医患通信息系统在患者随访中的应用

目的探讨医患通信息系统在外科出院患者随访中的应用效果。方法选取我院手足外科2010年1-6月单日出院患者350例为实验组,双日出院患者350例为对照组。实验组采用医患通系统通过发送短信的方式随访,对照组采用常规方式随访。比较两组住院患者出院后遵医行为、患肢功能恢复情况、并发症的发生率、满意度情况。结果出院前2组患者所行手术类型比较差异无统计学意义（P〉0．05）。实验组患肢功能康复优良率（81％）高于对照组（63％）,差异具有统计学意义（x^2=20．08,P〈0．05）。实验组患者术后并发症发生率（3％）低于对照组（10％）,差异具有统计学意义（x^2=7．08,P〈0．05）。实验组出院患者满意度为98％,高于对照组91％。结论应用医患通系统对出院患者进行随访,能提高患者的遵医行为,促进患肢功能恢复,降低术后并发症,提高患者的满意度。

Application of medical messenger information system in patients' follow-up visit

Objective To evaluate application effect of medical messenger information system in patients' follow-up visit.Methods 700 patients in hand and foot surgery department were divided into the study group and the control group according to their admission date.There were 350 patients in each group.Patients in the control group were given routine follow-up visit,and patients in the study group were given routine follow-up visit plus medical messenger aided follow-up visit.Compliance rate,recovery of injured limb,complication rate and patients' satisfaction rate were assessed and compared respectively.Results No significant difference was found of the types of surgeries the patients undergone between the two groups(P ＞ 0.05).Recovery rate of injured limb in the study group(81％)was higher than that in the control group (63％).The difference was statistically significant(x2 =20.08,P ＜ 0.05).Complication rate in the study group(3％)was lower than that in the control group(10％).The difference was statistically significant(x2 =7.08,P ＜0.05).Patients' satisfaction rate in the study group(98％)was higher than that in the control group (91％).Conclusions Medical messenger information system is effective in patients' follow-up visit.It can significantly improve compliance rate,promote recovery of injured limb,reduce complication rate and enhance patients' satisfaction rate.