个案资料信息统筹系统构建对肝癌患者疲乏状态及疾病认知度的影响

The influence of the construction of information coordination system of a case data on the fatigue status and the cognition degree of disease of patients with liver cancer

目的:构建个案资料信息统筹系统,探究其对肝癌患者疲乏状态及疾病认知度的影响。方法:采用浏览器与服务器(B/S)及多层体系结构并存的结构模型,运用微软操作平台(.NET)+关系数据库管理系统(RDBMS)+WebService的技术路线,构建个案资料信息统筹系统。选取医院收治的80例肝癌患者,按随机数表法将其分为对照组和观察组,每组40例,对照组给予常规健康管理,观察组在常规健康管理基础上应用个案信息资料统筹系统,实施自助健康管理。采用癌因性疲乏自评量表对患者疲乏状态(情感疲乏、感知疲乏、行为疲乏和认知疲乏4个维度)进行评判;用自制疾病认知度量表对疾病认知程度(药物使用注意事项、疾病治疗的长期性、特殊检查意义及配合事项、疾病预后、治疗期间常见并发症及预防、定期随访的目的和意义以及巩固治疗的目的及时间)进行调查;采用医院自制的满意度量表比较两组患者健康管理的满意度。结果:观察组患者疲乏状态得分低于对照组,差异有统计学意义(t=4.593,t=5.691,t=3.395,t=5.549;P<0.05);观察组疾病认知程度高于对照组,差异有统计学意义(x2=7.695,x2=9.381,x2=8.482,x2=9.381,x2=10.384,x2=7.543,x2=6.621;P<0.05);观察组患者对健康管理方法的满意度高于对照组,差异有统计学意义(x2=9.281,P<0.05)。结论:个案资料信息统筹系统的构建与应用能明显改善肝癌患者的疲乏状态,提高肝癌患者对疾病的认知度和对管理工作的满意度。

Objective:To construct information coordinating system of a case data so as to explore the influence of this system on fatigue status and the cognition degree of disease of patients with liver cancer.Methods:An information coordination system of a case data was constructed by adopting a coexisting structural model with browser and server(B/S)and multi-layer architecture,and by using the technical route of Microsoft operating platform(.NET)plus,relational database management system(RDBMS)plus and Web Service.A total of 80 patients with liver cancer were selected and were divided into control group and observation group according to the random number table method,with 40 patients in each group.The control group underwent routine health management,and the observation group underwent self-service health management by using data coordinating system of a case information based on routine health management.The cancer-induced fatigue self-rating scale was used to evaluate the fatigue state(emotional fatigue,perceived fatigue,behavior fatigue and cognitive fatigue)of patients.The self-made disease cognition scale was used to investigate the cognitive degree of patients for disease(the precautions for medicine use,the characteristics of long-term of treating disease,the significance of special examination and cooperation items,the prognosis of disease,the common complications and prevention of them during treatment,the purpose and significance of regular followup,and the purpose and time of consolidation treatment).And the satisfactions of the patients of two groups for health management were compared by using the hospital-made satisfaction scale.Results:The fatigue status score of observation group was significantly lower than that of control group(t=4.593,t=5.691,t=3.395,t=5.549,P<0.05).The cognition degree of observation group for disease was significantly higher than that of control group(x2=7.695,x2=9.381,x2=8.482,x2=9.381,x2=10.384,x2=7.543,x2=6.621,P<0.05).The satisfaction of observation group for health management methods was significantly higher than that of control group(x2=9.281,P<0.05).Conclusion:The construction and application of information coordinating system of a case data can significantly improve the fatigue status of patients with liver cancer,and enhance the cognition degree of patients with liver cancer for disease and the satisfaction of patients for management.