移动端慢病随访系统在儿童哮喘慢病康复中应用价值分析

Analysis of the application value of chronic disease follow-up system at mobile terminal in the rehabilitation of children with asthma

目的:构建移动端慢病随访系统,分析移动端慢病随访系统在儿童哮喘慢病康复中应用价值,建立科学的儿童哮喘慢病康复管理平台。方法:基于云平台、移动端开发技术、Oracle数据库、MyBatis持久化框架及Power BI数据分析工具开发移动端慢病随访系统;选取在医院就诊的182例哮喘患儿,根据随机数表法将其分为观察组和对照组,每组91例,对照组予以常规门诊干预与康复管理,观察组予以移动端慢病随访系统康复管理。康复管理6个月后对比分析两组患儿的哮喘控制测试(C-ACT)评分、肺功能呼吸峰流速量(PEF)、用力肺活量(FVC)、第1秒用力呼吸容积(FEV1)及生命质量中活动受限、心理状况及哮喘症状的3个维度儿科哮喘生命质量调查问卷(PAQLQ)评分,以及两组中哮喘相关事件的哮喘住院、急性发作及因哮喘门诊看诊发生情况。结果:系统测试功能正常,性能可支持≥75个并发用户访问需求;康复管理6个月后,观察组C-ACT评分为(25.30±1.58)分,对照组为(23.06±2.53)分,观察组患儿C-ACT评分高于对照组,差异有统计学意义(t=7.164,P<0.05);观察组患儿的PEF、FVC和FEV1均高于对照组,差异有统计学意义(t=8.113,t=6.582,t=6.070;P<0.05);观察组患儿的PAQLQ评分中活动受限、心理状况及哮喘症状3个维度评分均高于对照组,差异有统计学意义(t=10.108,t=11.898,t=14.744;P<0.05);观察组哮喘相关事件中哮喘住院、急性发作及因哮喘门诊看诊患儿数均低于对照组,差异有统计学意义(x^(2)=4.221,x^(2)=4.479,x^(2)=5.515;P<0.05)。结论:移动端慢病随访系统用于儿童哮喘慢病康复中,有助于提升患儿哮喘控制效果,促进肺功能及生命质量改善,并有效控制哮喘相关事件的发生。

Objective:To build a chronic disease follow-up system at mobile terminal and analyze the application value of this system in the rehabilitation of children with asthma,so as to construct a scientific management platform for chronic disease rehabilitation of children with asthma.Methods:The system was developed on the basis of cloud platform,development technology at mobile terminal,Oracle database,Mybatis persistence framework and Power BI data analysis tool.And 182 children with asthma who admitted to hospital were selected and were divided into observation group and control group according to the random number table method,with 91 cases in each group.The control group were implemented routine outpatient intervention and rehabilitation management,and the observation group were implemented rehabilitation management of chronic disease follow-up system at mobile terminal.After 6 months with rehabilitation management,the childhood asthma control test(C-ACT),peak expiratory flow(PEF),forced vital capacity(FVC),forced expiratory volume in one second(FEV1)and the scores of pediatric asthma quality of life questionnaire(PAQLQ)with 3 dimensionalities included limitation of motion,psychologic status and asthmasymptom in the quality of life between two groups were compared and analyzed.And the occurrences of related events with asthma included being in hospital due to asthma,acute attack and seeing doctor due to asthma between two groups were also compared and analyzed.Results:In system testing,the function of system was normal,and its performance could support the visit requirements of 75 users with concurrent connection at least.After 6 months of rehabilitation management,the C-ACT score(25.30±1.58)of observation group was significantly higher than that(23.06±2.53)of control group(t=7.164,P<0.05).The PEF,FVC and FEV1 of observation group were significantly higher than those of control group(t=8.113,t=6.582,t=6.070,P<0.05).The score of each dimensionality of PAQLQ of observation group was significantly higher than that of control group(t=10.108,t=11.898,t=14.744,P<0.05).The number of children with asthma who were in hospital due to asthma and acute attack,and saw doctor due to asthma in asthma-related events with asthma of observation group were significantly lower than those of control group(x^(2)=4.221,x^(2)=4.479,x^(2)=5.515,P<0.05).Conclusion:The chronic disease follow-up system at mobile terminal that was used in the chronic rehabilitation of children with asthma can contribute to enhance the control effect for asthma of children,and promote the improvements of pulmonary function and quality of life,and effectively control the occurrences of asthma-related events.