应用微信平台对颈椎病出院患者行延续护理的效果

The Effect of Wechat-based Transitional Care in Discharged Patients with Cervical Spondylosis

目的探讨运用微信对颈椎病保守治疗出院患者进行延续护理的效果。方法选择2014年1月—12月在我科住院的60例颈椎病保守治疗患者,年龄32~55岁,均可熟练使用微信,将60例患者随机分为2组,每组30例。观察组在常规出院健康宣教的基础上由微信延续护理小组成员利用微信对出院患者进行延续护理,微信延续护理小组由一名主治医师和一名主管护师组成,建立微信患者群,每周定期发送内容为颈椎病基础知识、用药指导、饮食指导、生活护理、功能锻炼等信息,并接受患者有关颈椎病相关问题的咨询。对照组使用常规出院健康宣教。两组患者出院3个月后复查,入院时、出院时和3个月复查时均采用华西医院颈椎病颈椎功能评定表进行疗效评价,总分27分,根据治疗前后评分,计算改善指数和改善率。结果两组患者入院时和出院时,改善指数和改善率差异无统计学意义（P〉0.05）,3个月复查时,观察组改善指数和改善率均优于对照组,差异有统计学意义（P〈0.05）。结论运用微信对颈椎病保守治疗患者进行延续性护理干预能取得满意的效果,值得进一步完善和推广。

Objective To evaluate the effect of wechat-based transitional care in discharged patients with cervical spondylosis. Methods Selecting 60 cervical spondylosis patients from January 2014 to December 2014,they were randomly assigned into two groups,with 30 cases in each group. The patients in the two groups received routine discharge education. In addition,patients in the experimental group received wechat-based transitional care. The wechat team was consisted of an attending doctor and a nurse-in-charge,established wechat＇s group messaging,sent rudimentary knowledge, medication instruction, dietary instruction, life nursing and functional exercise of cervical spondylosis per-week,answered the question of cervical spondylosis. The two groups were reviewed after discharge from hospital for 3months. The clinical effect of the cervical spondylosis of the West China Hospital on admission,at discharge and 3 months after discharge,the total score was 27 points,calculation improvement index and improvement rate were calculated. Results On admission and at discharge,there were no difference between these two groups（ P〈0. 05）. 3 months after discharge,the improvement index and the improvement rate of the observation group were better than those of the control group,and the difference was statistically significant（ P〈0. 05）. Conclusion Wechat-based transitional care achieved good effect in patients with cervical spondylosis,and is worthy of promotion.