摘要
目的探讨以手机彩信为平台的远程伤口治疗模式对偏远地区下肢慢性溃疡的治疗作用。方法采取整群抽样方法收集湘西地区综合性医院就诊的37例农村下肢慢性溃疡患者,随机分为干预组25例和对照组12例,干预组进行彩信平台的远程伤口治疗,对照组按常规处理伤口,6个月后通过自制问卷调查评估。结果干预6个月后,干预组伤口治疗评分、疼痛及症状管理评分显著高于对照组(均P<0.05)。结论基于彩信平台的远程伤口治疗有助于改善偏远地区下肢慢性溃疡患者的伤口治疗效果。
Objective To investigate the effect of a multimedia-message-based tele-wound treatment platform on chronic lower limb ulcers for patients living in remote areas. Methods Thirty seven cases with chronic lower limb ulcers from backwoods of west Hu- nan Province, and seeking medical service in a comprehensive hospital, were collected by cluster sampling. They were randomly di- vided into 2 groups： the intervention group （n=25） were managed with a remote wound treatment platform via which medical staff sent multimedia messages to inctruct patients to care for the wounds, while the control group （n=12） were given routine interven- tion. Six months later, a self-designed questionaire was used to assess the effect of the interventions. Results Six months later, the wound treatment score, pain management score, symptom management score of the intervention group were significantly higher than those of the controls （P〈0. 05 for all）. Conclusion The multimedia-message-based tele-wound treatment platform helps im- prove therapeutic effect of wound care of backwoods residents with chronic lower limb ulcers.
基金
湖南省科技厅第五批省级科技计划项目(2011ZK3165)
关键词
下肢慢性溃疡
远程医疗
彩信
伤口专科治疗
护理
chronic lower limb ulcers telemedicine
multimedia message
specialist wound care~ nursing
