基于微信公众平台的延续护理在PICC带管患者中的应用效果研究

Application of WeC hat public platform on continuous nursing for patients with PICC

目的 :调查基于微信公众平台的延续护理在PICC带管患者中的应用效果。方法 :选取200例PICC带管患者随机分为实验组和对照组各100例。对照组按传统模式给予常规门诊维护和口头宣教。实验组在此基础上关注微信公众平台,实行网络化健康教育、多维度护患沟通、精细化门诊预约等新型延续护理模式,3个月后比较两组患者的自我管理能力、PICC相关知识得分及PICC相关并发症发生率。结果 :实验组患者自我管理能力总得分(150.61±10.21)高于对照组(114.83±9.32),实验组PICC相关知识测评总得分(141.98±12.50)高于对照组(113.82±10.41),实验组PICC相关并发症发生率(17例)明显低于对照组(38例),差异均有统计学意义(P<0.01)。结论 :运用微信公众平台进行延续护理服务,方便、快捷、经济、实效,值得推广。

Objective： To explore the effect of continuous nursing based on WeChat public platform on the self management ability of patients with PICC. Methods： 200 patients with PICC are randomly divided into the experimental group and the control group （n=100）. The control group receives traditional way of routine clinical maintenance and regular oral education. While the experimental group follow the WeChat public account that specially developed on Wechat platform and get continuous nursing in new models,such as internet health education,which includes multi-dimensional nurses-patients communication and continuous follow up appointments. After three months of the study, we compares self-management ability, patients knowledge and incidence of PICC related complications between the two groups of patients. Results： The scores of self-management ability in the experimental group is 150.61±10.21, the difference from control group is statistically signiifcatn withP〈0.01; knowledge score in the experimental group is 141.98±12.50 and there is signiifcant difference statistically withP〈0.01. The incidence of PICC related complications is signiifcantly lower than the control group, the difference is statistically signiifcance withP〈0.01. Conclusion： The continuous nursing based on WeChat public platform is convenient, efifcient, economic and effective, which is highly recommended.