摘要
目的建立信息化随访平台，并探讨其在缺血性脑卒中患者中的应用效果。方法通过构建缺血性脑卒中随访模型和复发风险预警模型，建立信息化随访平台。运用回顾性对比分析法，选取信息化随访平台建立后出院的235例和建立前出院的228例缺血性脑卒中患者为研究组和对照组。在患者出院后1个月、3个月、6个月、9个月和12个月时分别开展信息化随访和传统纸质化随访，统计分析两组患者的服药依从性、日常生活活动能力以及复发率等。结果随访开展1年后，研究组失访32例，对照组失访42例。研究组第6、9、12个月的服药依从性分别为（2．72±0．62）分、（2．86±0．37）分、（2．83±0．40）分，均高于对照组，差异有统计学意义（P〈0．05）。研究组随访9个月（6．38％）、12个月（10．21％）的复发率低于对照组，差异有统计学意义（P〈0．05）。两组日常生活活动能力得分差异无统计学意义（P〉0．05）。结论基于大数据的信息化随访平台可提高缺血性脑卒中患者的服药依从性，降低脑卒中复发率，但在改善患者日常生活活动能力方面的效果尚不显著。
Objective To establish an IT-based follow-up platform, and to explore its application effect in patients with ischemic stroke. Methods By constructing a follow-up model and a recurrence risk warning model for ischemic stroke patients, such a follow-up platform was established. Thanks to the retrospective comparative and analysis method, we built a study group comprising ischemic stroke patients discharged since the platform and a control group comprising 228 such patients discharged prior to the platform. These two groups were followed up by means of IT-based manner and traditional paper-based manner respectively at the first, third, sixth, ninth, and twelfth months since their discharge. These patients were analyzed in terms of their medication adherence, activities of daily living and recmTence rate. Results One year after the follow-up, 32 cases were lost of contact in the study group and 42 cases from the control group. Medication adherence of the study group was higher than that of the control group at the sixth month （2.72 ＋ 0.62 ）, ninth month （ 2.86 -＋ 0.37 ） and twelfth month （ 2.83 ＋- 0.40 ） after discharge, with the differences being statistically significant （ P 〈 0.05 ）. The recurrence rate of the study group at the ninth months （ 6.38% ） and twelfth months （ 10.21% ） after follow-up was lower than that of the control group, a difference being statistically significant （ P 〈 0.05 ）. The difference of BI scores between the two groups was not statistically significant （ P 〉 0.05 ）. Conclusions The IT-based follow-up platform could improve the medication adherence of isehemie stroke patients, and reduce the recurrence rate of ischemic stroke, but the effect of improving activities of daily living was still not significant.
出处
《中华医院管理杂志》
CSCD
北大核心
2018年第2期147-152,共6页
Chinese Journal of Hospital Administration
基金
国家卫生和计划生育委员会重大公共卫生专项（2014）
关键词
随访研究
缺血性脑卒中
信息化管理
二级预防
Follow-up studies
Ischemic stroke
IT-based management
Secondary prevention
