护理实践与研究2024,Vol.21Issue(1) :146-152.DOI:10.3969/j.issn.1672-9676.2024.01.022

"互联网+健康管理"模式在健康体检外阴阴道假丝酵母菌病检出人群的干预效果分析

Analysis of the effect of"Internet+ Health Management"model on the detection of vulvovaginal pseudomycosis during health check-ups

陈丽平 黄冬清 罗颖华 蓝盈盈 黄小知 陆茜 李小珍
护理实践与研究2024,Vol.21Issue(1) :146-152.DOI:10.3969/j.issn.1672-9676.2024.01.022

"互联网+健康管理"模式在健康体检外阴阴道假丝酵母菌病检出人群的干预效果分析

Analysis of the effect of"Internet+ Health Management"model on the detection of vulvovaginal pseudomycosis during health check-ups

陈丽平 1黄冬清 1罗颖华 1蓝盈盈 1黄小知 1陆茜 1李小珍1
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作者信息

  • 1. 广西壮族自治区人民医院(广西壮族自治区 南宁市,530021)
  • 折叠

摘要

目的 外阴阴道假丝酵母菌病(VVC)是当前育龄期女性常见的一种下生殖道感染性疾病,VVC除了对患者生殖器官和功能造成一定的损害外,还因其反复发作、顽固难愈引发了患者心理健康、生活质量和社会功能等一系列相关问题.为加强VVC患者对疾病的防治意识,提高卫生服务质量和妇女的生殖健康水平,现探讨应用"互联网+健康管理"模式对健康体检外阴阴道假丝酵母菌病(VVC)检出人群的干预效果.方法 选择 2019 年 7 月—2020 年 3 月医院 200 例被确诊为VVC的育龄期女性为研究对象,按照组间基本特征具有可比性的原则分为观察组和对照组,各100 例.对照组采用常规基本的健康体检管理方式,发放体检结果及健康指导建议、建立健康体检档案,电话或短信提醒患者按时复诊等;观察组在对照组基础上应用"互联网+健康管理"模式,建立管理小组,搭建医患沟通平台,健康科普宣教,健康风险评估,个性化干预,定期健康随访.比较两组患者干预前后疗效、VVC复发率、遵医行为及VVC相关知识得分情况.结果 干预3个月、6个月后,观察组患者各项VVC相关知识评分高于同期对照组,差异有统计学意义(P<0.05).干预后观察组患者的遵医行为、临床总有效率及VVC复发率据低于对照组,差异有统计学意义(P<0.05).结论"互联网+健康管理"模式可促进健康体检VVC检出人群健康生活方式的养成,提高患者治疗依从性,延缓患者VVC发展,降低VVC的复发率,实现了预期的管理目标.在防治 VVC 的发展起到了"治未病,防患于未然"的作用.该管理模式具有高效率、广覆盖、低成本的特点,适宜在健康管理和临床护理领域应用.

Abstract

Objective Vulvovaginal candidiasis(VVC)is a common infectious disease of the lower genital tract among women in childbearing age.In addition to causing damage to the reproductive organs and functions of the patients,VVC also causes a series of problems related to the patients'mental health,quality of life,and social function due to the recurrent attacks and intractability.In order to enhance the awareness of VVC patients about the prevention and treatment of the disease and to improve the quality of health services and women's reproductive health.This research explored the effectiveness of the"Internet+ Health Management"model in intervening in the population detected with vulvovaginal candidiasis(VVC)during health check-ups.Methods From July 2019 to March 2020,200 childbearing age women diagnosed with VVC adimitted to the hospital were selected as the study subjects,they were divided into an observation group and a control group of 100 cases each according to the principle of comparability of basic characteristics between the groups.In the control group,the routine health check-up management was adopted,including the distribution of physical examination results and health advice,the establishment of health check-up files,and reminding patients by phone or text message to attend follow-up examinations on time,etc.In the observation group,the"Internet+ Health Management"model was applied on the basis of the control group,with the establishment of a management team,the construction of a platform for communication between doctors and patients,health popularisation,health risk assessment,personalised interventions,and regular health follow-ups.To compared the efficacy,VVC recurrence rate,medical compliance and VVC-related knowledge scores of the two groups before and after the intervention.Results After 3 and 6 months of intervention,all VVC-related knowledge scores of the patients in the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the intervention,the patients in the observation group had a lower rate of compliance with medical treatment,total clinical effectiveness and VVC recurrence than those in the control group,and the difference was statistically significant(P<0.05).Conclusion"Internet Health Management"model can promote the healthy lifestyle of VVC detected patients,improve their treatment compliance,postponded the development of VVC,reduce the recurrence rate of VVC,and achieve the expected management goals.It played the role of"treating the disease before it develops and preventing the disease before it occurs"in preventing and controlling the development of VVC.This management model had the characteristics of high efficiency,wide coverage and low cost,and is suitable for application in the field of health management and clinical care.

关键词

外阴阴道假丝酵母菌/外阴阴道念珠菌病/"互联网+健康管理"/健康体检/遵医行为

Key words

Pseudomonas vulvovaginalis/Candidiasis vulvovaginalis/Internet + health management/Health checkup/Compliance behaviour

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基金项目

广西壮族自治区卫生健康委员会科研课题(Z20190662)

广西壮族自治区卫生健康委员会科研课题(Z20210879)

出版年

2024
护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
参考文献量26
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