移动医疗app在门诊放化疗患者随访中的应用

目的 比较移动医疗app患者管理软件与传统随访在门诊肿瘤患者中的应用。方法 入组分析2015年共计539位在本院门诊进行肿瘤放化疗的患者,采用抽签的方式随机分成AB两组分别进行随访,其中A组232人,B组307人。采用SPSS20.0进行两组间卡方检验,P＜0.05为统计学存在差异。结果 AB两组患者1年随访率分别为94.8%和92.8%,P=0.35(P＞0.05)无明显统计学差异;两年随访率分别为84.5%和90.6%,P=0.03(P＜0.05)具有显著统计学差异。至截访期,AB组失访数分别为36例和29例。其中失去联系、不予配合、经济原因、地域原因分别为17(42.2%)和12(41.30%)、7(19.4%)和6(20.6%)、6(16.7%)和6(20.6%)、6(16.7%)和5(17.2%),P值分别为0.64、0.90、0.68、0.95。P值均大于0.05无统计学差异。结论 手机APP软件在门诊患者管理中1年期随访率较传统方法无差异,但两年随访优于传统随访方式且能满足临床资料统计大于90%的要求,是一个值得临床关注和应用的便捷辅助工具。

The application of mobile medical app patient management software in outpatient radiotherapy

Objective To compare the application of mobile medical app patient management software and traditional follow-up in outpatient oncology patients.Methods A total of 539 patients who received radiotherapy and chemotherapy in our hospital in 2015 were randomly divided into two groups:group A ( 232 )and group B(307).The SPSS 20.0 was used for the chi-square test between two groups.Results The 1-year follow-up rate of the two group was 94.8 % and 92.8 %,P=0.35 (P＞0.05).The 2-year follow-up rate was 84.5 % and 90.6 %,P=0.03(P＜0.05 ).The number of missed visits in group B was 36 and 29 cases, respectively.The loss of contact, lack of cooperation, economic reasons,geographical reasons are 17(42.2%) and 12(41%) respectively、7(19.4%)and 6(20.6%)、6(16.7% )and 6(20.6% )、6(16.7% )and 5(17.2%).The p value was 0.64、0.90、0.68、0.95.The P value was all greater than 0.05, no statistical difference.Conclusion The 1-year follow-up rate of mobile app software in outpatient management has no difference compared with the traditional method, but 2 years follow-up is better than the traditional follow-up method and can meet the requirement of clinical data more than 90 %, it is a convenient auxiliary tool for clinical attention and application.