互联网+、医护一体化模式在川崎病出院患儿服药依从性中应用的可行性研究

Feasibility study on the application of Internet+ and health care integration mode in drug compliance of children discharged from Kawasaki disease

目的探讨运用互联网+与医护一体化相结合模式在川崎病出院患儿服药依从性的效果。方法选取川崎病出院患儿76例,按照公平原则在不同时间段用随机数字抽样法抽取对照组37例和干预组39例。2组患者住院期间均接受常规指导,干预组出院时加入由医护共同成立的微信工作平台(微信群、微信公众号)、"杏仁"医生随访平台。出院后6个月运用自制川崎病基本知识问卷,服药依从性(Morisky服药依从性量表)调查评价。结果川崎病知识问题掌握得分:对照组得分(53.38±13.66)分,干预组得分(62.36±13.48)分,干预组分数高于对照组,差异有统计学意义(t=-3.388,P<0.05);Morisky服药依从性量表得分比较,对照组得分为(5.97±0.94)分,干预组得分为(6.53±1.40)分,干预组分数高于对照组,差异有统计学意义(t=-2.112,P<0.05)。结论互联网+与医护一体化相结合模式提高了出院川崎病患儿家长服药依从性,可以运用到慢性病患儿的延续护理中。

Objective To explore the effect of the combination of Internet + and medical care in the compliance of the discharged children with Kawasaki disease. Methods A total of 76 children with Kawasaki disease who were discharged from a third-grade hospital were selected. The control group (37 cases) and the intervention group (39 cases) were selected by random sampling at different time intervals. Both groups received routine guidance during hospitalization. The intervention group was admitted to the WeChat work platform (WeChat group, WeChat public number) and "Almond" doctors' follow-up platform. Six months after discharge, the Kawasaki disease basic knowledge questionnaire was used and the medication compliance (Morisky medication compliance scale) was used for investigation and evaluation. Results The score of the Kawasaki disease basic knowledge questionnaire was (53.38±13.66) points in the control group, and (62.36±13.48) points in the intervention group, there was significant difference (t=-3.388, P<0.05).The score of Morisky medication compliance scale was (5.97±0.94) points in the control group, and (6.53±1.40) points in the intervention group, and there was significant difference (t=-2.112, P<0.05). Conclusions The integration of Internet+ and medical care can improve the compliance of the parents of children with Kawasaki disease, and can be used in the continuous nursing of children with chronic disease.