微信平台联合护理门诊随访对脊髓损伤患者生活质量的影响

The effect of the WeChat joint nursing outpatient follow-up on the quality of life of patients with spinal cord injury

目的 探讨微信平台联合护理门诊随访对脊髓损伤患者生活质量的影响.方法 选取2013年1月～2016年1月该院骨科符合纳入标准的脊髓损伤患者80例为研究对象,按随机数字表法分为实验组和对照组各40例.实验组采用微信平台联合护理门诊随访的方式进行延续性护理,对照组采用护理门诊随访的方式进行延续性护理,分别于干预前、干预12个月后记录和比较两组患者功能独立性评定量表（Function Independent Measure,FIM）评分、家庭支持评分、WHOQOL-100评分、并发症发生率以及再次入院率.结果 干预前,两组患者FIM评分、家庭支持评分、WHOQOL-100评分比较,差异均无统计学意义（均P〉0.05）;干预12个月后,实验组FIM评分、家庭支持评分、WHOQOL-100评分均优于对照组,差异均有统计学意义（均P〈0.05）;实验组并发症总发生率为42.5％,对照组为65.0％,差异有统计学意义（P〈0.05）;实验组再次入院率为15.0％,对照组为22.5％,差异无统计学意义（P〉0.05）.结论 微信平台联合护理门诊随访能较好地改善脊髓损伤患者的生活质量,降低并发症的发生率及再次入院率.

Objective To explore the effect of the WeChat joint nursing outpatient follow-up on the quality of life of patients with spinal cord injury. Methods A total of 80 cases of spinal cord injury patients from January 2013 to January 2016 who were eligible for inclusion criteria were selected as the study subjects, and were divided into experi-mental group and control group according to the random number table method, 40 cases of each group. The experimental group used WeChat platform to carry out continuous nursing care in the treatment of outpatient follow-up, and the con-trol group used nursing outpatient follow-up to carry out continuous nursing. The scores of Function Independent Measure （ FIM） , family support score, WHOQOL-100 score, complication rate and readmission rate were recorded and com-pared between the two groups before intervention, 12 months after intervention. Results Before intervention, there was no significant difference in the scores of functional independence （ FIM ） , family support and WHOQOL-100 be-tween the two groups （P〉0. 05） . After 12 months of intervention, the experimental group FIM scores, family support scores, WHOQOL-100 scores were better than those of the control group, and the differences were statistically signifi-cant （ P〈0. 05 ） . The total complication rate in the experimental group was 42. 5％ and that in the control group was 65. 0％, and the difference was statistically significant （ P〈0. 05 ） . The rate of readmission in the experimental group was 15. 0％ and that in the control group was 22. 5％, and the difference was statistically significant （ P〈0. 05 ） . Con-clusion The WeChat joint nursing outpatient follow-up can improve the quality of life of patients with spinal cord injury and reduce the incidence of complications and readmission rate.