基于信息化管理平台的OEC管理模式在维持性血液透析患者中的应用

摘要/Abstract

摘要： 目的探讨基于信息化管理平台的OEC管理模式在维持性血液透析（MHD）患者中的应用效果。方法选择2022年1月—2022年12月在贵黔国际医院规律血液透析的156例患者作为研究对象,随机分为对照组和观察组,各78例患者。对照组采用常规管理模式,观察组采用OEC管理模式。干预3个月,比较干预前后两组患者相关生化指标达标率、因透析并发症导致的住院率以及生活质量。结果干预前,两组的血磷、血钾、血钙、白蛋白、血红蛋白水平、健康调查简表（SF-36）评分比较,差异无统计学意义（P>0.05）;干预后,两组的血磷、血钾水平均低于干预前,且观察组低于对照组,差异有统计学意义（P<0.05）;两组的血钙、白蛋白、血红蛋白水平、SF-36评分均高于干预前,且观察组高于对照组,差异有统计学意义（P<0.05）。观察组患者3个月内住院率低于对照组,差异有统计学意义（P<0.05）。结论基于信息化管理平台的OEC管理模式应用于MHD患者管理中,能够显著提高患者的血磷、白蛋白、血红蛋白达标率,降低透析并发症导致的住院率,同时提高患者的生活质量。

关键词: 信息化管理平台, OEC管理模式, 血液透析

Abstract: Objective To explore the effects of the OEC management model based on an information management platform in patients undergoing maintenance hemodialysis (MHD). Methods A total of 156 patients regularly receiving hemodialysis in our hospital in 2022 were selected as the study subjects, and randomly divided into a control group and an experimental group, with 78 patients in each. The control group used the conventional management model, while the experimental group implemented the OEC management model.After 3 months of intervention, the rate of compliance with relevant biochemical indicators, hospitalization rate due to dialysis complications and quality of life were compared between the two groups. Results Before intervention, there were no significant differences in the levels of blood phosphorus, blood potassium, blood calcium, albumin, hemoglobin and 36-item short form(SF-36) scores between the two groups (P>0.05). After intervention, the levels of blood phosphorus and potassium in both groups were lower than before intervention, and the experimental group was lower than control group, the difference was statistically significant (P<0.05). After intervention, the levels of blood calcium, albumin, hemoglobin and SF-36 scores in both groups were higher than before intervention, and the experimental group was higher than the control group, the difference was statistically significant (P<0.05). The hospitalization rate of observation group within 3 months was lower than control group, and the difference was statistically significant (P<0.05). Conclusion The OEC management model based on an information management platform, when applied to the management of MHD patients, can significantly improve the rates of meeting target levels for blood phosphate, albumin, and hemoglobin, reduce hospitalization rates due to dialysis complications, and enhance the quality of life of patients.

Key words: information management platform, OEC management model, Hemodialysis

中图分类号:

R473

朱林, 何芳, 叶昕楠, 郭佳. 基于信息化管理平台的OEC管理模式在维持性血液透析患者中的应用[J]. 中华养生保健, 2025, 43(12): 75-79.

ZHU Lin, HE Fang, YE Xin-nan, GUO Jia. The Application of the OEC Management Model Based on an Information Management Platform in Patients Undergoing Maintenance Hemodialysis[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(12): 75-79.

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