

出　　处：《护理实践与研究》2024年第11期1714-1719,共6页Nursing Practice and Research

基　　金：江苏省卫生健康委科研项目(编号:ZD2022047)。

摘　　要：目的构建和设计基于“互联网+”减重代谢手术患者全周期管理平台,并且评价分析减重代谢手术患者全周期管理平台的临床实践效果。方法选取江苏省苏北人民医院胃肠外科2021年7月—2022年9月收治的120例减重代谢手术患者作为研究对象按数字随机法分为观察组和对照组各60例,在术后12个月内进行随访。对照组进行常规的健康宣教、治疗及随访,观察组在对照组基础上,应用“互联网+”在手术全周期实施管理,观察比较两组患者术后合并症(糖尿病、高血压、高血脂、睡眠呼吸暂停综合征、脂肪肝)缓解情况,多余体质量减少百分比(%EWL)及饮食、用药、运动的依从性。结果观察组的糖尿病、高血压、高血脂、睡眠呼吸暂停综合征、脂肪肝等合并症缓解情况均优于对照组,差异有统计学意义(P<0.05)。观察组12个月内的平均%EWL均高于对照组,差异有统计学意义(P<0.05);观察组中22名患者的%EWL<50%,复重率为36.67%;对照组中有45名患者的%EWL<50%,复重率为75.00%。对照组的复重率高于观察组患者,差异有统计学意义(P<0.05)。观察组患者的饮食依从性、用药依从性及运动依从性的改善程度均高于对照组,差异有统计学意义(均P<0.05)。结论对减重代谢手术患者采用基于“互联网+”全周期管理平台可提高患者合并症缓解情况,减重成功率及治疗依从性。Objective To construct and design a full-cycle management platform for weight loss metabolic surgery patients based on"Internet+",and to evaluate and analyze the clinical practice effect of the full-cycle management platform for weight loss metabolic surgery patients.Methods A total of 120 cases of weight loss and metabolic surgery patients admitted to the Gastrointestinal Surgery Department of Northern Jiangsu People's Hospital of Jiangsu Province from July 2021 to September 2022 were selected as study subjects and divided into 60 cases each of the observation group and the control group according to the numerical randomization method,and were followed up within 12 months after surgery.The control group carried out routine health education,treatment and follow-up,and the observation group applied the"Internet+"to implement management in the whole cycle of surgery,based on the control group to observe and compare the postoperative comorbidities(diabetes,hypertension,hyperlipidemia,sleep apnea syndrome,fatty liver)alleviation,the percentage of excess body mass reduction(%EWL)and the adherence to diet,medication,and exercise of the patients in the two groups.Results The remission of comorbidities such as diabetes,hypertension,hyperlipidemia,sleep apnea syndrome,and fatty liver in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).The mean%EWL within 12 months in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);22 patients in the observation group had a%EWL of<50%and a relapse rate of 36.67%;45 patients in the control group had a%EWL of<50%and a relapse rate of 75.00%.The relapse rate in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The improvement in dietary compliance,medication compliance and exercise compliance in the observation group were higher than those in the control group,the differences were sta

关 键 词：“互联网+” 减重代谢手术 全周期管理平台 实践应用 平台构建 

分 类 号：R473.58[医药卫生—护理学]