基于微信公众平台的健康教育形式在PICC患者中的应用效果研究

Study on effect of using WeChat platform to assist health education for patients with PICC-line

目的探讨基于微信公众平台的健康教育形式在PICC患者中的应用效果。 方法将129例PICC置管肿瘤患者按照就诊的先后顺序分为观察组65例和对照组64例。对照组实施常规的健康教育，观察组在常规健康教育的基础上实施基于微信公众平台的健康教育形式，比较干预后1个月2组患者的PICC自我管理能力、希望水平、导管相关并发症及非计划性拔管等指标。结果观察组患者PICC自我管理能力及希望水平的得分分别为（144.55 ± 8.27）、（38.28 ± 3.18）分，对照组分别为（137.08 ± 6.47）、（38.34 ± 4.60）分，2组患者自我管理能力比较差异有统计学意义（t=-5.712，P〈0.01）；观察组患者导管相关并发症及非计划性拔管的发生率分别为9.2%（6/65）、1.5%（1/65），显著低于对照组的29.7%（19/64）、10.9%（7/64），2组患者自我管理能力比较差异有统计学意义（χ2=8.637、4.898，P〈0.01或0.05）。结论基于微信公众平台实施健康教育效果良好，简单易行，值得进一步推广应用。

To explore the effectiveness of using WeChat platform to assist health education for patients with PICC-line. MethodsA total of 129 patients with PICC-line were divided into two groups according to the visiting order, 64 patients in control group and 65 patients in treatment group. The patients in the two groups received routine education. In addition, the patients in the treatment group received WeChat-based health education for one month. The patients self-management, hope, catheter-related complications and unplanned extubation were compared between the two groups.ResultsThe score of self-management and hope in the treatment group were （144.55±8.27）, （38.28±3.18） points, while the score in the control group were （137.08±6.47）, （38.34±4.60） points, which had the statistically difference in the score of self-management （t=-5.712, P〈0.01）. The incidence of catheter-related complications and unplanned extubation in the treatment group were 9.2%（6/65） and 1.5%（1/65）, while the incidence in the control group were 29.7%（19/64） and 10.9%（7/64）, which had the statistically difference （χ2=8.637, 4.898, P〈0.01 or 0.05）.ConclusionsWeChat-based health education for patients with PICC-line achieves good effectiveness and simple and practicable and is worthy of promotion.