中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2013年
16期
17-20
,共4页
陈正英%楚婷%薛桂娥%吴冬琼
陳正英%楚婷%薛桂娥%吳鼕瓊
진정영%초정%설계아%오동경
下肢慢性溃疡%远程医疗%伤口专科治疗%成本效益分析
下肢慢性潰瘍%遠程醫療%傷口專科治療%成本效益分析
하지만성궤양%원정의료%상구전과치료%성본효익분석
Chronic lower limb ulcers%Tele-medicine%Wound treatment%Cost-effect analysis
目的 探讨以手机彩信为平台的远程伤口治疗模式对偏远地区下肢慢性溃疡治疗与传统门诊换药治疗的成本效益差异.方法 采取整群抽样的方法收集湘西地区综合性医院就诊的37例农村地区下肢慢性溃疡患者,随机分为干预组25例,对照组12例,分别进行彩信平台的远程伤口治疗和传统的门诊换药治疗,随访1.5年或以治愈和截肢为研究终点,比较两者治疗成本效益,包括治疗过程中并发症发生率、换药次数、治疗时间、治疗费用以及伤口治疗人力资源的状况.结果 远程伤口治疗组的并发症发生率(76.0％)明显低于传统门诊换药治疗组(91.7％)；远程伤口治疗组与传统门诊换药治疗组比较,显著增加了换药次数并减少了治疗时间；远程伤口治疗组与传统门诊换药治疗组比较,治疗费用和占用伤口治疗人力资源方面差异无统计学意义.结论 基于彩信平台的远程伤口治疗比传统门诊换药治疗不会显著增加伤口治疗人力资源和治疗费用,但可减少并发症发生率和治疗时间.
目的 探討以手機綵信為平檯的遠程傷口治療模式對偏遠地區下肢慢性潰瘍治療與傳統門診換藥治療的成本效益差異.方法 採取整群抽樣的方法收集湘西地區綜閤性醫院就診的37例農村地區下肢慢性潰瘍患者,隨機分為榦預組25例,對照組12例,分彆進行綵信平檯的遠程傷口治療和傳統的門診換藥治療,隨訪1.5年或以治愈和截肢為研究終點,比較兩者治療成本效益,包括治療過程中併髮癥髮生率、換藥次數、治療時間、治療費用以及傷口治療人力資源的狀況.結果 遠程傷口治療組的併髮癥髮生率(76.0％)明顯低于傳統門診換藥治療組(91.7％)；遠程傷口治療組與傳統門診換藥治療組比較,顯著增加瞭換藥次數併減少瞭治療時間；遠程傷口治療組與傳統門診換藥治療組比較,治療費用和佔用傷口治療人力資源方麵差異無統計學意義.結論 基于綵信平檯的遠程傷口治療比傳統門診換藥治療不會顯著增加傷口治療人力資源和治療費用,但可減少併髮癥髮生率和治療時間.
목적 탐토이수궤채신위평태적원정상구치료모식대편원지구하지만성궤양치료여전통문진환약치료적성본효익차이.방법 채취정군추양적방법수집상서지구종합성의원취진적37례농촌지구하지만성궤양환자,수궤분위간예조25례,대조조12례,분별진행채신평태적원정상구치료화전통적문진환약치료,수방1.5년혹이치유화절지위연구종점,비교량자치료성본효익,포괄치료과정중병발증발생솔、환약차수、치료시간、치료비용이급상구치료인력자원적상황.결과 원정상구치료조적병발증발생솔(76.0％)명현저우전통문진환약치료조(91.7％)；원정상구치료조여전통문진환약치료조비교,현저증가료환약차수병감소료치료시간；원정상구치료조여전통문진환약치료조비교,치료비용화점용상구치료인력자원방면차이무통계학의의.결론 기우채신평태적원정상구치료비전통문진환약치료불회현저증가상구치료인력자원화치료비용,단가감소병발증발생솔화치료시간.
Objective To investigate the cost-effect of tele-wound treatment platform with cellular phone terminator and traditional outpatient treatment on chronic lower limb ulcers in remote district.Methods Thirty seven cases with chronic lower limb ulcers from the key hospitals in the district of west Hunan Province were collected by cluster sampling,and randomly divided into the intervention group (25 cases)and the control group (12 cases).They chose remote wound treatment platform intervention with cellular phone terminator and traditional dressing change in clinic.All patients received a 1.5-year follow-up,or cure and amputations were set as the endpoint of the study.The cost-effect,including the incidence of complications in the course of treatment,number of switches,treatment time,the cost of treatment,as well as medical human resources consumption was analyzed and compared between the two groups.Results The incidence of complications in the course of treatment in the intervention was (76.0％) significantly lower than the control group(91.7％).There was a significant increase in the dressing times and the duration of treatment; and there was no significant difference in the cost of treatment and medical human resources consumption between two groups.Conclusions Compared to the traditional outpatients wound treatment,the multimedia message-based tele-wound treatment platform unlikely increased medical human resources consumption and the cost of treatment,and may reduce the incidence of complications and the treatment time.
