本文選題：造口并發(fā)癥　切入點：移動通信　出處：《山東大學》2014年碩士論文　論文類型：學位論文

【摘要】：目的 隨著高速移動無線通信的飛速發(fā)展,特別是隨著智能手機、平板電腦等移動終端的普及,為造口并發(fā)癥的遠程護理系統(tǒng)的發(fā)展提供了新途徑。本論文分析造口并發(fā)癥護理的特點,分析造口并發(fā)癥遠程護理的可行性,并設計、實現(xiàn)基于高速無線通信的造口發(fā)癥遠程護理和健康指導系統(tǒng),以改善造口并發(fā)癥患者的就醫(yī)體驗,提高病人自我護理能力和生活質量,填補我國在造口并發(fā)癥遠程醫(yī)療領域的空白,從而推動遠程醫(yī)療系統(tǒng)的發(fā)展。 方法 設計并研發(fā)了造口并發(fā)癥遠程護理系統(tǒng),由客戶端和服務器系統(tǒng)構成,分為離線咨詢和實時視頻就診兩種方式。在離線咨詢方式下,患者將病史、當前癥狀以及造口及病變皮膚照片通過客戶端上傳至服務器,造口師在適當時給予護理指導。在實時視頻就診方式下,患者與造口師建立視頻通訊鏈接,造口師通過語音和視頻了解患者病情并提供護理建議。在遠程護理指導結束后,都要求患者對此次服務在網(wǎng)絡上進行評價,包括對本系統(tǒng)方便性的評價和建議,以及對醫(yī)護人員工作質量和工作態(tài)度的評價和建議,以便更好改進系統(tǒng)和醫(yī)務工作者服務質量。針對實際就診病例,進行統(tǒng)計學分析,給出結果。 結果 有256例造口并發(fā)癥患者通過遠程護理系統(tǒng)就診,64.8%(166例)患者可以完成自我護理,無需再到醫(yī)院就診；13.7%(35例)患者當時自我護理一周后沒有明顯改善,到醫(yī)院就診；21.5%(55例)患者病情較為嚴重,在遠程護理中,接受專家建議及時到醫(yī)院就診。256例遠程患者的護理響應時間,約60%(153例)的患者在1小時內(nèi)即可得到響應,其中包含實時服務模式患者59例；超過94%患者在2個小時內(nèi)可以得到護理指導。 結論 該系統(tǒng)運行以來,取得了良好社會效益,減輕了患者經(jīng)濟負擔,特別是使行動不便的患者可便捷接受造口師的護理和健康指導。調查問卷表明該系統(tǒng)具有明顯優(yōu)勢,深受患者歡迎,具有較大的推廣價值。當然,造口并發(fā)癥遠程護理還處于起步和探索階段,其服務模式、軟件系統(tǒng)還需要進一步探索和完善。
[Abstract]:Purpose. With the rapid development of high-speed mobile wireless communication, especially with the popularity of mobile terminals such as smart phones and tablets, This paper analyzes the characteristics of nursing care of complications, analyzes the feasibility and design of remote nursing care for complications of ostomy, and provides a new way for the development of tele-nursing system for complications of ostomy. To realize the remote nursing and health guidance system based on high speed wireless communication to improve the experience of patients with complications of ostomy, and to improve the ability of self-care and quality of life of patients with complications of ostomy. In order to promote the development of telemedicine system, fill the gap in the field of orthopedic complications telemedicine in China. Method. This paper designs and develops a remote nursing system for complications of stomatostomy, which is composed of client and server system, which is divided into two ways: offline consultation and real-time video consultation. The current symptoms and photos of the stomata and skin lesions are uploaded to the server via the client, and the stomatologist provides nursing guidance when appropriate. In the real-time video mode, the patient and the stomatologist establish a video communication link. After the telecontrol instruction, patients were asked to evaluate the service on the Internet, including the convenience of the system. The evaluation and suggestion on the work quality and working attitude of the medical staff were also made in order to improve the system and the service quality of the medical workers. The statistical analysis was carried out on the actual cases and the results were given. Results. There were 256 patients with complications of stomstomy who were treated by remote nursing system (166 patients) who could complete self-care, and 35 patients did not need to go to the hospital.) there was no significant improvement after a week of self-care. The patients who went to the hospital to see a doctor and 55 patients were in a more serious condition. In telemedicine, the patients who received expert advice to visit the hospital in a timely manner received the nursing response time of .256 remote patients, and about 60,153 patients could get a response within one hour. There were 59 patients with real-time service mode, and more than 94% of the patients received nursing guidance within 2 hours. Conclusion. Since the operation of the system, it has achieved good social benefits and reduced the economic burden of patients. Especially, the patients with mobility difficulties can easily receive nursing care and health guidance from the stomatologist. The questionnaire survey shows that the system has obvious advantages. It is well received by patients and has great value in popularizing. Of course, remote nursing care for complications of ostomy is still in its infancy and exploration stage, and its service mode and software system need to be further explored and improved.
【學位授予單位】：山東大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：TP311.52;R472

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