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远程医疗机器人在心脏死亡器官捐献肝移植术后随访中的应用
引用本文:田波彦, 鲁华鹏, 张胶琼, 等. 远程医疗机器人在心脏死亡器官捐献肝移植术后随访中的应用[J]. 器官移植, 2019, 10(1): 79-83. doi: 10.3969/j.issn.1674-7445.2019.01.012
作者姓名:田波彦  鲁华鹏  张胶琼  丁泓帆  刘文媛  田敏  吕毅  杨勤玲
作者单位:710061 西安交通大学第一附属医院肝胆外科
基金项目:国家自然科学基金81470896 西安交通大学科研基金xjj2018271
摘    要:目的  探讨远程医疗机器人在心脏死亡器官捐献(DCD)肝移植受体术后随访中的应用效果。方法  研究对象为西安交通大学第一附属医院2014年1月至2017年12月的100例DCD肝移植受体。根据随访方式不同,将受体分为研究组(50例,采用远程医疗机器人随访)和对照组(50例,采用传统电话随访)。分析并比较研究组和对照组DCD肝移植受体的术后3个月的依从性(服药依从性、自我监测、生活依从性和随访依从性)、随访时间以及随访满意度。结果  研究组的服药依从性、自我监测、生活依从性、随访依从性及依从性总分的得分均明显高于对照组(均为P < 0.05)。研究组肝移植受体的每次随访时间为(9±4)min,明显短于对照组的(13±4)min(t=-4.452, P < 0.001)。研究组肝移植受体的术后随访满意度为(19.8±2.6)分,明显高于对照组的(16.2±3.1)分(t=6.234, P < 0.001)。结论  远程医疗机器人在DCD肝移植受体术后随访中的应用效果较满意,值得临床推广,其有望成为DCD肝移植受体术后随访中不可缺少的一部分。

关 键 词:肝移植   远程医疗机器人   心脏死亡器官捐献   随访   依从性   满意度   互联网   应用程序
收稿时间:2018-11-19

Application of telemedicine robot in follow-up after liver transplantation from donation after cardiac death
Tian Boyan, Lu Huapeng, Zhang Jiaoqiong, et al. Application of telemedicine robot in follow-up after liver transplantation from donation after cardiac death[J]. ORGAN TRANSPLANTATION, 2019, 10(1): 79-83. doi: 10.3969/j.issn.1674-7445.2019.01.012
Authors:Tian Boyan  Lu Huapeng  Zhang Jiaoqiong  Ding Hongfan  Liu Wenyuan  Tian Min  Lyu Yi  Yang Qinling
Affiliation:Department of Hepatobiliary Surgery, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
Abstract:Objective To evaluate the application effect of telemedicine robot on the postoperative follow-up of liver transplantation recipients from donation after cardiac death (DCD). Methods A total of 100 recipients undergoing liver transplantation from DCD in the First Affiliated Hospital of Xi 'an Jiaotong University from January 2014 to December 2017 were recruited in this investigation. According to differnt follow-up patterns, all recipients were divided into the research group (n=50, follow-up by telemedicine robot) and control group (n=50, follow-up by traditional telephone). The compliance (medication compliance, self-monitoring, life compliance and follow-up compliance), follow-up time and follow-up satisfaction at postoperative 3 months of all DCD liver transplantation recipients were analyzed and statistically compared between research group and control group. Results The scores of medication compliance, self-monitoring, life compliance, follow-up compliance and the total score of compliance in the research group were significantly higher than those in the control group (all P < 0.05). The each follow-up time of liver transplantation recipients in the research group was (9±4) min, significantly shorter than (13±4) min in the control group (t=-4.452, P < 0.001). The score of satisfaction during postoperative follow-up in the research group was 19.8±2.6, significantly higher than 16.2±3.1 in the control group (t=6.234, P < 0.001). Conclusions The application effect of telemedicine robot on the postoperative follow-up of liver transplantation recipients from DCD is satisfactory, deserves widespread application in clinical practice. It is expected to become an indispensable part of the postoperative follow-up of liver transplantation recipients from DCD.
Keywords:Liver transplantation  Telemedicine robot  Donation after cardiac death  Follow-up  Compliance  Satisfaction  Internet  Application program
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