医患通信息系统在外科患者住院预约及健康教育中的应用研究

Application effect of medical messenger software on hospital admission reservation and heath education in surgical patients

目的 评价医患通信息系统在门诊患者入院预约及健康教育中的应用效果.方法 选择我院手足外科门诊预约择期入院患者,其中实施医患通系统前患者300例为对照组,实施医患通系统后患者360例为研究组.对照组为常规就诊及登记排队入院方式,研究组给予医患通辅助就诊、健康教育及预约入院方式.比较两组效果.结果 研究组患者入院前完成基本检查所需时间、入院前等待时间、住院时间分别为（1.5±0.14）,（3.0±0.26）,（8.0±0.19）d,均低于对照组的（3.0±0.21）,（10.0±0.35）,（15.0±0.35）d,差异有统计学意义（t分别为-11.450 8,-9.387 7,-13.560 0;P ＜0.05）；研究组患者入院率及满意度分别为97.5％,95.3％,均高于对照组的84.3％,87.7％,差异有统计学意义（x2分别为6.055,3.543;P＜ 0.05）；干预组患者健康知识掌握程度达到（87.15±6.48）％,对照组为（62.72±7.15）％,两组比较,差异有统计学意义（t=51.27,P＜0.01）.结论 医患通系统引入患者住院预约及健康宣教工作后提高了医疗资源的利用率和护理服务质量,增加了患者的满意度.

Objective To evaluate application effect of medical messenger on hospital admission reservation and heath education in outpatient.Methods Selection of patients in Department of Hand and Foot Surgery from January 2012 to May 2012,300 outpatients with selective admission were included in the control group.Selection of patients from June 2012 to October 2012,360 outpatients with medical messenger software were included in the study group.Patients in the control group received routine admission reservation method,and patients in the study group received medical messenger software,health education and hospital admission reservation.Admission ratio,average time used on clinic examination,waiting time before admission,patients' compliance behavior and patients' satisfaction rate and in-patients hospitalization time were respectively assessed and compared.Results The average time used on clinic examination,waiting time before admission and inpatients hospitalization time were respectively (1.5 ± 0.14),(3.0 ± 0.26),(8.0 ± 0.19) d in the study group,and lower than (3.0 ± 0.21),(10.0 ± 0.35),(15.0 ± 0.35) d in the control group,and the differences were statistically significant (t =-11.4508,-9.3877,-13.5600,respectively; P ＜ 0.05).The admission ratio and patients' satisfaction rate were respectively 97.5％,95.3 ％ in the study group,and higher than 84.3％,87.7％ in the control group,and the differences were statistically significant (x2 =6.055,3.543,respectively ;P ＜ 0.05).The degree of mastering health knowledge was (87.15 ± 6.48) ％ in the study group,and (62.72 ± 7.15) ％ in the control group,and the difference was statistically significant (t =51.27,P ＜ 0.01).Conclusions Medical messenger system is effective in hospital admission reservation and heath education.It can significantly improve hospital's work efficiency,service quality and patients' satisfaction rate.