互联网医院全病程管理模式在特定疾病患者健康管理中的应用  

Application of Internet Hospital Whole Course Management Model in Specific Diseases Patient Health Management

作　　者：郭彬 石小毛 刘北平 赵丽军[1] 刘姣 GUO Bin;SHI Xiaomao;LIU Beiping;ZHAO Lijun;LIU Jiao(Hepatology Department of Hunan Provincial People's Hospital,Changsha 410000,Hunan,China)

机构地区：[1]湖南省人民医院肝病内科,湖南省长沙市410000 [2]湖南省第二人民医院院办,湖南省长沙市410000 [3]湖南省人民医院老年医学部,湖南省长沙市410000

出　　处：《中国卫生信息管理杂志》2024年第6期875-881,共7页Chinese Journal of Health Informatics and Management

基　　金：湖南省卫生健康委2023年度重点指导课题“基于互联网医院平台老年慢病全病程管理模式应用的研究”(C202314016341)。

摘　　要：目的探讨互联网医院全病程管理模式在非酒精性脂肪性肝病(NAFLD)患者健康管理中的应用效果。方法采用类实验研究,根据纳排标准选取2022年3月至5月的38名NAFLD患者作为对照组,采用常规延续护理方法进行健康管理;选取2022年6月至8月的38名NAFLD患者作为试验组,采用互联网医院全病程管理模式进行管理。并于干预前、干预1个月和3个月后分别对患者的肝功能(AST、ALT)、肝纤维化无创检测(CAP值)及慢性病自我管理(运动习惯管理测量值、医疗保健测量值)进行评估。采用独立样本t检验、重复测量方差分析进行统计分析。结果干预1个月后,ALT、AST、CAP值、运动习惯管理测量值、医疗保健测量值两组之间差异无统计学意义(P>0.05);干预3个月后,试验组运动习惯、医疗保健测量高于对照组,试验组CAP值、AST、ALT值低于对照组,两组之间差异有统计学意义(P<0.05)。结论互联网医院全病程管理模式对NAFLD患者的健康管理效果优于常规延续护理方法。Objective To explore the application effect of the whole-course management model of Internet hospital in the health management of patients with nonalcoholic fatty liver disease(NAFLD).Methods This study used class experimental research,selected 38 NAFLD patients from March to May 2022 as the control group according to the NAFLD criteria,and used conventional continuation of care methods to carry out health management,and selected 38 NAFLD patients from June to August 2022 as the experimental group,and used the Internet hospital whole-course management mode to carry out management.And the patients'liver function(AST,ALT),liver fibrosis noninvasive test(CAP value)and chronic disease self-management(exercise habit management measurements,healthcare measurements)were assessed before intervention,1 month and 3 months after intervention,respectively.Statistical analysis was performed using independent samples t-test and repeated measures ANOVA.Results After 1 month of intervention,there was no statistically significant difference between the two groups of ALT,AST,CAP values,exercise habit management measurements,and healthcare measurements(P>0.05);after 3 months of intervention,exercise habit and healthcare measurements of the experimental group were higher than those of the control group,and the CAP,AST,and ALT values of the experimental group were lower than those of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion The effect of Internet hospital whole-course management model on the health management of NAFLD is better than the conventional continuation of care method.

关 键 词：互联网医院 非酒精性脂肪性肝病 全病程管理 自我管理 

分 类 号：R-058[医药卫生] R197.3