信息协作平台支持的围术期疾病管理模式在子宫内膜异位症患者中的应用价值

Application of Perioperative Disease Management Model Supported by Information Cooperation Platform in Patients with Endometriosis

【目的】探讨信息协作平台支持的围术期疾病管理模式在子宫内膜异位症患者中的应用价值。【方法】选取2022年1月至12月本院收治142例子宫内膜异位症患者,按照随机数字表法分为观察组和对照组,每组71例。对照组采用常规围术期疾病管理模式,观察组采用信息协作平台支持的围术期疾病管理模式。比较两组患者不同时间的应对方式评分和围术期应激反应指标。【结果】入院当日,两组患者简易应对方式量表(Simplified Coping Style Questionnaire,SCSQ)积极应对和消极应对评分比较,差异无统计学意义(P>0.05);术前1 d,两组患者SCSQ积极应对评分均较入院当日显著提高,SCSQ消极应对评分均较入院当日显著降低(P<0.05),且观察组患者SCSQ积极应对评分高于对照组,SCSQ消极应对评分低于对照组(P<0.05)。两组患者术前1 d、术后当日、术后1 d心率(Heart Rate,HR)、收缩压(Systolic Blood Pressure,SBP)、舒张压(Diastolic Blood Pressure,DBP)均高于入院当日(P<0.05),对照组术后3 d HR、SBP、DBP均高于入院当日(P<0.05);入院当日,两组患者HR、SBP、DBP比较,差异无统计学意义(P>0.05),观察组患者术前1 d、术后当日、术后1 d、术后3 d的HR、SBP、DBP均低于对照组(P<0.05)。【结论】信息协作平台支持的围术期疾病管理模式能在围术期提供丰富的疾病和手术相关知识,且便于患者对相关知识的获取和掌握,不仅有助于改善子宫内膜异位症患者应对方式,且对减轻患者围术期应激反应也有积极作用。

【Objective】To explore the application of perioperative disease management model supported by information cooperation platform in patients with endometriosis.【Methods】A simple random sampling method was used to select 142 patients with endometriosis admitted to the Obstetrics and Gynecology Hospital affiliated to Fudan University from January 2022 to December as the study subjects.They were divided into two groups by random number table method,with 71 patients in each group.The control group implemented the conventional perioperative disease management model,while the observation group implemented the perioperative disease management model supported by the information cooperation platform.The coping styles and perioperative stress reactions of the two groups were compared on the day of admission and 1 day before operation.【Results】On the day of admission,there were no significant differences in the scores of positive and negative coping on the Simplified Coping Style Questionnaire(SCSQ)between the two groups(P>0.05).One day before operation,the SCSQ positive coping scores of patients in both groups were higher than those on the day of admission,while the SCSQ negative coping scores were lower than those on the day of admission(P<0.05).The SCSQ positive coping score of patients in the observation group was higher than that in the control group,and the SCSQ negative coping score was lower than that in the control group(P<0.05).The levels of HR,SBP and DBP of patients in the two groups were higher than those on the day of admission(P<0.05),and the postoperative levels of HR,SBP and DBP in the control group were higher than those on the day of admission(P<0.05).There were no significant differences in the levels of HR,SBP and DBP between the two groups on the day of admission(P>0.05).The levels of HR,SBP and DBP in the observation group were lower than those in the control group on the first day before operation,the first day after operation,the first day after operation and the third day after operation(P<0.05).【Conclusion】The perioperative disease management model supported by the information collaboration platform can provide a wealth of disease and surgical related knowledge during the perioperative period,and facilitate the acquisition and mastery of relevant knowledge by patients,which not only helps improve the coping style of patients with endometriosis,but also has a positive role in reducing their perioperative stress response.