目的 探讨基于远程监测系统的医护一体化随访在腹膜透析患者中的应用效果。 方法 选取2017年6月—2020年5月在中国医科大学附属盛京医院随访的腹膜透析患者60例作为对照组，2020年6月—2023年5月随访的腹膜透析患者60例作为观察组。对照组给予常规护理，观察组实施医护一体化的远程护理干预。比较2组患者服药依从性、并发症发生率、再住院率、再考核得分。 结果 与对照组相比，观察组患者服药依从性提高(63.33%比46.67%，χ2=4.062，P=0.044)，并发症发生率下降(26.67%比46.67%，χ2=5.167，P=0.023)，再住院率降低(23.33%比41.67%，χ2=4.596，P=0.032)，再考核得分提高[(88.13±6.36)分比(81.32±9.78)分，t=4.527,P＜0.001],差异均有统计学意义。结论 基于远程监测的医护一体化平台管理应用于腹膜透析患者可使患者更加配合治疗，减少并发症的发生，提高慢性病管理质量。
Objective To explore the application effect of medical and nursing care integrated platform based on remote monitoring system to follow up peritoneal dialysis (PD) patients. Methods Sixty patients undergoing PD and followed up at Shengjing Hospital of China Medical University from June 2017 to May 2020 were selected as the control group, and a total of 60 PD patients followed up from June 2020 to May 2023 were assigned to the observation group. The control group received routine care, while the observation group received the medical and nursing care integrated platform based on remote monitoring system. Medication compliance, complication rate, re-hospitalization and re-examination score were compared between the two groups. Results Compared with the control group, medication compliance of patients in the observation group was significantly improved (63.33% vs. 46.67%, χ2=4.062, P=0.044), complication rate was significantly reduced (26.67% vs. 46.67%, χ2=5.167, P=0.023), re-hospitalization rate was lower (23.33% vs. 41.67%, χ2=4.596, P=0.032), and re-examination score was significantly increased (88.13±6.36 vs. 81.32±9.78, t=4.527, P<0.001). Conclusion The application of medical and nursing care integrated platform based on remote monitoring system can help PD patients better comply with medications and reduce complications, and can also improve the quality of management to chronic diseases.
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