运用智能平台对大隐静脉曲张日间手术患者出院后随访的效果观察  

Observation on the follow-up effect of patients undergoing daytime surgery for great saphenous vein varicose veins using an intelligent platform after discharge

作　　者：石代红[1] 范润 SHI Daihong;FAN Run(Department of General Surgery,Yongchuan Hospital of Chongqing Medical University,Chongqing 402160,China)

机构地区：[1]重庆医科大学附属永川医院普通外科,重庆402160

出　　处：《现代医药卫生》2025年第4期908-911,共4页Journal of Modern Medicine & Health

基　　金：重庆市永川区科技局自然科学基金项目(Ycstc2020nb0244)。

摘　　要：目的探讨运用智能平台对大隐静脉曲张日间手术患者出院后随访的应用效果。方法选取该院2021年1月至2023年12月204例行大隐静脉曲张日间手术的住院患者为研究对象,试验组99例,对照组105例。试验组运用医院引进的智能随访平台结合电话进行随访,对照组运用微信群结合问卷星进行随访。比较2组患者的随访主动回复率,术后1、3 d康复知识掌握度,术后7 d随访指标。结果对照组和试验组发送频率一致,每例患者发送6次随访,2组患者的主动回复率均较低,需结合电话进行随访,试验组的随访主动回复率[59.8%(355/594)vs.46.0%(290/630)]高于对照组,差异有统计学意义(P<0.05)。术后1、3 d康复知识掌握度高于对照组[(23.4±1.6)分vs.(20.0±1.3)分、(28.7±1.1)分vs.(24.3±1.3)分],差异有统计学意义(P<0.05)。试验组在术后每日活动时间大于1 h占比明显高于对照组[29.3%(29/99)vs.12.4%(13/105)],差异有统计学意义(P<0.05),而术后疼痛、并发症、肢体循环差异无统计学意义(P>0.05)。结论应用智能平台随访结合电话随访可保证大隐静脉日间手术出院随访的质量,较微信群结合问卷星随访获得患者的术后康复情况更完整,患者对术后康复知识掌握度更高,功能锻炼更积极。Objective To explore the application effect of intelligent platforms for follow-up of patients undergoing daytime surgery for varicose great saphenous veins after discharge.Methods A total of 204 hospitalized patients who underwent daytime surgery for varicose great saphenous veins at Yongchuan Hospital of Chongqing Medical University from January 2021 to December 2023 were selected as the study subjects.There were 99 patients in the experimental group and 105 patients in the control group.The experimental group used the intelligent follow-up platform introduced by the hospital combined with telephone for follow-up,while the control group used WeChat groups combined with Wenjuanxing for follow-up.The active response rate,posto-perative rehabilitation knowledge mastery on day 1,3 and 7 d postoperative follow-up indexes were compared between the two groups.Results The frequency of delivery was the same in the control group and the experimental group,with 6 follow-up visits for each patient.The active response rate of patients in both groups was low,requiring follow-up by telephone.The active response rate of patients in the experimental group was higher than those in the control group[59.8%(355/594)vs.46.0%(290/630)],the difference was statistically significant(P<0.05).The postoperative rehabilitation knowledge mastery on day 1 and 3 in the experimental group were higher than those in the control group[(23.4±1.6)score vs.(20.0±1.3)score],(28.7±1.1)score vs.(24.3±1.3)score,the differences were statistically significant(P<0.05).The proportion of daily activity time greater than 1 h in the experimental group was significantly higher than that in the control group[29.3%(29/99)vs.12.4%(13/105)],the difference was statistically significant(P<0.05),but there were no statistically significant differences in postoperative pain,complications and limb circulation(P>0.05).Conclusion The application of intelligent platform follow-up combined with telephone follow-up can ensure the quality of discharge follow-up after daytim

关 键 词：智能平台 随访 大隐静脉曲张 日间手术 

分 类 号：R472.3[医药卫生—护理学]