微信随访在金黄色葡萄球菌烫伤样皮肤综合征患儿居家护理的应用

Application of Follow-up by WeChat in Home Nursing of Children with Staphylococcal Scalded Skin Syndrome

目的探讨微信随访对金黄色葡萄球菌烫伤样皮肤综合征复发率、居家依从性的影响。方法将60例复发金黄色葡萄球菌烫伤样皮肤综合征患儿家属随机分为观察组与对照组,各30例。对照组接受常规健康教育和电话随访,观察组在出院后常规健康教育的基础上接受微信随访。结果观察组6个月、12个月复发率分别为6.67%、10%,对照组分别为26.67%、36.67%,组间比较差异具有统计学意义(P<0.05);在并发症发生率方面,观察组为3.33%,对照组为20%,组间比较差异具有统计学意义(P<0.05);观察组在服药依从性、保护隔离依从性、卫生习惯养成依从性三个维度得分及总分明显高于对照组,组间比较差异有统计学意义(P<0.05)。结论微信随访可以提高金黄色葡萄球菌烫伤样皮肤综合征患儿居家护理的依从性,减少疾病复发。

Objective The aim of the study is to explore the effect of follow-up by We Chat on the recurrence rate and compliance of children with staphylococcal scalded skin syndrome. Methods In total of 60 parents of children with staphylococcal scalded skin syndrome were randomly divided into the observational group（30 cases） and control group（30 cases）. Routine education and telephone follow-up were adopted in both control group and observation group. In observation group, follow-up by Wechat was also adopted. Results The recurrence rates in observational group and control group were 6.67% and 26.67% at 6-month follow-up respectively, 10% and 36.67% at 12-month follow-up. The differences of recurrence rates in observation group and control group were statistically significant（P〈0.05）. The incidence rates of complication in observational group was 3.33%, and the rate in control group was 20%. The differences of incidence rates of complication in observation group and control group were statistically significant（P〈0.05）. The scores in aspects of medicine compliance, protective separation compliance and health habit compliance of observational group was significantly higher than that of control group（P〈0.05）. Conclusion Follow-up by We Chat can promote the compliance and reduce the recurrence rate of children with staphylococcal scalded skin syndrome.