居家腹膜透析云随访管理平台的应用

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英文篇名：Application of follow-up management on cloud platform for home-based Peritoneal Dialysis 作者：王娟 ; 徐鹏飞 ; 史婷奇 ; 张庆燕 英文作者：WANG Juan;XU Pengfei;SHI Tingqi;ZHANG Qingyan;Nephrology Department, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School; 关键词：腹膜透析 ; 云平台 ; 随访管理 ; 健康管理 英文关键词：Peritoneal Dialysis;;cloud platform;;follow-up management;;health management 中文刊名：中国护理管理 英文刊名：Chinese Nursing Management 机构：南京大学医学院附属鼓楼医院肾内科;南京大学医学院附属鼓楼医院护理部; 出版日期：2019-07-15 出版单位：中国护理管理 年：2019 期：07 基金：南京市医学科科技发展资金资助项目(YKK18070);; 南京鼓楼医院护理科研项目(ZSC176) 语种：中文; 页：23-27 页数：5 CN：11-4979/R ISSN：1672-1756 分类号：R473.2

摘要

目的 :应用居家腹膜透析(PeritonealDialysis,PD)云随访管理平台,通过信息化手段提高PD患者随访管理质量。方法 :居家PD云随访管理平台于2018年9月正式上线,通过平台完成患者收案、分级管理、医学随访、随访评价、复诊提醒、并发症干预处理、患者结案、数据统计等随访管理。结果 :2018年9月1日至12月31日本中心随访管理300名PD患者,随访1 798例次。云随访管理平台运行后患者人均随访例次由5.19上升为5.99,患者随访参与率提高11.5%;平台运行后PD日记完成率由46.7%上升为62.3%(χ2=13.243,P<0.001);平台运行后患者出现并发症到PD专职护士处理并发症的时间由24.5(13.3,36.0)h下降为4.5(2,12) h(u=481.000,P<0.001);患者对云随访平台服务的总体评价为(4.37±0.69)分。结论 :应用云随访管理平台,提高了患者PD日记记录依从性和满意度,同时也提高专职护士并发症处理及时率及工作效率。
        Objective: To improve follow-up management of patients receiving home-based Peritoneal Dialysis(PD through employing a follow-up management system established on cloud platform. Methods: The follow-up platform employing cloud technology for home-based PD was officially launched in September 2018, which was used for patient admission, grading management, medical follow-up, follow-up evaluation, reminding of follow-up, intervention of complications, case closure and data analysis. Results: From September 1 to December 31 of 2018, 300 PD patients were recruited in our center and received a total of 1798 times of follow-up. The average times of follow-up increased from 5.19 to 5.99 after application of the follow-up management platform, and the participation rate of patients increased by 11.5%.The completion rate of PD diary increased from 46.7% to 62.3%(χ2=13.243, P<0.001). The time to figure out and take care of complications after they occurred by full-time PD nurses decreased from 24.5(13.3, 36.0)h to 4.5(2, 12) h(u=481.000,P<0.001). The overall satisfaction score of the follow-up platform service evaluated by PD patients was 4.37±0.69. Conclusion:The application of home-based PD cloud follow-up management platform not only improves the satisfaction and compliance of diary records of patients, but also increases the opportunity to spot and treat complications in time and work efficiency of full-time PD nurses.

引文

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