Volume 21 Issue 2
Feb.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(2): 329-332
GU Ye-chun, ZHENG Wan-qiong, ZHANG Yi-ming, HUANG Jia-jia, YU Xiao-min, WEN Meng-meng, XU Hong-bo. Construction and evaluation of remote integrated medical care and pension service system for postoperative patients in pension institutions[J]. Chinese Journal of General Practice, 2023, 21(2): 329-332. doi: 10.16766/j.cnki.issn.1674-4152.002875
Citation: GU Ye-chun, ZHENG Wan-qiong, ZHANG Yi-ming, HUANG Jia-jia, YU Xiao-min, WEN Meng-meng, XU Hong-bo. Construction and evaluation of remote integrated medical care and pension service system for postoperative patients in pension institutions[J]. Chinese Journal of General Practice, 2023, 21(2): 329-332. doi: 10.16766/j.cnki.issn.1674-4152.002875
shu

Construction and evaluation of remote integrated medical care and pension service system for postoperative patients in pension institutions

doi: 10.16766/j.cnki.issn.1674-4152.002875
  • 1.

    General Surgery Department, Wenzhou Intergrated Traditional Chinese and Western Medicine Hospital Affiliated to Zhejiang Chinese Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2021KY1081

  • Received Date: 2022-02-19
    Available Online: 2023-04-20
    Abstract
  •   Objective  To construct a remote integrated medical care and pension service system for postoperative patients in pension institutions and analyze its application value.  Methods  A total of 50 postoperative patients who were ready to go back to pension institutions were recruited from January 2018 to June 2021, and randomly divided into experimental group (30 cases) and control group (20 cases) according to the ratio of 3∶ 2. After being discharged, the experimental group received remote integrated medical care and pension services, and the control group received medical care and pension services according to traditional scheme. One month after discharge, the number of visits, medical expenses, postoperative recovery, anxiety, depression and satisfaction levels were evaluated.  Results  The number of visits of the experimental group were less than that of the control group [0(0, 1) vs. 1(0, 2), Z=-2.133, P=0.033]. No significant difference in medical expenses was found between the two groups [0 (0, 138.93) yuan vs. 112.20 (0, 291.70) yuan, Z=-1.413, P=0.158]. There was no wound infection in the experimental group and 1 case in the control group, with no significant difference (χ2=1.531, P=0.216). There were no patients with incision bleeding, incision dehiscence, readmission and reoperation in the two groups. There was no significant difference in physical strength between the two groups [(72.33 ± 9.35) points vs. (70.00 ± 9.18) points, t=0.871, P=0.388]. There was no significant difference in weight change between the two groups [1.20 (0.30, 1.73) kg vs. 0.75 (0.10, 1.10) kg, Z=-1.737, P=0.082]. The anxiety and depression scores of the experimental group were lower than that of the control group [(35.04±7.36) points vs. (39.69±8.08) points, t=-2.103, P=0.041; (37.92±7.22) points vs. (42.88±6.46) points, t=-2.477, P=0.017]. The experimental group had higher satisfaction with medical services, psychological comfort, science popularisation and publicity and daily care than the control group (all P < 0.05). No significant difference in cultural entertainment satisfaction was detected between the two groups (P>0.05).  Conclusion  The remote integrated medical care and pension service system can provide efficient medical services for postoperative patients in pension institutions, such as reduced number of medical visits, better psychological comfort and science popularisation and publicity, and can also promote the improvement of daily care.

     

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