随访管理信息系统手机医护终端的开发及应用

目的:开发随访管理信息系统手机医护终端,研究其在胃肠专科患者中的应用效果。方法:选取医院88例胃肠专科患者,按就诊时间顺序将2017年1月至2018年1月收治的44例患者纳入常规组,给予常规出院随访管理;将2018年2月至2019年1月收治的44例患者纳入加强组,采用随访管理信息系统手机医护终端出院随访管理。应用改良主观全面评价法(MSGA)对患者营养状况进行评价,对比两组患者随访期间并发症发生率、营养状况指标、患者疾病知识掌握与行为调查结果,以及患者对随访工作的满意度。结果:加强组随访期间并发症发生率低于常规组,两组对比差异有统计学意义(x^2=4.061,P<0.05);加强组患者体质量改变、饮食改变、胃肠道症状、生理功能改变、并发症、皮下脂肪、肌肉消耗程度评分及总分均较高于常规组,两组对比差异有统计学意义(t=18.537,t=11.534,t=10.755,t=10.392,t=9.735,t=10.949,t=16.855,t=30.828;P<0.05);加强组患者对疾病了解、正确用药、合理饮食及动静结合所占比例均高于常规组,两组对比差异有统计学意义(x^2=5.459,x^2=6.223,x2=7.861,x^2=10.570;P<0.05);加强组患者对随访工作的满意度高于常规组,两组对比差异有统计学意义(x^2=4.061,P<0.05)。结论:将开发的随访管理信息系统手机医护终端应用于胃肠专科患者的随访,能降低胃肠专科患者并发症发生率,改善患者营养状况,提高患者对随访工作的满意度。

Development and application of medical care terminal of follow-up management information system on mobile phone

Objective:To develop a medical care terminal of follow-up management information system on mobile phone and explore its application effect on patients in specialist department of gastrointestinal tract.Methods:88 patients who received treatment in specialist department of gastrointestinal tract were selected.As chronological order that they received diagnosis and treatment,44 patients who were treated during January 2017 and January 2018 were divided into routine group and they received routine follow-up management after they left hospital,and 44 patients who were treated during February 2018 and January 2019 were divided into strengthened group and they received follow-up management by using medical care terminal of follow-up management information system on mobile phone after they left hospital.The nutrition statuses of patients were evaluated by modified subjective global assessment(MSGA).And the incidences of complications,indicators of nutrition statuses,the acquisition of disease knowledge and the results of behavior investigation of patients,and satisfaction degree of patients for follow-up between the two groups were compared.Results:The incidence of complication during follow-up period of strengthened group was significantly lower than that of routine group(x^2=4.061,P<0.05).The MSGA scores of the change of body mass,the change of diet,gastrointestinal symptoms,the change of physiological functions,the complication,subcutaneous fat and muscle wasting,and the total evaluation scores of strengthened group were significantly higher than those of routine group(t=18.537,t=11.534,t=10.755,t=10.392,t=9.735,t=10.949,t=16.855,t=30.828,P<0.05).For understanding disease,correctly using medicine,reasonable diet,and the combination of movement and inertia,the proportion of patients in strengthened group were significantly higher than those in conventional groupps was statistically significant(x^2=5.459,x^2=6.223,x^2=7.861,x^2=10.570,P<0.05).And the satisfaction degree of patients in the enhancedstrengthened group was significantly higher than that in the conventionalroutine group,and the difference between the two groups was statistically significant(x^2=4.061,P<0.05).Conclusion:The application of medical terminal development of a the developed follow-up management information system on mobile phone mobile medical care terminal and its application in the follow-up of patients with who receive treatment in specialist department of gastrointestinal tract specialty can reduce the incidence of complications of them,and improve the nutritional status of them,and increase satisfaction degree of them for follow-up work.