基于互联网+群体智慧的纤维蛋白胶封堵肠瘘病人疾病管理模式构建

    Construction of a disease management mode for intestinal fistula patients treated with fibrin adhesive sealing based on Internet + collective wisdom

    • 摘要:
      目的: 探讨基于互联网+群体智慧的纤维蛋白胶封堵肠瘘病人疾病管理模式的应用效果。
      方法: 采用便利抽样法,选取60例行纤维蛋白胶封堵法的肠瘘病人作为研究对象,按入院时间分为观察组和对照组,各30例。对照组行常规治疗和健康教育,观察组在对照组的基础上实施互联网+群体智慧的疾病管理模式,比较干预前后2组疾病感知评分、负性情绪评分、生活质量评分及营养指标的差异,干预后2组胶堵治疗次数、胶堵治疗成功率、术后并发症发生率及病人满意度差异。
      结果: 2组疾病感知评分、负性情绪评分均低于干预前,且观察组低于对照组;干预后,2组生活质量评分及营养指标高于干预前,且观察组高于对照组,差异均有统计学意义(P < 0.05 ~ P < 0.01)。干预后,2组胶堵治疗次数无差异,观察组的胶堵治疗成功率及病人满意度高于对照组,术后并发症发生率低于对照组,差异均有统计学意义(P < 0.05 ~ P < 0.01)。
      结论: 基于互联网+群体智慧的纤维蛋白胶封堵肠瘘病人疾病管理模式较常规护理在临床应用的效果更好,可改善病人营养状况,降低病人的疾病负性感知,改善负性情绪,提高生活质量。

       

      Abstract:
      Objective To explore the application effect of the disease management mode for intestinal fistula patients treated with fibrin adhesive sealing based on Internet + collective wisdom.
      Methods By using the convenience sampling method, 60 intestinal fistula patients treated with fibrin adhesive sealing were selected as the research subjects, and divided into the observation group and control group according to the admission time, with 30 cases in each group. The control group received conventional treatment and health education, while the observation group were treated with the Internet + group intelligence disease management mode on the basis of the control group. The differences in the disease perception score, negative emotion score, quality of life score and nutritional indicators between two groups before and after the intervention were compared. The differences in the number of gel blockage treatments, success rate of gel blockage treatment, incidence of postoperative complications and satisfaction between two groups were compared after intervention.
      Results The disease perception scores and negative emotion scores in two groups after intervention were lower than those before the intervention, and those of the observation group were lower than those of the control group. After intervention, the quality of life scores and nutritional indicators in two groups were higher than those before the intervention, and which in the observation group was higher than the control group. The differences were statistically significant (P < 0.05 to P < 0.01). After intervention, there was no statistical significance in the number of rubber blockage treatment between two groups. The success rate of rubber blockage treatment and satisfaction in the observation group were higher than those in the control group, while the incidence of postoperative complications was lower than that in the control group, and the differences were statistically significant (P < 0.05 to P < 0.01).
      Conclusions Compared with the conventional nursing, the disease management mode for intestinal fistula patients treated with fibrin adhesive sealing based on Internet + collective intelligence has a better clinical application effect. It can improve the nutritional status of patients, reduce their negative awareness of the disease, improve negative emotions, and enhance the quality of life.

       

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