“互联网+”多学科合作模式在肾移植术后患者中的效果评价  

Evaluation of the effect of"Internet plus"multidisciplinary collaboration model in patients after kidney transplantation

作　　者：陆炳燕 黄媛媛[1] 杨媛媛[1] 张成伟 罗辰颖 王会衔 LU Bingyan;HUANG Yuanyuan;YANG Yuanyuan;ZHANG Chengwe;LUO Chenying;WANG Huixian(Drum Tower Hospital Affiliated to Medical College of Nanjing University,Nanjing 210000,China)

机构地区：[1]南京大学医学院附属鼓楼医院泌尿外科,江苏省南京市210000

出　　处：《护理实践与研究》2025年第2期159-165,共7页Nursing Practice and Research

基　　金：国家自然科学基金资助项目(编号:81902581);南京鼓楼医院护理科研项目(编号:2022-B519)。

摘　　要：目的探讨构建“互联网+”多学科合作模式对肾移植术后患者的应用效果。方法选择2020年5月—2021年5月来医院肾移植门诊复诊的120例患者作为对照组,实施常规护理干预;选择2021年6月—2022年6月来医院肾移植门诊复诊患者120例作为观察组,在常规的护理基础上实施“互联网+”多学科合作模式。对比两组患者干预前后的自我效能、健康行为、服药依从性及生活质量变化。结果干预前,两组患者自我效能评分经过比较,差异无统计学意义(P>0.05);经过护理干预6个月后,观察组患者的自我效能各个维度的评分及其总分均高于对照组患者,经比较差异具有统计学意义(P<0.05)。干预前,两组患者的健康行为评分进行比较,差异无统计学意义(P>0.05);在干预6个月后,观察组患者健康行为的各项评分均高于对照组,经比较差异有统计学意义(P<0.05)。干预前,两组患者服药依从性评分比较差异无统计学意义(P>0.05);干预6个月后,观察组患者服药依从性评分高于对照组,经比较差异具有统计学意义(P<0.05)。干预前,两组患者生活质量评分比较差异无统计学意义(P>0.05);干预6个月后,观察组患者生活质量各个维度的评分均高于对照组,经比较差异有统计学意义(P<0.05)。结论将“互联网+”多学科合作模式应用于肾移植术后患者的护理过程中,可增强患者的自我效能,促进其健康行为,从而提升服药依从性,并最终提高患者的生活质量。Objective To explore the application effect of"Internet plus"multidisciplinary collaborative model in patients after kidney transplantation.Methods A total of 120 patients who visited the hospital's kidney transplant outpatient clinic for follow-up from May 2020 to May 2021 were selected as the control group and received routine nursing interventions.Another 120 patients who visited the same clinic for follow-up from June 2021 to June 2022 were selected as the observation group and received the"Internet plus"multidisciplinary collaboration model in addition to routine nursing care.The self-efficacy,health behaviors,medication adherence,and quality of life of the two groups were compared before and after the intervention.Results There was no statistically significant difference in the self-efficacy scores between the two groups before the intervention(P>0.05).After 6 months of nursing intervention,the each dimension scores and total score of self-efficacy in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the health behavior scores between the two groups before the intervention(P>0.05).After 6 months of intervention,the scores of health behavior in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the medication adherence scores between the two groups before the intervention(P>0.05).Six months after the intervention,the medication adherence score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the quality of life scores between the two groups before the intervention(P>0.05).After 6 months of intervention,the quality of life scores in the observation group were higher than those in the control group,and the differences were statistic

关 键 词：“互联网+” 多学科合作 肾移植 健康行为 服药依从性 生活质量 

分 类 号：R47[医药卫生—护理学]