基于互联网医院医联体慢性伤口云端管理模式的应用研究

Establishment of internet-based hospital group in cloud management of chronic wounds

目的探讨基于互联网医院医联体慢性伤口云端管理模式在医联体慢性伤口患者管理中的构建和应用效果。方法采用不同病例前-后对照研究,将2020年4月至2021年4月医联体就诊慢性伤口患者90例设为对照组,将2021年5月至2022年5月医联体就诊慢性伤口患者96例设为观察组。对照组给予常规伤口护理管理,观察组采用构建的互联网医院医联体慢性伤口云端管理模式,对10家医联体医院的患者进行全程同质管理。比较两组患者的伤口愈合率、患者满意度,转诊率和伤口愈合时间。结果观察组患者伤口愈合率、患者满意度均高于对照组,转诊率较对照组低,伤口愈合时间较对照组短,两组比较,差异具有统计学意义(均P<0.05)。结论基于互联网医院医联体慢性伤口云端管理模式的实施能缩短医联体慢性伤口患者伤口愈合时间,提高伤口愈合率、患者满意度,提高医联体医院慢性伤口护理质量,为实现医联体医院慢性伤口同质化护理目标打好基础。

Objective To establish an internet-based Hospital Group for cloud management of chronic wounds and investigate its effectiveness in hospitals management.Methods Before and after study was used in the study.Between April 2020 and April 2021,a total of 90 patients with chronic wounds treated in 10 hospitals of a Hospital Group were assigned to the control group.Another group of 96 patients with the same condition and treated between May 2021 and May 2022 at the same hospitals were assigned to the observation group.The patients in the control group received routine wound management and those in the observation group were treated with the internet-based cloud management of chronic wounds through the Hospital Group.The two groups were compared in terms of wound healing rate,patient satisfaction,referral rate and wound healing time.Results The observation group showed a significantly higher wound healing rate,greater patient satisfaction in comparison with the control group(all P<0.05).Furthermore,the observation group demonstrated a significantly lower referral rate and significantly shorter wound healing time(both P<0.05).Conclusions The internet-based cloud management of chronic wounds via the Hospital Group offers several advantages,including shorter wound healing time,improved the wound healing rate and patient satisfaction,and increased wound care ability of nurses.Therefore,it can help to improve the chronic wound care ability of the hospitals affiliated to the Hospital Group and to achieve the goal of harmonised care for chronic wounds across the member hospitals.