神经外科病例管理职能与评估系统构建及其在胶质瘤随访患者中的应用

An application of the construction of function and assessment system about neurosurgical case management in follow-up patients with glioma

目的:构建神经外科病例管理职能及评估系统,探究分析其在胶质瘤随访患者中的应用。方法:基于客户机与服务器(C/S)模式,采用.Net平台开发的C#语言进行开放的Winform系统应用,设置5大功能模块,构建基于神经外科病例管理职能及评估系统,并在随访中应用。选取医院收治的84例胶质瘤患者,按就诊时间顺序分为对照组与观察组,每组42例,对照组给予常规随访,观察组在对照组基础上基于神经外科病例管理职能及评估系统随访。采用世界卫生组织生存质量测定量表(WHOQOL-100)对患者生活质量进行评分,对比两组患者随访期间并发症、生活质量以及患者对随访工作的满意度。结果:观察组的认知精神障碍、神经功能障碍、院外感染、放化疗不良反应及其他并发症低于对照组,两组并发症合计比较差异有统计学意义(x^2=8.093,P<0.05)。观察组末次随访时患者的生理、心理、独立性、社会关系、环境以及总体生活质量评分均高于入院前,其差异有统计学意义(t=6.567,t=9.204,t=10.395,t=11.456,t=8.895,t=30.319;P<0.05)。观察组患者对随访工作的满意度高于对照组,其差异有统计学意义(x^2=9.002,P<0.05)。结论:基于神经外科病例管理职能及评估系统的应用,能有效提升胶质瘤患者随访质量,降低并发症发生率,提高患者生活质量和患者对随访工作的满意度。

Objective:To construct a function and assessment system about neurosurgical case management so as to explore and analyze its application in follow-up patients with glioma.Methods:On the basis of client and server(C/S)mode,the developed C#language by the.Net platform was used to implement the application of opened Winform system.Five major functional modules were set up to build a function and assessment system about neurosurgical case management.84 patients with glioma admitted to hospital were selected and were divided into control group and observation group according to the chronological order of diagnosis,with 42 cases in each group.And the control group received routine follow-up,and the observation group received a new follow-up of function and assessment system about neurosurgical case management on the basis of the control group.The World Health Organization Quality of Life(WHOQOL-100)scale was adopted to score the quality of life of patients.The complications,quality of life and the satisfaction of patient for follow-up work between the two groups were compared.Results:The cognitively mental disorders,neurological dysfunction,infections of leaving hospital,adverse reactions of radiotherapy and chemotherapy,and others of observation group were lower than those of control group,and the difference of complication between two groups was statistically significant(x^2=8.093,P<0.05).The scores of physiology,psychology,independence,social relationship,environment and overall quality of life of observation group at the last follow-up were significantly higher than those of observation group before admission(t=6.567,t=9.204,t=10.395,t=11.456,t=8.895,t=30.319,P<0.05).The satisfaction of observation group for follow-up work was significantly higher than that of control group(x^2=9.002,P<0.05).Conclusion:The application of the function and evaluation system about neurosurgical case management can effectively enhance the follow-up quality of patients with glioma,and reduce the incidence of complications,and improve the quality of life and the satisfaction of patients for follow-up work.