应用医疗APP协助管理股骨粗隆间骨折患者的临床观察

发布时间：2018-03-19 15:46

本文选题：医疗应用软件　切入点：粗隆间骨折　出处：《吉林大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：比较应用医疗软件协助管理粗隆间骨折手术患者与非应用医疗软件协助管理组（传统管理方法）患者的住院时间、平均每日功能练习时间、出院后医疗可及性时间、来医院复查次数、复查平均所用时间、复查平均所用交通费用、沟通次数、患者对该疾病的掌握程度、患者满意度、预后等并分析其因素。方法：回顾性分析吉林大学中日联谊医院骨科从2013年4月至2014年4月收治的30例粗隆间骨折患者临床资料，男20例，女10例，年龄15-62岁，平均38.5岁，随访时间8-17个月，平均12.5个月。随机分为两组，既A组为应用医疗软件协助管理组（15例）和B组为非应用医疗软件协助管理组（15例）的结果进行比较，统计两组患者的住院时间、平均每日功能练习时间、出院后医疗可及性时间、来医院复查次数、复查平均所用时间、复查平均所用交通费用、沟通次数、患者对该疾病的掌握程度、患者满意度、预后，将各组数据采用SPSS17.0软件进行统计学分析，分析应用医疗软件协助管理方法的优缺点。结果：（1）A组和B组的住院时间、平均功能练习时间、医疗可及性时间、复查平均时间、平均交通费用及沟通总次数比较的T值分别为-6.100、3.873、-6.626、-4.332、-9.036、8.182，对应的P值均小于0.05，具有显著的统计学意义，说明两组的住院时间、平均功能练习时间、医疗可及性时间、复查平均时间、平均交通费用及沟通总次数均具有显著差异。其中APP管理组的住院时间、医疗可及性时间、复查平均时间、平均交通费用均显著低于传统管理组，而APP管理组的平均功能练习时间、沟通总次数则显著高于传统管理组。两组的复查数则未见显著差异（对应的P值大于0.05）。由此可见：APP协助管理组大部分指标都优于传统管理组。（2）两组的患者满意度及疾病知识掌握比较的卡方值分别为9.630、19.476，对应的P值均小于0.05，具有显著的统计学意义，说明两组的患者满意度及疾病知识掌握具有显著差异。APP协助管理组的患者满意度、疾病知识掌握均显著好于传统管理组。而两组的术后6个月临床愈合标准均达到100%，没有显著差异（P值大于0.05）。结论： 1.应用医疗APP协助管理粗隆间骨折手术患者能减少住院时间。 2.应用医疗APP协助管理患者，增强患者对粗隆间骨折健康知识的掌握，提高功能练习的积极性、科学性、安全性。 3.应用医疗APP协助管理出院后患者，降低了复查的时间和交通成本。 4.移动医疗技术的应用提高了出院后患者的医疗可及性，，提高了就医效率。 5.应用医疗APP协助管理粗隆间骨折手术患者能增加医患沟通次数，增强医患之间的沟通和交流，实现医患关系由“家长式”向“伙伴式”转变。 6.移动医疗技术的临床应用提高了患者的满意度。 7.两组对比均骨性愈合，达到同样疗效。
[Abstract]:Objective:. Medical software was used to assist in managing intertrochanteric fracture patients and non-medical software-assisted management group (traditional management method). The average duration of daily functional exercise and the time of medical accessibility after discharge were compared. The times of reexamination, the average time of reexamination, the average cost of transportation, the times of communication, the degree of mastering the disease, the satisfaction of patients, the prognosis and so on were analyzed. Methods:. The clinical data of 30 patients with intertrochanteric fracture admitted from April 2013 to April 2014 in the Orthopaedics Department of Sino-Japanese Friendship Hospital of Jilin University were retrospectively analyzed. There were 20 males and 10 females aged 15-62 years with an average of 38.5 years. The follow-up time was 8 to 17 months. An average of 12.5 months were randomly divided into two groups: group A (15 cases) and group B (15 cases). The average time of daily functional exercise, the time of medical accessibility after discharge, the times of reexamination, the average time used, the average cost of transportation, the number of times of communication, the degree of mastery of the disease, the satisfaction of patients, the prognosis, The data of each group were analyzed by SPSS17.0 software, and the advantages and disadvantages of medical software were analyzed. Results:. In group A and group B, the T values of hospitalization time, average time of functional practice, time of medical accessibility, average time of reexamination, average transportation cost and total number of communication were -6.100 卤3.873- 6.626- 4.332- 9.036n 8.182, respectively. The corresponding P values were all less than 0.05, which had significant statistical significance. There were significant differences in hospitalization time, average functional practice time, medical accessibility time, average time of reexamination, average transportation cost and total communication between the two groups. The average time of reexamination, the average transportation cost were significantly lower than those of the traditional management group, while the average function exercise time of the APP management group was significantly lower than that of the traditional management group. The total number of communication was significantly higher than that of the traditional management group, but there was no significant difference between the two groups in the number of reexamination (P > 0.05). It can be seen that most of the indicators of the help management group are better than those of the traditional management group. (2) the Chi square values of patients' satisfaction and disease knowledge in the two groups were 9.630 卤19.476, respectively, and the corresponding P values were less than 0.05, which had significant statistical significance. There were significant differences in patients' satisfaction and disease knowledge between the two groups. The control of disease knowledge was significantly better than that of the traditional management group, and the clinical healing standard of the two groups reached 100 at 6 months after operation, and there was no significant difference between the two groups (P > 0.05). Conclusion:. 1. The use of medical APP to assist in the management of intertrochanteric fractures can reduce the hospital stay. 2. Medical APP was used to help patients to manage patients, to enhance the health knowledge of patients with intertrochanteric fracture, to improve the enthusiasm, scientific and safety of functional practice. 3. The application of medical APP to assist in the management of post-discharge patients reduces the time of reexamination and transportation costs. 4. The application of mobile medical technology improves the medical accessibility and efficiency of patients after discharge. 5. The application of medical APP to the management of intertrochanteric fracture patients can increase the communication between doctors and patients, strengthen the communication and communication between doctors and patients, and change the doctor-patient relationship from "paternalism" to "partnership". 6. The clinical application of mobile medical technology improves the satisfaction of patients. 7. Bone healing was achieved by comparison between the two groups.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

【相似文献】