脑卒中患者网络化管理系统的设计及应用效果研究
|
摘要
目的探讨采用脑卒中网络化管理平台对脑卒中患者实施网络化远程管理的效果。方法针对脑卒中患者管理需求设计并开发专用软件,建立网络化管理平台对脑卒中患者实施远程管理。将纳入研究的脑卒中患者按病区分组,实验组98例给予网络化管理、对照组96例给予常规随访管理,比较两组的管理效果。结果医护管理团队成功应用脑卒中网络化管理平台对98例患者实施为期3个月的远程管理;实验组血压、血糖、血脂、运动、吸烟、饮酒6项高危因素管控指标达标率显著高于对照组(P<0.05);实验组感染、皮肤损伤、意外伤害等护理问题发生率显著低于对照组,实验组护理问题正确处理率显著高于对照组(P<0.05);实验组10项反映生活质量指标评分高于对照组(P<0.05)。结论网络化管理方便了医护人员对脑卒中患者实施远程管理,提高了患者卒中高危因素管控达标率,降低了卒中相关护理并发症,提高了陪护人员正确处理护理问题的能力和患者的生活质量。
Objective To develop a network management software for stroke patients and to explore its effects.Methods The software was designed and developed according to management needs of stroke patients,and a network management platform was set up to implement remote nursing management for stroke patients. The experimen-tal group included 98 stroke patients and received network management,and the control group had 96 stroke patients receiving routine follow-up management. Results The medical management team successfully used the network management platform to implement remote management. Three months after intervention,the qualification rates of 6 risk factors control index in the experimental group were significantly higher than those in the control group;for the experimental group,the rate of nursing problems was lower,the rate of appropriately addressing issues was higher,10 items of quality of life indexes were higher than those in the control group(P<0.05). Conclusion The network management can significantly improve remote management of stroke patients,and improve management of risk factors for stroke,reduce nursing complications of stroke,improve quality of life of patients.
Objective To develop a network management software for stroke patients and to explore its effects.Methods The software was designed and developed according to management needs of stroke patients,and a network management platform was set up to implement remote nursing management for stroke patients. The experimen-tal group included 98 stroke patients and received network management,and the control group had 96 stroke patients receiving routine follow-up management. Results The medical management team successfully used the network management platform to implement remote management. Three months after intervention,the qualification rates of 6 risk factors control index in the experimental group were significantly higher than those in the control group;for the experimental group,the rate of nursing problems was lower,the rate of appropriately addressing issues was higher,10 items of quality of life indexes were higher than those in the control group(P<0.05). Conclusion The network management can significantly improve remote management of stroke patients,and improve management of risk factors for stroke,reduce nursing complications of stroke,improve quality of life of patients.
引文
[1]中华医学会神经病学分会.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257.
[2]吉伦,伯克哈特,李铁山,等.脑卒中康复:基于功能的方法[M].北京:北京大学医学出版社,2009.
[3]周丽萍.顺德区脑卒中患者康复治疗现状及康复资源配置情况分析[D].广州:南方医科大学(网络版),2015.
[4]Jones F,Livingstone E,Hawkes L.Getting the balance between encouragement and taking over:reflections on using a newstroke self-management programme[J].Physiother Res Int,2013,18(2):91-99.
[5]王艳桥,蒋运兰,王艳,等.脑卒中恢复期患者相关知识水平及自我管理行为现状调查[J].护理研究,2013,27(28A):3090-3092.
[6]陈桂英.当护理邂逅“互联网+会擦出怎样的火花”[J].中国护理管理,2016,16(3):289-291.
[7]中华神经科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[8]钟代曲,钱春荣,黄志玉,等.脑卒中三级预防护理手册[M].北京:北京师范大学出版社,2016:120-180.
[9]赵越,潘永惠.脑卒中患者生存质量量表[J].中华临床医师杂志(电子版),2013,7(22):10212-10214.
[11]王兰芝,孙顺成,于玲玲.跟踪康复干预对脑卒中偏瘫患者生存质量的影响[J].中国实用神经疾病杂志,2011,14(21):80-81.
[12]Patel A,Knapp M,Evans A,et al.Training care givers of stroke patients:economic evaluation[J].BMJ,2014,328(7448):1102.
[13]Srivastava PV,Sudhan P,Khurana D,et al.Telestroke a viable option to improve stroke care in India[J].Int J Stroke,2014,9(Suppl A100):133.
[14]于娜,李毅.基于无线物联网的远程脑卒中诊疗服务模式研究[J].中国医院管理,2014,34(12):39-40.
[15]张远凤,蒋晓江,周红杰,等.基于远程信息交互平台对高血压患者血压控制率干预效果研究[J].中华健康管理学杂志,2016,10(4):308-312.
[16]戴霞,麻晓君,陆丽荣,等.“糖卫士”APP应用于糖尿病延续护理的实践[J].中国护理管理,2016,16(7):963-967.
[17]钟代曲,蒋晓江,曾登芬,等.微信平台在出院脑卒中患者管理中的应用[J].护理研究,2015(16):2029-2031.
[18]李香风,赵红.老年人家庭照顾者及其照顾能力研究现状[J].中华护理杂志,2009,44(11):1051-1053.
[19]吕露露,郭红,胡力云,等.脑卒中患者照顾者综合照顾能力现状及影响因素分析[J].护理学杂志,2016,31(11):1-4.
[20]廖建云.早期康复治疗对急性脑卒中患者生存质量的影响[J].实用心脑肺血管病杂志,2014(10):98-99.
[21]易利娜,余昌妹.脑卒中患者家庭照顾者照顾能力及其影响因素研究[J].护理研究,2014,28(7):814-816.
[22]侯贝贝,王清华,朱玉娟,等.“医院-社区网络化”健康教育模式对脑卒中患者日常生活活动能力的影响[J].沈阳医学院学报,2015,17(1):25-27.
[2]吉伦,伯克哈特,李铁山,等.脑卒中康复:基于功能的方法[M].北京:北京大学医学出版社,2009.
[3]周丽萍.顺德区脑卒中患者康复治疗现状及康复资源配置情况分析[D].广州:南方医科大学(网络版),2015.
[4]Jones F,Livingstone E,Hawkes L.Getting the balance between encouragement and taking over:reflections on using a newstroke self-management programme[J].Physiother Res Int,2013,18(2):91-99.
[5]王艳桥,蒋运兰,王艳,等.脑卒中恢复期患者相关知识水平及自我管理行为现状调查[J].护理研究,2013,27(28A):3090-3092.
[6]陈桂英.当护理邂逅“互联网+会擦出怎样的火花”[J].中国护理管理,2016,16(3):289-291.
[7]中华神经科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[8]钟代曲,钱春荣,黄志玉,等.脑卒中三级预防护理手册[M].北京:北京师范大学出版社,2016:120-180.
[9]赵越,潘永惠.脑卒中患者生存质量量表[J].中华临床医师杂志(电子版),2013,7(22):10212-10214.
[11]王兰芝,孙顺成,于玲玲.跟踪康复干预对脑卒中偏瘫患者生存质量的影响[J].中国实用神经疾病杂志,2011,14(21):80-81.
[12]Patel A,Knapp M,Evans A,et al.Training care givers of stroke patients:economic evaluation[J].BMJ,2014,328(7448):1102.
[13]Srivastava PV,Sudhan P,Khurana D,et al.Telestroke a viable option to improve stroke care in India[J].Int J Stroke,2014,9(Suppl A100):133.
[14]于娜,李毅.基于无线物联网的远程脑卒中诊疗服务模式研究[J].中国医院管理,2014,34(12):39-40.
[15]张远凤,蒋晓江,周红杰,等.基于远程信息交互平台对高血压患者血压控制率干预效果研究[J].中华健康管理学杂志,2016,10(4):308-312.
[16]戴霞,麻晓君,陆丽荣,等.“糖卫士”APP应用于糖尿病延续护理的实践[J].中国护理管理,2016,16(7):963-967.
[17]钟代曲,蒋晓江,曾登芬,等.微信平台在出院脑卒中患者管理中的应用[J].护理研究,2015(16):2029-2031.
[18]李香风,赵红.老年人家庭照顾者及其照顾能力研究现状[J].中华护理杂志,2009,44(11):1051-1053.
[19]吕露露,郭红,胡力云,等.脑卒中患者照顾者综合照顾能力现状及影响因素分析[J].护理学杂志,2016,31(11):1-4.
[20]廖建云.早期康复治疗对急性脑卒中患者生存质量的影响[J].实用心脑肺血管病杂志,2014(10):98-99.
[21]易利娜,余昌妹.脑卒中患者家庭照顾者照顾能力及其影响因素研究[J].护理研究,2014,28(7):814-816.
[22]侯贝贝,王清华,朱玉娟,等.“医院-社区网络化”健康教育模式对脑卒中患者日常生活活动能力的影响[J].沈阳医学院学报,2015,17(1):25-27.