区域协同信息管理模式对下肢静脉性溃疡患者湿性愈合治疗的影响

Impact of regional collaborative information management mode on healing effect of wet treatment in patients with lower extremity venous ulcer

目的：探讨区域协同信息管理模式对静脉性溃疡患者湿性愈合治疗依从性和生命质量的影响。方法选取下肢静脉性溃疡患者100例，将患者按随机数字表法分为干预组和对照组各50例，2组患者均采用湿性愈合理论护理创面，干预组应用区域协同信息管理模式，对照组应用常规护理模式。治疗前后，采用自行设计慢性患者治疗依从性量表和生命质量量表（SF-36）比较2组的效果。结果干预前2组患者治疗依从性评分比较差异无统计学意义（P＞0.05）；干预后干预组治疗依从性得分（15.2±2.4）分，明显高于对照组的（11.3±1.9）分，差异有统计学意义（t=6.699， P＜0.01）。干预前2组患者就诊路途时间比较差异无统计学意义（P＞0.05）；干预后干预组就诊路途时间（42.3±10.5）min，明显低于对照组的（70.8±11.4）min，差异有统计学意义（t=13.003，P＜0.01）。干预组干预后疗效与对照组比较，好转患者差异无统计学意义（P＞0.05），治愈患者29例，明显高于对照组的19例，差异有统计学意义（χ2=4.006，P＜0.05），无效患者4例，明显低于对照组11例，差异有统计学意义（χ2=3.843，P＜0.05）。干预后2组患者在生理功能维度评分比较差异无统计学意义（P＞0.05），而干预组在生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康、总体健康维度评分分别为（81.7±11.3）、（86.4±13.0）、（58.8±15.1）、（83.9±12.1）、（76.6±9.1）、（73.9±18.1）、（63.8±16.1）分，对照组分别为（77.6±12.5）、（79.1±15.4）、（53.1±14.4）、（80.1±10.1）、（73.1±10.1）、（67.8±15.4）、（58.1±13.4）分，2组比较差异有统计学意义（t=1.705~2.561，P＜0.05）。结论应用区域协同信息管理模式能够提高静脉性溃疡患者湿性愈合治疗依从性和生命质量，解决患者看病难的问题，值得推广。

Objective To study the impact of regional collaborative information management mode on healing with wet treatment compliance and qualities of life in patients with lower extremity venous ulcer. Methods A total of 100 patients with lower extremity venous ulcer were selected and divided into intervention group and control group with 50 cases each by random digits table method. The two groups were treated with wound wet healing theory. The model of regional collaborative information management was applied in intervention group. The conventional nursing model was applied in control group. The effect between two groups before and after treatment were compared by a self-designed chronic treatment compliance scale and Short Form 36 Health Survey Questionnaire(SF-36). Results There was no significant difference in treatment compliance score between two groups before treatment (P>0.05). The treatment compliance score was (15.2 ± 2.4) points in intervention group, and (11.3 ± 1.9) points in control group after treatment, and there was significant difference (t=6.699, P<0.01). There was no significant difference in the treatment time between two groups before treatment (P>0.05). The treatment time was <br> (42.3 ± 10.5) min in intervention group and (70.8 ± 11.4) min in control group, and there was significant difference(t=13.003, P<0.01). There was significant difference in the efficacy between two groups(χ2=3.843, P<0.05). There was no statistical significance in the physiological function between two groups after treatment (P>0.05). The scores of physical function, physical pain, vitality, social function, emotional function, mental health and overall health were (81.7±11.3), (86.4±13.0), (58.8±15.1), (83.9± 12.1), (76.6±9.1), (73.9±18.1), (63.8±16.1) points after treatment in intervention group and (77.6±12.5), (79.1±15.4), (53.1±14.4), (80.1±10.1), (73.1±10.1), (67.8±15.4), (58.1±13.4) points in control group, and there were statistically significant differences between two groups (t=1.705- 2.561, all P<0.05). Conclusions Application of regional collaborative information management mode can improve the patients with lower extremity venous ulcer of wet healing treatment compliance and quality of life. To solve the difficulty in medical treatment, it is worth of promotion.