微信群在PICC带管出院患者知识宣教中的应用

Application on Wechat group for health education in discharged patients with PICC catheter

目的探讨微信群在PICC带管出院患者知识宣教中的应用效果。方法选取2013年1—12月PICC带管出院患者120例，按照随机数字表法分为微信组68例和常规组52例，两组在院期间均接受系统PICC管道知识宣教及出院后自护指导，常规组患者出院后给予定期电话回访及PICC门诊咨询，微信组在常规组的基础上将患者纳入微信群，组织群内患者学习PICC自护知识，随时解答患者提出的疑问，帮助患者更好地维护PICC管道。置管2个月后比较两组患者对PICC白护知识知晓合格率及患者对护士宣教工作的满意度。结果微信组患者PICC自护知识知晓合格率为95％，高于常规组的77％，差异有统计学意义（x2=11．73，P〈0．01）。微信组患者对护士宣教工作满意度为97％，高于常规组的75％，差异有统计学意义（X2=8．23，P〈0．01）。结论建立PICC微信群模式可提高PICC出院带管患者对自护知识了解，从而提高患者对护理宣教工作的满意度。

Objective To investigate the clinical application on Wechat for health education in discharged patients with PICC catheter. Methods Totals of 120 discharged patients with PICC catheter were selected from January to December in 2013, they were divided into the Wechat group （68 cases） and control group （52 cases） by random numerical table method. Before discharging from hospital, both groups received health education of PICC catheter and self-nursing instruction. The control group was given the telephone visits regularly and outpatient PICC consultation in hospital. Besides, the Wechat group was aggregated in a group, in which the self-nursing education and maintenance knowledge of PICC catheter were provided, and the questions from patients were answered timely as well. The awareness of self-nursing of PICC catheter and rate of patients＇ satisfaction for health education were compared between the two groups. Results The awareness self-nursing of patients in the Wechat group was 95% , while the control group was 77%. There was significant difference between the two groups （X2 = 11.73,P 〈 0.01 ）. The rate of patients＇ satisfaction in the Wechat group was 97% , while the control group was 75%. There was significant difference between the two groups（ X2 = 8.23, P 〈 0.01 ）. Conclusions Setting up a Wechat group can increase self-nursing education of the discharged patients with PICC catheter as well as the rate of patients＇ satisfaction.