健康管理对促进断指再植患者出院后康复的作用

Effect of health management to promote the rehabilitation of patients with replantation after discharge

目的研究健康管理对促进断指再植患者出院后康复的作用。方法选取自2011年11月-2014年10月期间我院进行断指再植手术出院的患者共120例作为实验对象,经伦理委员会通过,随机分为观察组和对照组。对照组采用医院常规管理方法进行管理,患者为60例,男性患者与女性患者例数分别为33例、27例,年龄13-52岁,平均（38.5±8.6）岁,在出院的时候进行相关的讲解,后期定时复查,电话随访以便了解患者最新情况。观察组采用健康管理方法进行管理,患者为60例,男性患者与女性患者例数分别为30例、30例,年龄14-53岁,平均（36.5±9.2）岁,在出院前进行健康管理登记个人档案,通过健康管理方法来指导患者,让患者每次都作好详细记录。通过两组患者的康复效果和满意度作比较。结果两组治疗后ATM活动度评分均显著性上升,而观察组评分显著高于对照组（P〈0.05）。观察组患者康复有效率高达96.67%,明显超过对照组的86.67%;观察组满意度高达95.00%,明显超过对照组的83.33%;观察组血管危象发生率仅为36.67%,显著低于对照组的55.00%,差异有统计学意义（P〈0.05）。结论健康管理方法比常规管理方法更优异,值得推广。

Objective To explore the effect of health management to promote the rehabilitation of patients with replantation after discharge. Methods 120 replantation surgery patients were selected as the experimental object in our hospital discharge from November 2011 to October 2014. Adopted by the ethics committee, they were randomly divided into observation group and control group. Hospital routine management method was used in control group. Patients were 60 cases.The number of male patients and female patients were 33 cases and 27 cases respectively. The ages were between 13 and 52. The average age was（38.5±8.6）. At the time of discharge to explain, the late timing review, telephone follow-up in order to understand the patient＇s latest situation. Health management method was used in observation group. Patients were 60 cases. The number of male patients and female patients were 30 cases and 30 cases respectively. The ages were between 14 and 53. The average age was（36.5±9.2）. Prior to discharge to carry out health management registration of personal files, through the health management methods to guide patients, let the patient record every time. The effects of rehabilitation and satisfaction of the two groups were compared. Results ATM activity scores were significantly increased after treatment in the two groups, and the score of observation group was significantly higher than that of control group（P〈0.05）.The recovery rate of observation group was 96.67%, which was significantly higher than that of the control group 86.67%. The satisfaction of observation group was 95%, which was significantly higher than that of the control group 83.33%. The vascular crisis rate of observation group was only 36.67%, significantly lower than the control group 55.00%. All the differences were statistically significant（P〈0.05）. Conclusion The health management method was superior to the conventional management method, and it was worth popularizing.