Internal Medicine, Beijing Tongren Hospital, CMU, Beijing, China.
Endocrinology Department, Beijing Tongren Hospital, CMU, Beijing, China.
Medicine (Baltimore). 2024 Apr 26;103(17):e37974. doi: 10.1097/MD.0000000000037974.
"Internet + Nursing" refers to medical institutions using Internet technologies and big data to provide nursing services to discharged patients or those with severe illnesses unable to visit hospitals, through online applications and offline care provision. This study aimed to explore the influence of "Internet + Nursing" on the psychological status and quality of life of patients with thyroid eye disease. Sixty-eight patients with thyroid eye disease from January 2021 to December 2022 were divided into a research group (n = 34, joined the platform) and control group (n = 34, not joined the platform) based on their voluntary participation in our hospital's "Internet + Nursing Platform." The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the research group were lower than those of the control group (P < .05). The short form-36 health survey (SF-36) scores in various dimensions were higher in the research group compared to the control group (P < .05). The incidence rates of retinal detachment, vitreous hemorrhage, diabetic retinopathy, and iris neovascularization were lower in the research group compared to the control group (P < .05). After nursing, exophthalmos, blink frequency, and eyelid height of the research group were lower than those of the control group, while tear film breakup time was higher than that of the control group (P < .05). The visual acuity of the research group was higher than that of the control group (P < .05). After nursing, the National Eye Institute Visual Function Questionnaire 25 (NEI-VFQ-25) scores in various dimensions were significantly higher in the research group than those in the control group (P < .05). Additionally, after nursing, the levels of interleukin-6 (IL-6), interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α) in the research group were lower than those in the control group (P < .05). The patients in the research group exhibited higher recognition scores of nursing compared to those in the control group (P < .05). Through the implementation of "Internet + Nursing" for patients with thyroid eye disease discharged from our hospital, we can provide better out-of-hospital nursing for patients, reduce the occurrence of complications, improve ocular surface symptoms, promote visual acuity recovery, and improve patients' psychological status and quality of life.
“互联网+护理”是指医疗机构利用互联网技术和大数据,通过线上申请和线下护理提供,为出院患者或因病情严重无法到医院就诊的患者提供护理服务。本研究旨在探讨“互联网+护理”对甲状腺眼病患者心理状态和生活质量的影响。选取 2021 年 1 月至 2022 年 12 月在我院就诊的 68 例甲状腺眼病患者,根据自愿参与我院“互联网+护理平台”的情况分为研究组(n=34,加入平台)和对照组(n=34,未加入平台)。研究组的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分低于对照组(P<.05)。研究组各维度的健康调查简表 36 项(SF-36)评分均高于对照组(P<.05)。研究组视网膜脱离、玻璃体积血、糖尿病视网膜病变和虹膜新生血管的发生率低于对照组(P<.05)。护理后,研究组的眼球突出度、眨眼频率和眼睑高度均低于对照组,而泪膜破裂时间高于对照组(P<.05)。研究组的视力高于对照组(P<.05)。护理后,研究组各维度的国家眼科研究所视觉功能问卷 25 项(NEI-VFQ-25)评分均显著高于对照组(P<.05)。此外,护理后,研究组的白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)和肿瘤坏死因子-α(TNF-α)水平均低于对照组(P<.05)。研究组患者对护理的认可度评分高于对照组(P<.05)。通过对我院出院的甲状腺眼病患者实施“互联网+护理”,可以为患者提供更好的院外护理,降低并发症的发生,改善眼表症状,促进视力恢复,改善患者的心理状态和生活质量。