医患通信息系统用于手外科功能康复指导的效果

Evaluating application effect of medical messenger software on patients＇ rehabilitation guidance in Hand Surgery

目的 观察评价医患通信息系统在手外科功能康复指导中的应用效果.方法 选择2011年3月至2012年3月来山东大学附属省立医院手外科行手功能康复训练就诊患者240例,按单日就诊患者为观察组（n =120）,双日就诊患者为对照组（n=120）进行随机分配.观察组进行功能康复训练6周,同时辅以医患通发送康复训练指导短信至13周;对照组进行常规的功能康复训练6周.在功能康复第1,4,7,10,13周行两组患者上肢功能指数（UEFI）、患指关节主动活动角度（AROM）改善情况的评价;第4,7,13周进行患者满意度调查.同时统计第13周两组患者随访的比率.结果 第13周随访结果显示：对照组患者UEFI为（2.99 ±0.13）,观察组为（3.74±0.25）,两组差异有统计学意义（t=3.50,P＜0.05）;AROM改善度观察组为（49 ±2.94）°,明显优于对照组的（30±1.25）°,差异有统计学意义（t =7.72,P＜0.05）;患者满意度观察组为（94 ±4.28）分,明显优于对照组的（70±6.92）分,差异有统计学意义（t =2.05,P＜0.05）;患者回访率观察组为98％,对照组为75％.结论 应用医患通信息系统指导患者功能训练,能提高患者的积极参与性,加快康复进展,改善康复效果,增加患者回归社会的自信心.

Objective To evaluate application effect and significance of medical messenger on patients＇ rehabilitation guidance.Methods Two hundred and forty rehabilitation patients in hand and foot surgery from March 2011 to March 2012 were divided into the study group （n =120） and the control group （n =120）.Patients in both groups were all receiving systematic functional rehabilitation training for 6 weeks （including passive and active m（o）tion exercise,strength training and occupational therapy for 45 main per day）.Besides rehabilitation training,patients in the study group received rehabilitation-guidance messages sent by medical messenger on each Friday for 13 weeks.Function of the injured hand was assessed with Upper Extremity Functional Index （UEFI） and the active range of motion （AROM） at the 1,4,7,10,13 week,and patients＇satisfaction was evaluated at the 4,7,13 week.The follow-up visit rate at the thirteenth week was analyzed in two groups.Results The thirteenth week follow-up results showed that UEFI of the control group improved from （0.75±0.14） to （2.99±0.13）,and UEFI of the study group improved from （0.78 ±0.17） to （3.74 ±0.25）,and the difference was statistically significant （t =3.50,P ＜ 0.05）.Increase of AROM was （30 ± 1.25） ° in the control group,and （49 ± 2.94） ° in the study group,and the difference was statistically significant （t =7.72,P ＜ 0.05）.Satisfactory rate of the control group was （70 ± 6.92）,and was （94 ± 4.28） in the study group,and the difference was statistically significant （t =2.05,P ＜ 0.05）.Follow-up visit rate of the control group was 75％,of the study group was 98％.Conclusions The application of medical messenger software on patients＇ rehabilitation guidance can increase the level of active participation of patients,accelerate the progress of rehabilitation,improve the effectiveness of rehabilitation,and increase patients＇ self-confidence of returning to society.