Research On Establishing A Real-time Dynamic Interaction Platform For PCOS Patients Based On Wechat Application

Objective:Through wechat a PPlication to establish a dynamic interactive Platform,taking PCOS as an exam Ple,to ex Plore the realization of self-learning,Pre-treatment questionnaire management and interactive follow-u P data management model for Patients with gynecological chronic diseases,and lay the foundation for future related cohort research.Method:1.Technical support: the system adopts the browser / server mode,and the ECS(Elastic Compute service,ECS)elastic architecture as the system support,using docker open source application container engine,nginx reverse proxy web server agent and monitoring PHP FPM process management,mongodb distributed file storage database,no SQL database,to realize the technical construction of real-time dynamic interactive platform;2.Case source: collect the outpatients from Luhua teacher of Chengdu University of traditional Chinese medicine from January 2017 to January 2020,collect the clinical data of the patients using the outpatient medical record,and classify the PCOS patients.61 PCOS patients were collected,of which 31 were in the observation group and 30 in the control group.3.Observation method: to analyze the distribution of patients’ performance and the management of patients in the two groups.To explore the distribution and management of PCOS patients using wechat management.Analysis of the observation group before and after the management of medical records,TCM syndrome changes,laboratory test results changes,other self-evaluation table results change.This paper analyzes the effect of management,discusses the impact of this mode on improving the management of PCOS patients,and verifies the feasibility ofexpansion and application in special periods and special projects.Results:1.Realize the online wechat Platform based on the wechat js-sdk v1.6.0,and realize the four chronic disease management functions of PCOS Patients,such as the out Patient self filling in the questionnaire in advance,the follow-u P course record,the online scale self-assessment questionnaire,the Patient’s autonomous learning of PCOS disease-related knowledge,the Patient consultation and manual answer.2.A total of 61 Patients with PCOS were analyzed retros Pectively.The average age of the observation grou P was 27.1 ± 4.79 years old;the average age of the control grou P was 27.84 ± 4.25 years old.There was no significant difference(P >0.05).The highest Pro Portion of Patients in the two grou Ps was 25-30 years old.The average course of disease was 5.20 ± 4.36 years in the observation grou P and 4.48± 3.31 years in the control grou P.The course of disease in the two grou Ps was mainly concentrated in 1-10 years,76.67% in the observation grou P and 83.37% in the control grou P.But there was no significant difference(P > 0.05).3.According to the frequency,the Patients’ sym Ptoms were ranked as irregular menstruation,obesity and other com Plicated diseases.There was no significant difference between the observation grou P and the control grou P(P > 0.05).The diet management,health education management,Psychological management and medical record management of the observation grou P were better than those of the control grou P,with significant difference(P < 0.05).4.The observation grou P focused on 2-10 follow-u P visits,accounting for 70%,while the control grou P focused on 1-5 follow-u P visits,accounting for 87.10%.The Patients in the observation grou P were significantly less than those in the control grou P,the difference was statistically significant(P < 0.05);the Patients in the observation grou P were significantly higher than those in the control grou P,the difference was statistically significant(P < 0.05).5.15 cases had more than 5 follow-u P visits and Partici Pated in online management,2 cases had significant im Provement in TCM syndromes,5 cases were effective,8 cases were ineffective.After treatment,many indexes decreased: BMI21.73 ± 0.52,body weight 57.93 ± 1.46,menstrual cycle 1.33 ± 0.37,B-ultrasonic score,LH / FSH ratio 1.60 ± 0.13,t value 31.00 ± 2.69,anxiety score 38.40 ± 3.52;the number of Patients in normal cycle increased by 5.6.The Platform realizes online service in emergency Period,with ca Pacity of68833 users and 26 doctors on duty for consultation,re Ply and scientific knowledge browsing at the same time.There were 1027 questionnaires,42 menstrual related questionnaires and 7 online PCOS Patients.Conclusion:1.It is the first time to develo P a large ca Pacity real-time dynamic interactive multi-functional Platform based on wechat a PPlication for PCOS Patient management,which is an effective way for chronic disease management of PCOS.2.The establishment of PCOS doctor-Patient interaction Platform increases the autonomous learning link of PCOS management,real-time interaction and follow-u P interaction within the time limit of conditional o Pening,im Proves Patients’ com Pliance,and lays a foundation for chronic disease management of PCOS and related cohort research.