摘要
目的探讨医联体背景下开展基于互联网+的慢病管理模式对支气管哮喘患儿的治疗效果。方法选取2018年1—6月就诊于南京医科大学附属常州第二人民医院儿科的支气管哮喘患儿100例,随机分为观察组(n=50)和对照组(n=50)。对照组给予常规电话随访,观察组接受线上与线下相结合的随访管理,由医联体医院相关儿科医师通过微信公众平台对患儿及家长进行一对一咨询及随访管理。干预6个月后,比较两组患儿肺功能参数(FEV1、FEV1/FVC、PEF)、哮喘控制测试(C-ACT)评分及正确给药率和定期复诊率。结果干预6个月后,观察组患儿肺功能各项参数均优于对照组,差异有统计学意义(均P<0.01);且观察组患儿的C-ACT得分高于对照组[(24.67±3.24)vs(21.47±3.35)],其正确给药率(96%vs 42%)及定期复诊率(98%vs 24%)亦高于对照组,差异均有统计学意义(P<0.01)。结论开展基于医联体及互联网+的儿童支气管哮喘慢病管理,有利于促进患儿疾病控制,并提高了医疗资源利用率。
Objective To explore the therapeutic effect of Internet plus based chronic disease management mode on children with bronchial asthma in the context of medical alliance.Methods A total of 100 pediatric patients with bronchial asthma who visited the Department of Pediatrics in Changzhou Second People's Hospital Affiliated to Nanjing Medical University from January to June 2018 were selected,and were randomly divided into the observation group(n=50)and the control group(n=50).The control group was given routine telephone follow-up,and the observation group received a combination of online and offline follow-up management while the relevant pediatricians from the medical alliance hospitals provided one-on-one consultation and follow-up management for the pediatric patients and their parents via the Wechat public platform.After intervention for 6 months,pulmonary function parameters(FEV1,FEV1/FVC,PEF),asthma control test(C-ACT)score and correct administration rate and regular return visit rate were compared between the two groups.Results After intervention for 6 months,all parameters of pulmonary function in the observation group were superior to those in the control group,with statistically significant differences(all P<0.01);and the C-ACT score in the observation group was higher than that in the control group[(24.67±3.24)vs(21.47±3.35)],and the correct administration rate(96%vs 42%)and regular return visit rate(98%vs 24%)were also higher than those in the control group,with statistically significant differences(all P<0.01).Conclusion Implementation of chronic disease management of bronchial asthma in children based on medical alliance and Internet plus is beneficial to promote the disease control and improve the utilization rate of medical resources.
作者
许红燕
李倩
XU Hongyan;Li Qian(Changzhou Second People's Hospital affiliated to Nanjing Medical University,Changzhou,Jiangsu 213000)
出处
《上海护理》
2020年第4期15-18,共4页
Shanghai Nursing
关键词
支气管哮喘
儿童
慢病管理
医联体
互联网+
Bronchial asthma
Children
Chronic disease management
Medical alliance
Internet plus
