Yang Yuting, Song Fengyan, He Jiacheng, Ji Wenmin, Xu Yuyue, Tan Jing, Xue Juan
Department of Outpatient, Third Xiangya Hospital, Central South University, Changsha 410013.
Xiangya Nursing School, Central South University, Changsha 410013.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2025 May 28;50(5):876-887. doi: 10.11817/j.issn.1672-7347.2025.250123.
Urinary calculi are characterized by a high recurrence rate, and patients' adherence to self-management after discharge directly affects health outcomes. Traditional offline follow-up models often face problems such as poor compliance and uneven allocation of medical resources, making it difficult to meet individualized health management needs. Remote follow-up provides a novel solution to optimize long-term management, improve health literacy, and enhance clinical outcomes. This study aims to evaluate the effect of remote follow-up under an intelligent medical collaborative model on quality of life and health-promoting lifestyle in patients with urinary calculi, and to assess its short-term impact on clinical outcomes.
A total of 118 patients with urinary calculi admitted to a tertiary hospital in Hunan Province between August and November 2024 were recruited and randomly assigned to a control group (=59) or an intervention group (=59). The control group received routine departmental follow-up, while the intervention group underwent remote follow-up based on an intelligent medical collaborative model for one month. Assessments were conducted before discharge (T0), 15 days after discharge (T1), and one month after discharge (T2), using the Wisconsin Stone Quality of Life Questionnaire and the Health-Promoting Lifestyle Profile. At T2, the incidence of forgotten ureteral stents (FUS), ureteral stent-related complications, unplanned readmissions, and patient satisfaction were evaluated.
No significant differences were observed between groups at T0 in baseline characteristics or outcome measures (all >0.05). At T1 and T2, the intervention group had significantly higher health-related quality of life scores than the control group (<0.05). Generalized estimating equation (GEE) analysis showed significant between-group effects (Wald's =22.961, <0.001), time effects (Wald's =23.065, <0.001), and interaction effects (Wald's =6.930, <0.05). Similarly, at T1 and T2, the intervention group scored significantly higher on health-promoting lifestyle than the control group (<0.05), with significant between-group effects (Wald's =22.936, <0.001), time effects (Wald's =10.694, <0.001), and interaction effects (Wald's =18.921, <0.05). No significant differences were found between groups in the incidence of FUS, ureteral stent-related complications, or unplanned readmissions (all >0.05). Patient satisfaction was significantly higher in the intervention group (=4.089, <0.001).
Remote follow-up under an intelligent medical collaborative model helps improve quality of life, promote health-oriented lifestyles, and enhance patient satisfaction among individuals with urinary calculi.
尿路结石的特点是复发率高，患者出院后自我管理的依从性直接影响健康结局。传统的线下随访模式常面临依从性差和医疗资源分配不均等问题，难以满足个性化健康管理需求。远程随访为优化长期管理、提高健康素养和改善临床结局提供了一种新的解决方案。本研究旨在评估智能医疗协作模式下的远程随访对尿路结石患者生活质量和健康促进生活方式的影响，并评估其对临床结局的短期影响。
选取2024年8月至11月在湖南省某三级医院住院的118例尿路结石患者，随机分为对照组（n = 59）和干预组（n = 59）。对照组接受常规科室随访，干预组基于智能医疗协作模式进行为期1个月的远程随访。在出院前（T0）、出院后15天（T1）和出院后1个月（T2）进行评估，使用威斯康星结石生活质量问卷和健康促进生活方式量表。在T2时，评估遗忘输尿管支架（FUS）的发生率、输尿管支架相关并发症、计划外再入院情况及患者满意度。
两组在T0时的基线特征或结局指标方面无显著差异（均P>0.05）。在T1和T2时，干预组的健康相关生活质量得分显著高于对照组（P<0.05）。广义估计方程（GEE）分析显示组间效应显著（Wald's = 22.961，P<0.001）、时间效应显著（Wald's = 23.065，P<0.001）及交互效应显著（Wald's = 6.930，P<0.05）。同样，在T1和T2时，干预组在健康促进生活方式方面的得分显著高于对照组（P<0.05），组间效应显著（Wald's = 22.936，P<0.001）、时间效应显著（Wald's = 10.694，P<0.001）及交互效应显著（Wald's = 18.921，P<0.05）。两组在FUS发生率、输尿管支架相关并发症或计划外再入院方面无显著差异（均P>0.05）。干预组的患者满意度显著更高（P = 4.089，P<0.001）。
智能医疗协作模式下的远程随访有助于提高尿路结石患者的生活质量，促进健康导向的生活方式，并提高患者满意度。
