主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (12): 1883-1888.doi: 10.3969/j.issn.1672-1756.2023.12.023

• 数智化护理 • 上一篇    下一篇

区域医疗信息平台在冠心病患者随访中的应用研究

杨学青 郭宇飞 王莉莉 刘慧娟 党照华 彭子娟 王承竹   

  1. 中国人民解放军火箭军特色医学中心心血管内科,100088 北京市
  • 出版日期:2023-12-15 发布日期:2023-12-15
  • 通讯作者: 王承竹,本科,主管护师,护士长,E-mail:wangwen4360290@126.com E-mail:E-mail:xueqing18611665722@163.com
  • 作者简介:杨学青,本科,主管护师,E-mail:xueqing18611665722@163.com

Construction of the regional medical information platform and its application in the follow-up of patients with coronary atherosclerotic heart disease

YANG Xueqing, GUO Yufei, WANG Lili, LIU Huijuan, DANG Zhaohua, PENG Zijuan, WANG Chengzhu   

  1. Cardiovascular Medicine, People's Liberation Army of China Rocket Force Characteristic Medical Center, Beijing, 100088, China
  • Online:2023-12-15 Published:2023-12-15
  • Contact: E-mail:wangwen4360290@126.com E-mail:E-mail:xueqing18611665722@163.com

摘要: 目的:探究并分析区域医疗信息平台的构建及其在冠心病患者随访中的应用效果,为开展冠心病患者的延续性护理提供参考。方法:便利选取某院2020年4月至2021年3月收治的冠心病患者为对照组,2021年4月至2022年2月收治的冠心病患者为观察组,每组各60例。对照组给予常规随访,观察组在其基础上构建区域医疗信息平台并进行随访,两组均随访3个月,对比两组患者出院前及随访后的自我管理能力、慢性病患者生活质量,同时观察随访期间用药不良事件发生率、不良心血管病发生率、随访3个月医生会诊次数、护士出诊次数及患者疾病咨询次数、患者对随访工作的满意度。结果:随访3个月后,与对照组相比,观察组自我管理能力和生活质量均提高,差异有统计学意义(P<0.05)。与对照组相比,观察组随访期间用药不良事件发生率、不良心血管病发生率更低,医生会诊次数、护士出诊次数及患者疾病咨询次数更多,患者对随访工作的满意度更高,差异有统计学意义(P<0.05)。结论:在冠心病患者随访中应用区域医疗信息平台可提高患者的自我管理能力及生活质量,同时在随访期间可降低用药不良事件的发生率及不良心血管病发生率,患者对随访工作的满意度也较高。

关键词: 区域医疗信息平台;冠心病患者;自我管理能力;生活质量;满意度

Abstract: Objective: To establish the regional medical information platform and explore its application in the follow-up of patients with coronary atherosclerotic heart disease. Methods: A total of 120 patients with coronary atherosclerotic heart disease admitted to one hospital from April 2020 to February 2022 were divided into the control group (from April 2020 to March 2021, n=60) and the observation group (from April 2021 to February 2022, n=60). The control group received routine follow-up, while the observation group was followed up using the regional medical information platform. Both groups were followed up for 3 months. The results of coronary self-management scale (CSMS) and the Quality of Life scale of the two groups were compared before discharge and after follow-up. Meanwhile, the incidence of adverse drug events and adverse cardiovascular diseases, the number of doctors' consultations, the number of nurses' visits and the number of patients' consultations within 3 months of follow-up were observed as well as patients' satisfaction. Results: After 3 months of follow-up, the self-management ability and quality of life of the observation group were improved compared with the control group, and the difference was statistically significant (P<0.05). Compared with the control group, the incidence of adverse drug events and adverse cardiovascular diseases in the observation group during follow-up was lower, the number of doctor consultations, nurse visits and patients' disease consultations was higher, and patients' satisfaction with follow-up work was higher, with statistical significance (P<0.05). Conclusion: The establishment of regional medical information platform and its application in the follow-up of patients with coronary atherosclerotic heart disease can improve patients' self-management ability and their quality of life, and reduce the incidence of adverse events and adverse cardiovascular disease during the follow-up period. Patients also show high satisfaction towards the follow-up work.

Key words: regional medical information platform; patients with coronary atherosclerotic heart disease; self-management ability; quality of life; degree of satisfaction

中图分类号:  R473.5;R197