基于信息化的炎症性肠病整合型全程随访管理  

The integrated full follow-up management for inflammatory bowel disease utilizing information technology

作　　者：徐瑛萱 王琛[2] 姜曼[3] 丁雪丽[4] 孙晓方[5] 单信芝[6] XU Yingxuan;WANG Chen;JIANG Man;DING Xueli;SUN Xiaofang;SHAN Xinzhi(School of Nursing,Qingdao University,Qingdao 266011,China;Office of President,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Pharmacy,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Gastroenterology,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Medicine,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Service Management,Affiliated Hospital of Qingdao University,Qingdao 266003,China)

机构地区：[1]青岛大学护理学院,山东青岛266011 [2]青岛大学附属医院院长办公室,山东青岛266003 [3]青岛大学附属医院药学部,山东青岛266003 [4]青岛大学附属医院消化内科,山东青岛266003 [5]青岛大学附属医院医务部,山东青岛266003 [6]青岛大学附属医院服务管理部,山东青岛266003

出　　处：《中国临床护理》2024年第12期759-763,共5页Chinese Clinical Nursing

基　　金：青岛市医药卫生科研计划项目(编号:2021-WJZD166)。

摘　　要：本研究通过整合消化内科医疗及护理、营养科、药剂科、信息科及炎症性肠病(inflammatory bowel disease,IBD)志愿者等多学科资源,结合自主开发的全程管理随访信息化系统对IBD患者进行全病程管理并提供诊后智能随访监测服务。该系统上线后已累计随访炎症性肠病患者780余人,目前有超过200人正在接受随访,该模式有效控制了IBD患者病情的进展,并显著改善了患者的生活质量,实现了针对IBD患者的动态化随访与个体化诊疗指导,有助于提升IBD患者全病程管理质量,简化就诊流程,改善患者的就医体验。A whole-course management model developed by integrating the multidisciplinary resources of gastroenterology medicine and nursing,nutrition,pharmacy,information department,and IBD volunteers was provided for comprehensive disease management and follow-up of inflammatory bowel disease(IBD)patients after their after diagnosis.Since the system was launched,more than 780 patients had been followed up,with more than 200 currently being followed up.The new system can effectively control the progression of IBD patients,significantly improve their life quality,and achieve dynamic follow-up and individualized diagnosis and treatment guidance for IBD patients.It is helpful to improve the quality of whole-course management,simplify the treatment process and improve their medical experience.

关 键 词：炎症性肠病 全程管理 随访体系 信息化 

分 类 号：R473.5[医药卫生—护理学]