1034例次"互联网+"眼表疾病护理门诊咨询案例回顾性分析OA
Retrospective analysis of 1,034 consultations in an internet-based ocular surface disease nursing clinic
目的:回顾性调查 1 034 例次"互联网+"眼表疾病护理门诊咨询案特征及护士接诊情况,探讨咨询问题类型的影响因素,并总结经验与不足,为进一步提升线上、线下护理服务质量提供参考.方法:采用回顾性研究法,收集 2021 年 6 月—2025 年 3 月中山大学中山眼科中心"互联网+"眼表疾病护理门诊的咨询及接诊信息,分析咨询案例的人口学资料、咨询时段、咨询问题类型及接诊时段分布,采用 χ2检验分析不同特征咨询者咨询问题类型的差异.结果:在 1 034 例次咨询中,女性为 546 例次(52.8%),男性为 488 例次(47.2%),平均年龄为(37.19±18.46)岁;青年组(20～44 岁)咨询量最多(523 例次,50.6%),老年组(≥60 岁)最少(136 例次,13.2%);疾病科普咨询量最多(343 例次,33.2%),其次为用药咨询(224 例次,21.7%);患者咨询时段几乎覆盖全天,护士接诊的反应时长中位数为 1.85(0.27,7.21)h;不同性别、不同年龄段咨询者的咨询问题分布差异具有统计学意义(χ2=16.05,P=0.003;χ2=48.14,P<0.001).结论:眼表疾病患者线上咨询需求高,"互联网+"眼表疾病护理门诊一定程度上满足了患者多样化的咨询需求,但在响应时间、服务内容等方面仍存在不足,未来可以探索利用人工智能技术,提升线上、线下护理服务质量.
Objective:To retrospectively investigate the characteristics of 1,034 patient consultation and nursing service delivery in an internet-based ocular surface disease nursing clinic,identify factors influencing the types of inquiries,and summarize service strengths and limitations to provide insights for enhancing the quality of both online and offline nursing services.Methods:A retrospective study was conducted using consultation and service delivery data collected from the internet-based ocular surface disease nursing clinic at Zhongshan Ophthalmic Center,Sun Yat-sen University,between June 2021 and March 2025.We analyzed demographic characteristics of patients,the distribution of consultation times,inquiry types,and the temporal distribution of service delivery.χ2 tests were employed to assess differences in consultation topics among patients with different characteristics.Results:Of the 1,034 consultations,546(52.8%)were initiated by females and 488(47.2%)were initiated by males.The mean age of the patients was 37.19±18.46 years.The young adult group(20-44 years)accounted for the highest consultation volume(n=523,50.6%),while the elderly group(≥60 years)represented the lowest proportion(n=136,13.2%).Patient education inquiries were the most frequent type(343 cases,33.2%),followed by medication-related consultations(224 cases,21.7%).Inquiries occurred throughout the day.The median nurse response time was 1.85 hours(interquartile range[IQR]:0.27,7.21 hours).The distribution of consultation topics showed statistically significant differences across genders(χ2=16.05,P=0.003)and age groups(χ2=48.14,P<0.001).Conclusions:Patients with ocular surface diseases exhibit a high demand for online consultations.The internet-based nursing clinic model effectively addresses the diverse needs of these patients.However,limitations persist,particularly regarding response times and service scope.Future initiatives should explore the integration of artificial intelligence(AI)technologies to improve the quality of online and offline nursing services.
李姝萍;傅绮;王飞鹏;田碧珊
中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州 510060中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州 510060中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州 510060中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州 510060
医药卫生
互联网+眼表疾病护理门诊回顾性分析
Internet-Plusocular surface diseasesnursing clinicretrospective analysis
《眼科学报》 2026 (7)
577-585,9
评论