智能语音随访系统在缺血性卒中二级预防中的应用分析OA
Application analysis of intelligent speech follow-up system in secondary prevention of ischemic stroke
目的 分析智能语音随访系统在缺血性卒中(IS)二级预防中的应用.方法 采用随机数字表法将842例接受静脉溶栓治疗的IS患者分为智能组和人工组.智能组针对影响IS发生的主要危险因素制订相应智能随访话术模板.智能随访系统依据患者出院时预留信息确定随访日期和时段,自动对患者进行呼出随访,并将应答内容转换为文字模式输出.人工组由经过专业培训的护理人员完成随访,随访内容与智能组相同.整理2组电话呼出情况、高血压和糖尿病患病情况、服药状况、运动情况、平均通话时间和随访满意度.结果 2组电话接通率比较,差异无统计学意义(P>0.05).接通随访电话中,智能组随访内容正确识别率低于人工组,不愿配合率和电话中断率高于人工组,差异有统计学意义(P<0.05);2组自动留言、接听不便、居民死亡、家属无法代同答和号码错误占比差异均无统计学意义(P>0.05);未接通电话中,2组未接通原因分布差异均无统计学意义(P>0.05).有效随访通话中,2组高血压和糖尿病相关提问回答情况、服药依从性和运动情况差异均无统计学意义(P>0.05).智能组平均通话时间短于人工组,随访满意度低于人工组,差异有统计学意义(P<0.05).结论 智能语音随访系统一定程度上可替代人工电话随访,帮助医护人员了解IS患者居家血压、血糖、服药、运动情况和二级预防的依从性,相较于人工随访能节省随访时间,提高随访效率,但其在语言识别、提高患者配合度等方面仍有待优化.
Objective To analyze the application of intelligent speech follow-up system in sec-ondary prevention of ischemic stroke(IS).Methods A total of 842 IS patients who received intra-venous thrombolysis were randomly divided into intelligent group and artificial group.In the artificial group,corresponding intelligent follow-up templates were developed for the main risk factors affecting the occurrence of IS.The intelligent follow-up system determined the follow-up time and period ac-cording to the reserved information of patients when they were discharged,automatically called out the patients'home conditions for follow-up,and converted the response contents into text mode for out-put.The artificial group was followed up by professionally trained nursing staff,and the follow-up con-tent was the same as that of the intelligent group.Call out,hypertension,diabetes,medication,exer-cise,average call time and satisfaction of follow-up in the two groups were collected.Results The tel-ephone connection rates showed no statistical significances between two groups(P>0.05).During the follow-up calls,the correct recognition rate of follow-up contents in the intelligent group was low-er,and therateof unwillingness to cooperate and call interruption rate were higher than those in the control group(P<0.05).There were no statistically significant differences in the percentages of au-tomatic message leaving,inconvenient answering,resident death,family members unable to answer and number error between the two groups(P>0.05),and there was no statistical significance in the distribution of disconnected calls between the two groups(P>0.05).In the effective follow-up calls,there was no statistical significance in the answers to questions related to hypertension and diabetes,compliance and exercise between the two groups(P>0.05).The average call duration in the intel-ligent group was significantly shorter,and follow-up satisfaction was lower than that in the control group(P<0.05).Conclusion Intelligent voice follow-up system can replace manual telephone follow-up to a certain extent,and help medical staff understand the compliance of home blood pres-sure,blood sugar,medication,exercise and secondary prevention in IS patients,and can save fol-low-up time and improve follow-up efficiency compared with manual follow-up,but its language rec-ognition and improvement of cooperation rate still need to be optimized.
尹毅丹;杨建萍;孙宁;马宝英;刘小玲
陕西省人民医院神经内一科,陕西西安,710068
临床医学
缺血性脑卒中二级预防随访智能语音系统配合率依从性
ischemic strokesecondary preventionfollow-upintelligent speech systemcooperation ratecompliance
《实用临床医药杂志》 2023 (022)
1-5 / 5
陕西省自然科学基础研究项目(2022JM-483);陕西省人民医院科技发展基金项目(2021HL-18)
评论