健全器官移植随访管理体系提高患者生存质量

Establishment of transplant follow-up management system and improve the life-quality of patients

目的健全移植患者规范化随访，提高患者长期存活率和生存质量。方法健全移植随访管理体系，完善随访制度，做好随访的环节管理，加强全程健康教育和提供温馨服务。结果（1）不同时期随访模式人／肾成活率结果显示：1年、3年和5年的人／肾成活率，规范化随访组均高于不规范随访组（P〈0．05）。（2）不同时期随访模式下门诊随访结果显示，1年随访率两组差异无统计学意义（98．4％，97．5％，P=0．128）。3年和5年的规范化随访组随访率均大于不规范随访组，差异有统计学意义（90．1％，85．5％；88．3％，55．3％，P〈0．001）。结论健全器官移植随访管理体系，规范化随访移植患者，提高了患者存活率和生存质量。

Objective To increase the normative follow-up rate of organ transplant recipients, and to improve their long-term survival rate of patients and their life quality. Methods Establish a normative follow-up management system of organ transplantation, improve the follow-up rules and link management, strengthen the whole-course health education and provide comfort and warm service for patients. Results （ 1 ） The results of patients/renal survival rates at different times indicated that the 1 year,3 year and 5 year patients/renal survival rates in the normative follow-up group were significantly higher than that in the random follow-up group, P 〈 O. 05. （ 2 ） The 1-year follow-up results for the outpatients indicated that no difference in one-year follow-up rate were observed in both groups （98.4% vs. 97.5 % ,P = 0. 128）. And the 3 year and 5 year follow-up rates in the normative follow-up group were statistically significantly higher than that in the random follow-up group （ 90. 1% vs. 85.5%, 88.3% vs. 55.3% , P 〈 0. 001 ） . Conclusion Establishment of the sound and normative follow-up management system of organ transplantation was helpful to improve the lone-term survival rates of patients and their life qualitv.