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新媒体整合自我管理支持模式下的患者教育改善了酒渣鼻患者的治疗效果。

Patient Education with New Media Integration Self-Management Support Model Improves Therapeutic Outcomes of Rosacea Patients.

作者信息

Liu Xu, Kim Min-Kyu, Du Dan, Zhou Xinyu, Wang Lian, Jiang Xian

机构信息

Department of Dermatology, West China Hospital, Sichuan University, Chengdu, People's Republic of China.

Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital, Sichuan University, Chengdu, People's Republic of China.

出版信息

Patient Prefer Adherence. 2023 Sep 27;17:2395-2400. doi: 10.2147/PPA.S431955. eCollection 2023.

Abstract

OBJECTIVE

To retrospectively analyze the factors influencing the treatment of rosacea patients with regular follow-up by self-management support in the new media chronic disease management model, to explore the effect of self-management support and to provide an objective basis for clinical application.

METHODS

Female patients with rosacea who were regularly followed up for more than 6 months at the rosacea follow-up clinic of the Department of Dermatology, West China Hospital, Sichuan University, from March 2022 to June 2023, with erythema and capillary dilation as the main clinical phenotype, met the rosacea diagnostic criteria of the American Rosacea Expert Committee 2017 edition, and received medications recommended by the Chinese Rosacea Treatment Guidelines (2021 edition). A total of 125 patients were treated with combined photobiomodulation therapy (PBMT), and the patients were divided into a standardized group (CEA<1, IGA<1) and a non-standardized group (CEA≥1, IGA≥1) based on significant rosacea efficacy (CEA<1, IGA<1) within 6 months. The age, gender, education level, duration of rosacea, treatment regimen, education intensity, CEA, and IGA baseline data were compared between the two groups, and logistic regression analysis was performed to analyze the factors influencing the significant efficacy of rosacea.

RESULTS

There was a significant difference in the mean length of education between the two groups (P<0.05), and the differences between the rest of the baseline information of the two groups were not statistically significant (P>0.05). Logistic regression analysis showed that the variable that significantly influenced the efficacy of treatment was the mean length of education (≥130.5 min/month), and the intensity of education was significantly associated with the efficacy of treatment.

CONCLUSION

Self-management support in the new media chronic disease management model has a positive impact on the treatment of rosacea patients.

摘要

目的

回顾性分析新媒体慢性病管理模式下自我管理支持对酒渣鼻患者规律随访治疗的影响因素,探讨自我管理支持的效果,为临床应用提供客观依据。

方法

选取2022年3月至2023年6月在四川大学华西医院皮肤科酒渣鼻随访门诊规律随访6个月以上,以红斑和毛细血管扩张为主要临床表型,符合美国酒渣鼻专家委员会2017版酒渣鼻诊断标准,并接受《中国酒渣鼻治疗指南(2021版)》推荐用药的女性酒渣鼻患者。共125例患者接受联合光生物调节疗法(PBMT)治疗,根据6个月内酒渣鼻疗效显著(CEA<1,IGA<1)将患者分为标准化组(CEA<1,IGA<1)和非标准化组(CEA≥1,IGA≥1)。比较两组患者的年龄、性别、文化程度、酒渣鼻病程、治疗方案、教育强度、CEA及IGA基线数据,并进行logistic回归分析以分析影响酒渣鼻显著疗效的因素。

结果

两组患者的平均教育时长差异有统计学意义(P<0.05),两组其余基线信息差异无统计学意义(P>0.05)。logistic回归分析显示,显著影响治疗效果的变量为平均教育时长(≥130.5分钟/月),且教育强度与治疗效果显著相关。

结论

新媒体慢性病管理模式下的自我管理支持对酒渣鼻患者的治疗有积极影响。

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