建立慢性肾脏病患者信息化管理以延缓慢性肾脏病进展的研究  

Study on Establishing Information Management for Chronic Kidney Disease Patients to Delay Disease Progression

作　　者：王宁 江先仁 邱杰华[1] 黄海流 陈锦生[1] WANG Ning;JIANG Xianren;QIU Jiahua;HUANG Hailiu;CHEN Jinsheng(Department of Nephrology,Zhaoqing Second People's Hospital,Zhaoqing,Guangdong 526040,China)

机构地区：[1]肇庆市第二人民医院肾内科,广东肇庆526040

出　　处：《临床研究》2025年第3期85-88,共4页Clinical Research

摘　　要：目的探讨建立慢性肾脏病患者信息化管理以延缓慢性肾脏病进展的效果。方法前瞻性选取2022年7月至2023年10月期间肇庆市第二人民医院肾内科收治的90例非终末期的慢性肾脏病患者为研究对象,采用随机数字表法分为观察组(n=45)和对照组(n=45)。对照组患者进行常规随诊治疗,观察组患者进行信息化管理治疗,两组均治疗管理至少6个月。统计两组患者治疗期间的再住院率。治疗前、治疗后(治疗6个月)均采用肾内科慢性肾脏病疾病认识调查问卷调查比较两组患者的疾病认知程度评分。在治疗前后均取空腹静脉血检测比较两组血红蛋白(Hb)、白蛋白(ALB)、血尿素氮(BUN)、血肌酐(SCr)、尿酸(UA)等水平变化,比较两组患者的血糖、血压、肾小球滤过率(eGFR)水平,并采用简明健康测量量表(SF-36)评价两组生活质量。结果观察组的再住院率为4.44%(2/45),低于对照组的20.00%(9/45),差异有统计学意义(P<0.05)。与同组治疗前比较,治疗后两组患者的Hb、ALB、eGFR、疾病认知程度评分和SF-36评分均提高,且观察组高于对照组,差异有统计学意义(P<0.05)。与同组治疗前比较,治疗后两组患者的BUN、SCr、UA、空腹血糖、收缩压水平均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论应用互联网信息基础技术,建立信息联络通道和管理平台进行慢性肾脏病患者的信息化管理治疗有助于改善患者肾功能,延缓疾病的进展,降低患者再住院率,提高患者疾病认知和生活质量。Objective To explore the effects of establishing information management for chronic kidney disease patients in delaying disease progression.Methods A total of 90 non-end-stage Chronic kidney disease patients admitted to the Department of Nephrology at Zhaoqing Second People's Hospital from July 2022 to October 2023 were prospectively selected as study subjects.They were randomly divided into an observation group(n=45)and a control group(n=45)using a random number table method.The control group received routine follow-up treatment,while the observation group received information management treatment.Both groups were managed for at least 6 months.The readmission rates during the treatment period were recorded.The Chronic kidney disease Knowledge Questionnaire was administered to both groups before and after treatment(after 6 months)to compare the levels of disease knowledge.Fasting venous blood samples were taken before and after treatment to compare the changes in hemoglobin(Hb),albumin(ALB),blood urea nitrogen(BUN),serum creatinine(SCr),and uric acid(UA)levels between the two groups.Additionally,blood glucose,blood pressure,and estimated glomerular filtration rate(eGFR)were compared,and the Short Form Health Survey(SF-36)was used to evaluate the quality of life in both groups.Results The readmission rate in the observation group was 4.44%(2/45),significantly lower than the control group’s rate of 20.00%(9/45),with statistical significance(P<0.05).Compared to baseline values,both groups showed increased Hb,ALB,eGFR,disease knowledge scores,and SF-36 scores post-treatment,with the observation group scoring higher than the control group,showing statistical significance(P<0.05).Furthermore,compared to baseline,both groups had decreased BUN,SCr,UA,fasting blood glucose,and systolic blood pressure post-treatment,with the observation group showing lower levels than the control group,again with statistical significance(P<0.05).Conclusion Utilizing internet-based information technology to establish communication channel

关 键 词：慢性肾脏病 信息化管理 延缓 疾病进展 疾病认知 

分 类 号：R692[医药卫生—泌尿科学]