基于微信平台的同伴教育在视网膜脱离术后患者中的应用效果

Effects of WeChat-based peer education on patients after retinal detachment

目的探讨基于微信平台的同伴教育在提高视网膜脱离术后特殊体位依从性中的应用效果,为临床护理人员提供借鉴经验。方法采用目的抽样法,选取2017年3月—2018年4月于郑州大学第一附属医院眼科住院的82例视网膜脱离手术患者,采用随机数字表法分为对照组和干预组,每组各41例。对照组采用常规健康教育方法,干预组在对照组基础上采用基于微信平台的同伴教育方法。比较两组患者在术后3个月保持特殊体位依从性及并发症发生率,并评价基于微信平台的同伴教育干预方法的满意度。结果干预组保持特殊体位依从性得分(5.23±0.854)分,高于对照组的(2.11±0.997)分,差异有统计学意义(P<0.01)。干预组因保持特殊体位引起的颈背部肌肉酸痛、头疼、头晕及失眠3个方面的发生率低于对照组,差异具有统计学意义(P<0.05)。患者对采用微信平台的同伴教育的干预方法满意度为92.68%。结论通过微信平台实现同伴教育的干预方法,提高了患者对疾病的认识,提升患者康复的信念,从而提高患者保持特殊体位的依从性,促进疾病康复。

Objective To explore the effects of WeChat-based peer education on improving special position compliance in patient after retinal detachment and to provide reference for clinical nursing staff.Methods Totally 82 patients after retinal detachment who were hospitalized in the First Affiliated Hospital of Zhengzhou University from March 2017 to April 2018 were selected by purposive sampling and randomly divided into the control group (n=41) and the intervention group (n=41) according to the random number table. Patients in the control group received conventional health education, while patients in the intervention group received WeChat-based peer education on the basis of conventional health education. The special position compliance and the incidence rate of complications 3 months post surgery were compared between the two groups. Their satisfaction with the WeChat-based peer education was also evaluated.Results The score of special position compliance in the intervention group was (5.23±0.854) , higher than that of the control group (P<0.01) , which was (2.11±0.997) . The incidence rate of nuchal muscle pain, headache, dizziness and insomnia caused by special positions in the intervention group was lower than that in the control group (P<0.05) . The patients' satisfaction with the WeChat-based peer education was 92.68%.Conclusions The WeChat-based peer education improves patients' awareness of diseases and enhance their confidence in recovery, thereby improving their special position compliance and accelerating recovery.