CAJ | 학술논문

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。
목적：비교응용연건협조관리고골간골절술후환자여비응용연건협조관리조환자적예후、만의도、복사성본등병분석기인소。방법회고성분석2013년2월지2014년2월수치적40례고골간골절환자림상자료，남26례，녀14례，년령16～63세，평균39.5세，수궤분위량조，응용연건협조관리조（20례）화비응용연건협조관리조（20례）적결과진행비교，분석협조관리방법적우결점。결과수방시간8～18개월，평균13개월。（1）응용연건협조관리조적매천평균공능연습시간、구통차수、구통총시간균현저고우비응용연건협조관리조（균P＜0.05）。（2）주원시간、출원후의료급시성시간、매차복사평균소용시간、매차복사평균소용교통비용칙현저저우비응용연건협조관리조（균P＜0.05）。（3）량조적복사차수、전화구통총시간칙몰유통계학차이（균P＞0.05）。（4）응용연건협조관리조적환자만의도교고，이량조적술후6개월림상유합표준균체도100%，무통계학차이（P＞0.05）。결론응용연건협조관리고골간골절술후환자능유효감저환자취의성본，가강의환구통，제승환자취의효솔화만의도등우세，차여대조조유동양적료효。
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 <br> groups (all P>0.05). (4)The patients’ satisfaction was higher in the group with communication software assisted management, compared with those without communication software assisted management. While the clinical union standard of the patient after six months surgery from both the two groups reached 100%, no significant difference (P>0.05). Conclusion By the application of communication software to help manage femoral shaft fracture patients, it can bring advantages as many as possible such as effectively reducing the cost of the medical treatment for the patient, strengthening the communication between doctors and patients as well as improving the treatment efficiency and the satisfaction of patients. What’s more, the treatment effect remains the same as the compared group.