摘要
目的:构建消化系统疾病临床管理程序,探究其对脾胃疾病患者信息记录质量及随访效果的影响。方法:采用客户机与服务器(C/S)结构,划分系统层次,按照随访需求设置患者资料管理、预约治疗、随访管理、统计分析和系统管理的五大功能模块,通过图形界面与用户交流。选取医院收治的72例脾胃疾病患者随访临床资料,按就诊时间顺序分为对照组与观察组,每组36例,对照组采用常规随访管理,观察组应用构建的消化系统疾病临床管理程序随访管理。采用医院自制的随访质量满意度评价量表对比两组患者对随访工作的满意度、随访3年失访率,以及随访人员对患者随访信息记录质量和对患者病情掌握情况。结果:观察组随访1年、2年和3年的失访率低于对照组,其差异有统计学意义(x^2=6.334,x^2=8.245,x^2=10.967;P<0.05);观察组随访人员对患者的信息记录不准确、记录不规范、记录不完整和记录不及时比例低于对照组,差异有统计学意义(x^2=6.397,x^2=5.785,x^2=8.224,x^2=9.887;P<0.05);观察组患者对用药解释、语言态度、政策解释、报销流程介绍、健康教育和康复指导满意度高于对照组,差异有统计学意义(t=9.357,t=7.254,t=6.358,t=8.324,t=7.442,t=6.889;P<0.05);观察组随访人员对患者病情掌握优秀比例高于对照组,差异有统计学意义(Z=10.687,P<0.05)。结论:消化系统疾病临床管理程序的构建可提高脾胃疾病患者信息记录质量,降低失访率,提高患者对随访管理的满意度,提升随访人员掌握患者病情的准确性。
Objective:To construct a clinical management procedure of digestive system disease so as to explore and research its effect on the quality of information record and the follow-up effect of patients with spleen and stomach disease.Methods:Client/Server(C/S)construction was adopted to divide systematic gradation.And 5 functional modules were set as the requirement so as to realize conversation with user through graphical interfaces.A retrospective analysis of 72 patients with spleen and stomach disease admitted to our hospital was selected.The clinical data were divided into the control group(36 cases)and observation group(36 cases)according to time.The control group adopted routine follow-up management,and the observation group used the constructed clinical management program for digestive system diseases to implement follow-up.And self-made satisfaction evaluation scale for followup quality was adopted to compare the satisfaction of patients for follow-up work,the rate of loss of follow-up 3 years,and the grasping situation of follow-up visitors for the quality of follow-up information records and the disease condition of patients.Results:The rates of loss of follow-up of observation group was significantly lower than those of control group at 1 year,2 years and 3 years of follow-up(x^2=6.334,x^2=8.245,x^2=10.967,P<0.05),respectively.The proportions of inaccurate record,unstandardized record,incomplete record and not in time record of observation group were significantly lower than those of control group(x^2=6.397,x^2=5.785,x^2=8.224,x^2=9.887,P<0.05),respectively.The satisfactions of patients for the interpretation of using medicine,language attitude,policy interpretation,the introduction of reimbursement process,health education and rehabilitation guidance of observation group were significantly higher than those of control group(t=9.357,t=7.254,t=6.358,t=8.324,t=7.442,t=6.889,P<0.05),respectively.And the proportion of excellence of grasping disease condition of patients in observation group was significantly higher than that in control group(Z=10.687,P<0.05).Conclusion:The clinical management procedures of digestive system disease can enhance the quality of information records in patients with spleen and stomach diseases,and reduce the rate of loss of follow-up,and improve satisfaction of patient for follow-up management,and enhance the grasp of follow-up staff for disease condition of patients.
作者
高雪
李岩
汪楠
姜琪馨
GAO Xue;LI Yan;WANG Nan(Phase I Clinical Trial Ward,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China)
出处
《中国医学装备》
2020年第6期155-159,共5页
China Medical Equipment
基金
辽宁省自然科学基金指导计划(201602487)“和胃反流康治疗胆汁反流性胃炎的作用机制研究”。
关键词
消化系统疾病
临床管理程序
脾胃疾病
信息记录
质量
Digestive system diseases
Clinical management procedures
Spleen and stomach diseases
Information record
Quality
