网络信息平台甲状腺相关眼病患者延伸护理模式设计与应用

Design and application of thyroid related eye disease patients extended care mode based on network information platform

目的探讨基于网络信息平台设计甲状腺相关眼病（TAO）患者延伸护理模式的应用效果。方法采用便利抽样法抽取甲状腺相关眼病Ⅲ级以上患者72例，按照患者出院奇偶顺序分为两组，偶数组为观察组，奇数组为对照组。两组患者在院期问，采用相同的治疗和护理，出院时和出院后对照组患者采用常规护理，实验组患者基于网络信息平台设计TAO患者延伸护理模式并应用。观察两组患者出院时和出院后6个月治疗依从性、生活质量及心理状况变化情况。结果出院时两组患者治疗依从性、生活质量、焦虑自评量表（SAS）、焦虑自评量表（SDS）评分比较差异无统计学意义（P〉0．05）；出院干预6个月后，实验组患者治疗依从性和生活质量评分明显优于对照组患者，差异有统计学意义（P〈0．05）；而SAS、SDS评分均明显低于对照组患者，差异均有统计学意义（均P〈0．05）。结论应用基于网络信息平台设计的TAO患者延伸护理模式，突破了传统医疗模式的时空局限性，将延伸护理的灵活性扩大到最佳，有利于提高患者治疗依从性，缓解患者焦虑、抑郁负性情绪，提高患者生活质量。

Objective To explore the effect of extended nursing model for patients with thyroid associated oph- thalmopathy （TAO） based on network information platform. Methods A total of 72 cases of patients with thyroid asso- ciated ophthalmopathy gradeⅢor above were selected as the research objects by convenience sampling method. Ac- cording to the order of parity of patients discharged from hospital, they were divided into two groups. The even group was the observation group. The odd group was the control group. Both groups received the same treatment and care while in the hospital. During and after discharge, the patients in the control group received routine nursing care, and the patients in the observation group designed and applied the extended nursing mode of TAO patients based on the net- work information platform. The treatment compliance, quality of life and changes of psychological status of the two groups were observed at discharge and 6 months after discharge. Results At discharge, there were no statistically sig- nificant differences between the two groups in treatment compliance, quality of life, anxiety self-rating scale （SAS） and anxiety self-rating scale （SDS） （P〉0. 05 ）. After 6 months of discharge intervention, the treatment compliance and quality of life scores of the observation group were significantly better than those of the control group, and the differences were statistically significant （P〈0. 05 ）. The scores of SAS and SDS were significantly lower than those of the control group, and the differences were statistically significant （P〈0. 05 ）. Conclusions Based on the network information platform, the extended nursing model for TAO patients is designed and applied, which breaks through the limitation of traditional medical model in time and space, and expands the flexibility of extended nursing to the best. It is beneficial to improve patients treatment compliance, alleviate patients anxiety and depression, and improve patients quality of life.