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目的比较应用软件协助管理股骨干骨折术后患者与非应用软件协助管理组患者的预后、满意度、复查成本等并分析其因素。方法回顾性分析2013年2月至2014年2月收治的40例股骨干骨折患者临床资料,男26例,女14例,年龄16~63岁,平均39.5岁,随机分为两组,应用软件协助管理组(20例)和非应用软件协助管理组(20例)的结果进行比较,分析协助管理方法的优缺点。结果随访时间8~18个月,平均13个月。(1)应用软件协助管理组的每天平均功能练习时间、沟通次数、沟通总时间均显著高于非应用软件协助管理组(均P<0.05)。(2)住院时间、出院后医疗及时性时间、每次复查平均所用时间、每次复查平均所用交通费用则显著低于非应用软件协助管理组(均P<0.05)。(3)两组的复查次数、电话沟通总时间则没有统计学差异(均P>0.05)。(4)应用软件协助管理组的患者满意度较高,而两组的术后6个月临床愈合标准均达到100%,无统计学差异(P>0.05)。结论应用软件协助管理股骨干骨折术后患者能有效减低患者就医成本,加强医患沟通,提升患者就医效率和满意度等优势,且与对照组有同样的疗效。
Objective To compare and analyze the prognosis, satisfaction, cost of reviewing and so on of patients with and without application software to assist management of patients with femoral shaft fracture after the application software. Methods The clinical data of 40 patients with femoral shaft fracture treated from February 2013 to February 2014 were retrospectively analyzed. There were 26 males and 14 females, aged from 16 to 63 years (mean 39.5 years). The patients were randomly divided into two groups. The softwares The results of the Assisted Management Group (20 cases) and the Non-Applied Software Assisted Management Group (20 cases) are compared to analyze the pros and cons of assisting management methods. Results The follow-up time ranged from 8 to 18 months with an average of 13 months. (1) The average daily practice time, the number of communication and the total communication time of application software to assist the management group were significantly higher than those of the non-application software-assisted management group (all P <0.05). (2) The length of hospital stay, the timeliness of medical treatment after discharge, the average time spent on each review, and the average transportation cost per review were significantly lower than those of the non-application software-assisted management group (all P <0.05). (3) There was no significant difference between the two groups in the number of reviews and the total time of telephone communication (all P> 0.05). (4) The application software assists the patients in the management group to get higher satisfaction, while the clinical healing standard of both groups reaches 100% at 6 months after operation, with no significant difference (P> 0.05). Conclusion The application of software to help patients with femoral shaft fractures can effectively reduce the cost of medical treatment for patients, strengthen the communication between doctors and patients, and improve the efficiency and satisfaction of patients for medical treatment. And the same effect with the control group.