信息化管理平台结合可穿戴设备在慢性肾病患者自我管理中的应用  

Application of information management platform combined with wearable devices in self-management of patients with chronic kidney disease

作　　者：丁苗佳 杨燕茹[1] 沈水娟[1] 毛丹璐 Ding Miaojia;Yang Yanru;Shen Shuijuan;Mao Danlu(Department of Nephrology,Shaoxing People's Hospital,Shaoxing 312000,China)

机构地区：[1]绍兴市人民医院肾内科,浙江绍兴312000

出　　处：《护理学杂志》2024年第22期116-120,共5页Journal of Nursing Science

基　　金：浙江省卫生健康科技计划项目(2022KY404)。

摘　　要：目的探讨信息化管理平台结合可穿戴设备在慢性肾病患者管理中的应用效果。方法研发慢性肾病管理平台,组建慢性肾病管理团队,将90例慢性肾病Ⅰ~Ⅲ期患者随机分为观察A组、B组和对照组各30例,对照组给予常规健康管理,观察A组在常规管理基础上纳入慢性肾病管理平台管理,观察B组在观察A组基础上结合可穿戴设备(多功能健康智能手环)对患者实施健康管理干预,6个月后比较三组在疾病管理能力、实验室指标和血压达标率方面的差异。结果对照组30例、观察A组29例,观察B组28例完成研究。随访6个月后,三组自我管理能力评分比较,差异有统计学意义;两两比较,对照组显著低于观察A组与观察B组,观察A组显著低于观察B组(均P<0.05)。三组血红蛋白值比较,差异有统计学意义;两两比较,对照组显著低于观察A组(均P<0.05)。三组内生肌酐清除率比较,差异有统计学意义;两两比较,对照组显著低于观察B组(均P<0.05)。三组血压达标率比较,差异有统计学意义(P<0.05);两两比较,对照组、观察A组显著低于观察B组(均P<0.0167)。结论通过慢性肾病管理平台结合可穿戴设备对慢性肾病患者进行管理,能显著提高患者自我管理能力,延缓疾病进展。Objective To explore the application effect of information management platform combined with wearable devices in the management of chronic kidney disease.Methods A chronic kidney disease management platform was developed,and a chronic kidney disease management team was established.A total of 90 patients with chronic kidney disease stage Ⅰ-Ⅲ were randomly divided into intervention group A,group B and control group of 30 cases each.The control group received routine health management,intervention group A was managed on the basis of routine management with the inclusion of the information management platform,and intervention group B was implemented the health management interventions by combining wearable devices(multifunctional health smart bracelets)on the basis of intervention group A.After 6 months,the differences of disease management ability,laboratory indicators and blood pressure compliance rate among the three groups were compared.Results A total of 30 cases in the control group,29 cases in the intervention group A,and 28 cases in the intervention group B completed the whole study.After 6 months of follow-up,the differences in self-management ability scores among the three groups were significant;compared pairwise,the control group was significantly lower than the intervention group A and B,and the intervention group A was significantly lower than the intervention group B(all P<0.05).The differences in hemoglobin values among the three groups were statistically significant;compared pairwise,the control group was significantly lower than the intervention group A(both P<0.05).The endogenous creatinine clearance rates among the three groups were statistically significant;compared pairwise,the control group was significantly lower than the intervention group B(both P<0.05).The blood pressure compliance rates among the three groups were statistically significant;compared pairwise,the control group was significantly lower than the intervention group B,the intervention group A was significantly lower than the

关 键 词：慢性肾病 健康管理平台 可穿戴设备 自我管理 血红蛋白 内生肌酐清除率 血压 信息化护理 

分 类 号：R473.5[医药卫生—护理学]