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用于护理膀胱疼痛综合征/间质性膀胱炎患者的电子健康系统的开发与评估。

Development and evaluation of an E-health system to care for patients with bladder pain syndrome/interstitial cystitis.

作者信息

Lee Ming-Huei, Wu Huei-Ching, Lin Jen-Yung, Tan Tan-Hsu, Chan Po-Chou, Chen Yung-Fu

机构信息

Department of Management Information System, Central Taiwan University of Science and Technology, Taichung, Taiwan; Department of Urology, Feng Yuan Hospital, Ministry of Health and Welfare, Taichung, Taiwan.

出版信息

Int J Urol. 2014 Apr;21 Suppl 1:62-8. doi: 10.1111/iju.12336.

Abstract

OBJECTIVES

Bladder pain syndrome/interstitial cystitis (BPS/IC) is a chronic disease that highly degrades the quality of life for patients. In the present study, Internet intervention was used to care for bladder pain syndrome/interstitial cystitis patients to alleviate their pain and bothering symptoms.

METHODS

Healthcare education was carried out through the Internet by asking the patients, who were randomly divided into study (40 patients) and control (40 patients) groups, to check possible sensitive foods, habits, and behaviors weekly to remind and consolidate important rules for promoting quality of life. The symptom flares consultation through short message service with the Internet used to elevate healthcare efficiency was undertaken. Questionnaires, including Short Form 36 health survey, O'Leary-Sant symptom and problem indices, as well as visual analog scales pain and urgency scales, were used to evaluate quality of life and disease severity improvements before and after information and communication technology intervention. The outcome was evaluated at week 8.

RESULTS

The quality of life of both the control and study groups was significantly improved. The quality of life and visual analog scales for the patients in the study group with information and communication technology intervention showed a much greater improvement compared with the patients in the control group (P < 0.05).

CONCLUSIONS

The E-health system was shown to be effective in improving quality of life of bladder pain syndrome/interstitial cystitis patients through intervention of Internet healthcare education and short message service for the consolidation of healthy behavior and lifestyle in the 8-week follow up.

摘要

目的

膀胱疼痛综合征/间质性膀胱炎(BPS/IC)是一种严重降低患者生活质量的慢性疾病。在本研究中,采用互联网干预来护理膀胱疼痛综合征/间质性膀胱炎患者,以减轻他们的疼痛和困扰症状。

方法

通过互联网开展健康教育,将患者随机分为研究组(40例患者)和对照组(40例患者),要求他们每周检查可能的敏感食物、习惯和行为,以提醒并强化提高生活质量的重要规则。通过短信服务进行症状突发咨询,并利用互联网提高医疗效率。使用包括简短健康调查问卷36项、奥利里-桑特症状和问题指数以及视觉模拟疼痛量表和尿急量表在内的问卷,来评估信息通信技术干预前后生活质量和疾病严重程度的改善情况。在第8周评估结果。

结果

对照组和研究组的生活质量均有显著改善。与对照组患者相比,接受信息通信技术干预的研究组患者的生活质量和视觉模拟量表有更大改善(P < 0.05)。

结论

在为期8周的随访中,电子健康系统通过互联网健康教育干预和短信服务来巩固健康行为和生活方式,被证明能有效提高膀胱疼痛综合征/间质性膀胱炎患者的生活质量。

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