Application of family medical information management platform in patients with colorectal cancer undergoing chemotherapy
10.3760/cma.j.cn115682-20200627-04082
- VernacularTitle:家庭医护信息化管理平台在结直肠癌化疗患者中的应用
- Author:
Suxia YANG
1
;
Yujia ZHOU
;
Yutong WEI
Author Information
1. 河南省人民医院肿瘤中心，郑州 450003
- Keywords:
Information management;
Colorectal neoplasms;
Medication Adherence;
Nutritional status;
Medication discrepancy
- From:
Chinese Journal of Modern Nursing
2021;27(5):641-645
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore effects of family medical information management platform on medication discrepancy, medication compliance and nutritional management of patients with colorectal cancer undergoing chemotherapy.Methods:Using the convenient sampling method, a total of 64 patients with colorectal cancer who received chemotherapy in Henan Provincial People's Hospital from March 2018 to June 2019 were selected as the research objects. According to the random number table method, they were divided into the control group and the observation group, with 32 cases in each group. The control group adopted conventional management, while the observation group adopted family medical information management platform. After intervention, Medication Discrepancy Tool (MDT) and the Chinese Version of Morisky Medication Compliance Scale were used to compare the incidence of medication discrepancy and medication compliance of patients of the two groups. The nutritional status of patients in the two groups was compared using BMI, hemoglobin, total protein, albumin and modified Subjective Global Assessment (SGA) scores.Results:After the intervention, the incidence of medication discrepancy in the observation group was 21.88% (7/32) , lower than 62.50% (20/32) in the control group, and the difference was statistically significant (χ 2=10.827, P<0.01) . After the intervention, there was a statistically significant difference in medication compliance between the two groups ( Z=2.207, P<0.05) . After intervention, BMI, hemoglobin, total protein and albumin of the observation group were higher than those of the control group, and the modified SGA score was lower than that of the control group, and the differences were statistically significant ( t=-2.340, -3.007, -2.137, -3.334, 3.107; P<0.05) . After intervention, the number of normal nutritional cases in the observation group was higher than that in the control group, and the number of severe malnutrition cases was lower than that in the control group, and the differences were statistically significant (χ 2=4.267, 5.379; P<0.05) . Conclusions:The application of family medical information management platform can reduce medication discrepancy of patients with colorectal cancer undergoing chemotherapy, improve their medication compliance and reduce the occurrence of malnutrition.
