中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (06): 470-473.doi: 10.3969/j.issn.1671-4091.2024.06.016

• 护理研究 • 上一篇    下一篇

基于远程监测的医护一体化平台在居家腹膜透析患者管理中的应用

田 娜  刘 颖  江晓雪  刘孟艾  刘大军  云 扬   

  1. 110022 沈阳，1中国医科大学附属盛京医院第二肾脏内科 
    114048 鞍山，2鞍钢总医院千山医院内科
  • 收稿日期:2023-11-02 修回日期:2024-04-02 出版日期:2024-06-12 发布日期:2024-06-12
  • 通讯作者: 云扬 E-mail:docyunyang@163.com

Application of medical and nursing care integrated platform based on remote monitoring in the management of peritoneal dialysis patients at home

TIAN Na, LIU Ying, JIANG Xiao-xue, LIU Meng-ai, LIU Da-jun, YUN Yang   

  1. The Second Department of Nephrology, Shengjing Hospital of China Medical University, Shenyang 110022, China; 2Department of Internal Medicine, Qianshan Hospital, An Steel General Hospital, Anshan 114048, China
  • Received:2023-11-02 Revised:2024-04-02 Online:2024-06-12 Published:2024-06-12
  • Contact: 110022 沈阳，1中国医科大学附属盛京医院第二肾脏内科 E-mail:docyunyang@163.com

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摘要： 目的 探讨基于远程监测系统的医护一体化随访在腹膜透析患者中的应用效果。 方法  选取2017年6月—2020年5月在中国医科大学附属盛京医院随访的腹膜透析患者60例作为对照组，2020年6月—2023年5月随访的腹膜透析患者60例作为观察组。对照组给予常规护理，观察组实施医护一体化的远程护理干预。比较2组患者服药依从性、并发症发生率、再住院率、再考核得分。 结果 与对照组相比，观察组患者服药依从性提高(63.33%比46.67%，χ2=4.062，P=0.044)，并发症发生率下降(26.67%比46.67%，χ2=5.167，P=0.023)，再住院率降低(23.33%比41.67%，χ2=4.596，P=0.032)，再考核得分提高[(88.13±6.36)分比(81.32±9.78)分，t=4.527,P＜0.001],差异均有统计学意义。结论 基于远程监测的医护一体化平台管理应用于腹膜透析患者可使患者更加配合治疗，减少并发症的发生，提高慢性病管理质量。

关键词: 远程监测, 医护一体化, 腹膜透析, 慢性病管理, 依从性

Abstract: Objective   To explore the application effect of medical and nursing care integrated platform based on remote monitoring system to follow up peritoneal dialysis (PD) patients.  Methods  Sixty patients undergoing PD and followed up at Shengjing Hospital of China Medical University from June 2017 to May 2020 were selected as the control group, and a total of 60 PD patients followed up from June 2020 to May 2023 were assigned to the observation group. The control group received routine care, while the observation group received the medical and nursing care integrated platform based on remote monitoring system. Medication compliance, complication rate, re-hospitalization and re-examination score were compared between the two groups.  Results  Compared with the control group, medication compliance of patients in the observation group was significantly improved (63.33% vs. 46.67%, χ2=4.062, P=0.044), complication rate was significantly reduced (26.67% vs. 46.67%, χ2=5.167, P=0.023), re-hospitalization rate was lower (23.33% vs. 41.67%, χ2=4.596, P=0.032), and re-examination score was significantly increased (88.13±6.36 vs. 81.32±9.78, t=4.527, P<0.001).  Conclusion   The application of medical and nursing care integrated platform based on remote monitoring system can help PD patients better comply with medications and reduce complications, and can also improve the quality of management to chronic diseases.

Key words: Remote monitoring, Integration of medical and nursing care, Peritoneal dialysis, Chronic disease management, Compliance

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