应用微信和病历夹软件协助管理股骨干骨折术后患者的临床观察  

Clinical observation of patients' satisfaction after femoral shaft fractures surgery with assistance of a mobile terminal application software in management

作　　者：李强[1] 赵长福[1] 亓玉彬[1] 李国旗[1] 王志森[1] 田春辉[1] 张继彬[1] 田成路 刘舰[1] 

机构地区：[1]吉林大学中日联谊医院骨科,长春130033

出　　处：《中华临床医师杂志（电子版）》2015年第4期163-166,共4页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：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 the difference in the prognosis, the satisfaction and the costs of review for patients between those with the communication software to help manage their patients with the femoral shaft fracture and those without the communication software to help manage their patients and analyze the relevant factors. Methods A retrospective analysis of the clinical data from February 2013 to February 2014 were done through 40 cases of patients with femoral shaft fractures, among which 26 patients were male and other 14 patients were female, aged from 16 to 63 years old, averaged 39.5 years old. They were randomly divided into two groups, namely the group with communication software assisted management and the group without communication software assisted management. Each group held 20 cases equally. The results from the two groups had been compared to analyze the advantages and disadvantages of the assisted management methods. Results As we had followed up for 8 to 18 months, averaged 13 months, we found out the following results： （1）The time for their average daily function practice, the times for their micro-channel communication and the total time for their micro-channel communication in the group with communication software assisted management were significantly higher than those without communication software assisted management （all P〈0.05）. （2）The length of their stay in hospital, timeliness for the medical treatment after discharged out of the hospital, the average time spent on each review and the average cost of transport used were significantly lower than those without communication software assisted management （all P〈0.05）. （3）However, there were no significantly difference in the total times of review and the time spent on telephone communication between the two

关 键 词：股骨骨折 病人满意度 应用软件 

分 类 号：R197.323[医药卫生—卫生事业管理]