“互联网+”饮食行为跟踪管理模式对胰腺炎患者延续护理结局的影响

The influence of“Internet+”dietary behavior tracking management mode on the outcome of continuous care for patients with pancreatitis

目的探讨“互联网+”饮食行为跟踪管理模式对胰腺炎患者延伸护理结局的影响。方法选取2017年1月至2020年1月本院消化内科急慢性胰腺炎患者48例,随机分为对照组和观察组各24例。两组患者入院后均给予发病前生活方式及饮食、行为习惯的调查,住院治疗期间着重实施针对性饮食行为管理。对照组出院后实施传统的延续护理模式,给予电话饮食口头指导。观察组实施“互联网+”饮食行为跟踪管理干预模式,通过微信对患者饮食行为进行指导和干预。对比两组患者出院半年随访的自我管理效能、生活质量(SF-36)及再次复发入院率。结果干预前,两组自我管理效能、SF-36得分比较无明显差异(P>0.05);出院半年随访,观察组自我管理效能、SF-36得分明显优于对照组(P<0.05);观察组出院后6个月内的再次复发入院率明显低于对照组(P<0.05)。结论“互联网+”饮食行为跟踪管理干预模式,可显著提高胰腺炎出院患者康复期间自我管理效能和生活质量,减少疾病复发率和再入院率。

Objective:To explore the influence of the“Internet+”dietary behavior tracking management model on the outcome of extended care for patients with pancreatitis.Methods:From January 2017 to January 2020,48 patients with acute and chronic pancreatitis in the Department of Gastroenterology of our hospital were selected and randomly divided into a control group and an observation group with 24 cases each.After admission,both groups of patients were given pre-onset lifestyle,diet,and behavioral habits surveys,and targeted dietary behavior management was emphasized during hospitalization.After the control group was discharged from the hospital,the traditional continuation care model was implemented,and oral instruction on the telephone diet was given.The observation group implemented the“Internet+”diet behavior tracking management intervention model,and guided and intervened patients'diet behavior through WeChat.The self-management efficacy,quality of life(SF-36),and recurrence admission rate of the two groups of patients during the half-year follow-up after discharge were compared.Results:Before the intervention,there was no significant difference in self-management efficacy and SF-36 scores between the two groups(P>0.05).After discharge for half a year,the self-management efficacy and SF-36 scores of the observation group were significantly better than those of the control group(P<0.05);The recurrence and admission rate of the group within 6 months after discharge was significantly lower than that of the control group(P<0.05).Conclusion:The“Internet+”dietary behavior tracking management intervention model can significantly improve the self-management efficiency and quality of life of patients discharged from pancreatitis during the recovery period,and reduce the disease recurrence rate and readmission rate.