医护一体化工作模式对创伤性骨外露创面修复的效果观察

The effect observation of health care integration on wound repair patients with traumatic bone exposure

目的:探讨医护一体化工作模式对创伤性骨外露创面修复的效果。方法:将100例创伤性伴有骨外露患者随机分的观察组和对照组各50例。对照组采取传统的治疗模式,治疗方案由医生决定,医生处理创面,护士执行护理常规;观察组则实行医护一体化模式,医生护士共同查房,共同制定患者的治疗方案,同时伤口治疗师为患者提供创面修复治疗。评价治疗前后创面修复情况、并发症发生率、治疗费用、住院时间等情况。结果:观察组换药等待时间、创面恢复时间和住院时间均较对照组缩短(P<0.05);观察组患者中,并发症发生率8%,低于对照组28%(P<0.05);观察组非计价材料占换药总材料的比例为(15.6±3.4)%,住院费用为(1.1±0.3)万元,优于对照组(P<0.05)。结论:采用医护一体化治疗模式,可有效降低创伤性骨外露患者的住院天数、医疗费用,提高患者的生活质量。

Objective： To explore the effect of health care integration on wound repair patients with traumatic bone exposure. Methods： 100 traumatic bone exposure patients were randomly assigned to control group and observation group, each group had 50 patients. The traditional therapy doctors decided was applied to control group： doctors treated wound with the assistance of nurses. The health care integration was applied to observation group： doctors and nurses jointly examined patients and formulated therapy plan, meanwhile wound therapist supplied the effective wound repair to patients. The condition of wound repair, complication rate, hospitalization expenses, length of stay （LOS） and so on were assessed before and after therapy. Results： Bandaging waiting time, wound recovery time and LOS of observation group were lower than that of control group （P〈0.05）. The 8% complication rate of observation group was lower than 28% in control group （P〈0.05）. The proportion of non-billing materials accounted for total materials in the observation group was （15.6±3.4）%, and the hospitalization expenses were （1.1±0.3） 10000yuan, which were better than the control group （P〈0.05）. Conclusion： Health care integration could effectively decrease LOS and medical expenses, also improve life quality of the traumatic bone exposure patients.