摘要
目的 探讨多学科整合方案对四肢骨折患者门诊随访效果的影响.方法 选取2012年6月—2013年12月河南省人民医院收治的43例四肢骨折患者为对照组,给予传统随访管理,选取2014年1月—2015年7月收治的42例四肢骨折患者为观察组,给予多学科整合随访管理.比较两组患者干预1年后的Johner-Wruh功能分级、并发症发生情况和患者满意率.结果 随访1年后,观察组Johner-Wruh功能分级优良率为95.23%,对照组为81.40%;观察组并发症总发生率为16.66%,对照组为37.21%;观察组患者对随访的满意度为95.23%,对照组为72.09%;两组比较差异均有统计学意义（χ2值分别为3.922、4.543、8.273;P〈0.05）.结论 经多学科整合随访管理能够降低四肢骨折患者并发症发生率,改善临床疗效,提高患者满意度,可以在临床上进一步推广和使用.
Objective To explore the effects of the multidisciplinary integrated program on outpatient follow-ups in patients with limb fractures. Methods Totally 43 patients with limb factures who were admitted and treated in He＇nan Provincial People＇s Hospital from June 2012 to December 2013 were selected as a control group, who received traditional follow-up management, while another 42 patients with limb fractures admitted and treated between January 2014 and July 2015 were selected as an observation group, who received multidisciplinary integrated follow-up management. The Johner-Wruh functional classification, incidence of complications and patients＇ satisfaction one year after intervention were compared between the patients in the two groups. Results After one year＇s follow-up, the rate of good cases of the patients in the observation group and the control group was 95.23% and 81.40%, respectively; the incidence of complications in the observation group and the control group was 16.66% and 37.21%, respectively; and the statisfaction with follow-ups among the patients in the observation group and the control group was 95.23% and 72.09%, respectively （χ2=3.922, 4.543, 8.273; P〈 0.05）. Conclusions The multidisciplinary integrated follow-up management can help to reduce the incidence of complications, improve clinical efficacy and enhance satisfaction in patients with limb factures, and therefore can be clinically expanded and applied further.
出处
《中华现代护理杂志》
2017年第35期4509-4512,共4页
Chinese Journal of Modern Nursing
基金
省医学科技攻关计划项目（201503156）
关键词
四肢骨折
门诊随访
多学科整合方案
Limb fractures
Outpatient follow-ups
The multidisciplinary integrated program
