远程数字化平台对某部干休所骨质疏松症患者的健康管理效果评价

发布时间：2018-12-26 11:35

【摘要】：目的评价远程数字化平台对我院附属某部干休所门诊部骨质疏松症患者的一体化健康管理的临床效果。方法选取我院附属某部干休所门诊部骨质疏松症患者为研究组(170例),我院本部门诊骨质疏松症患者为对照组(245例)。所有病例于2013年12月至2015年3月完成入组,研究组进行基于远程数字化平台的骨质疏松症一体化健康管理,对照组不应用远程系统,但仍采用基于数字化平台的骨质疏松症一体化健康管理,随访期限1年。对比分析两组患者骨折发生率、药物依从性、骨质疏松知识、骨密度及研究组转诊率变化。结果研究组和对照组患者1年内骨折发生率均较低(2.94%,3.26%),钙剂、维生素D、双膦酸盐药物依从性良好的人数比例均较高(82.35%,83.26%;77.06%,75.10%;70.00%,72.65%),两者比较均没有统计学差异(P0.05)。随访1年时,研究组骨质疏松知识OKT分值(20.94±2.38)与对照组(21.26±2.91)均比入组时(13.52±2.68,13.82±2.73)增高(P=0.000),但两者相比没有统计学差异(P0.05);研究组腰椎(L1-L4)及股骨颈骨密度(0.7882±0.0946 g/cm2,0.6741±0.0814 g/cm2)与对照组(0.7946±0.1037 g/cm2,0.6872±0.0907 g/cm2)均比入组时增高(P=0.000),但两者相比没有统计学差异(P0.05)。研究组患者转诊率(18.14%)与前1年(73.28%)相比有显著降低(P=0.000)。结论远程数字化平台对我院附属某部干休所门诊部骨质疏松症患者的一体化健康管理效果与我院本部相似,且可使转诊率显著降低,有利于部队实现分级诊治,值得推广。
[Abstract]:Objective to evaluate the clinical effect of remote digital platform on integrated health management of osteoporosis patients in outpatient department of affiliated department of our hospital. Methods 170 patients with osteoporosis in outpatient department of affiliated department of our hospital were selected as study group and 245 patients as control group. All patients were enrolled in the study group from December 2013 to March 2015. The study group performed integrated health management of osteoporosis based on remote digital platform, while the control group did not use remote system. However, the integrated health management of osteoporosis based on digital platform is still adopted, and the follow-up period is 1 year. The incidence of fracture, drug compliance, knowledge of osteoporosis, bone mineral density and referral rate of study group were compared and analyzed. Results the incidence of fracture was lower in the study group and the control group within one year (2.94 / 3.26%). The proportion of the patients who had good compliance with calcium, vitamin D and bisphosphonates was higher (82.35%) than that of the control group (83.26%). 77.06 and 75.100.75%, there was no statistical difference between them (P0.05). The OKT scores of osteoporosis knowledge in the study group (20.94 卤2.38) and the control group (21.26 卤2.91) were significantly higher than those in the control group (13.52 卤2.68 卤13.82 卤2.73). But there was no statistical difference between them (P0.05). The bone mineral density of lumbar vertebrae (L1-L4) and femoral neck (0.7882 卤0.0946 g / cm ~ (-2) 0.6741 卤0.0814 g/cm2) and control group (0.7946 卤0.1037 g / cm ~ (-2) 0.6872 卤0.0907 g/cm2) were significantly higher than those of the control group (P < 0.01). But there was no statistical difference between them (P0.05). The referral rate in the study group (18.14%) was significantly lower than that in the previous year (73.28%) (P0. 000). Conclusion the integrated health management effect of remote digital platform for patients with osteoporosis in outpatient department of an affiliated department of our hospital is similar to that in our hospital, and the referral rate can be significantly reduced, which is beneficial to the implementation of grading diagnosis and treatment in the army and is worth popularizing.
【作者单位】：解放军第309医院全军骨科中心;
【基金】：2014年解放军309医院院内立项面上课题(2014MS-010) 2014年总参军事医学和老年病科研基金重点项目(ZCWS14B05)
【分类号】：R580

【相似文献】