利用微信平台对小梁切除术出院患者实施精准护理的实践

Application of accurate care in discharged patients after trabeculectomy using WeChat platform

目的 探讨微信平台在小梁切除术出院患者精准护理中的应用效果。方法 选择100 例小梁切除术出院患者，按随机数字表法分为对照组和观察组各50 例，对照组给予常规出院指导，观察组在常规出院指导的基础上应用微信平台实施精准护理。出院后半年，采用遵医行为调查问卷对两组患者进行调查，比较两组患者遵医行为。结果 在滤过泡按摩护理方面，观察组患者遵医行为百分比为90%，对照组为70%，差异有统计学意义（χ2=6.250，P=0.012）；在坚持复诊、眼压监测、视野复查和眼底立体像复查方面，观察组优于对照组，差异均有统计学意义（χ2 值分别为5.316、6.353、4.762、5.263； P＜ 0.05）；在坚持用药方面，两组差异无统计学意义（χ2=1.382，P=0.240）。结论 应用微信平台对小梁切除术出院患者实施精准护理，能有效提高患者的遵医行为。

Objective To evaluate the effects of WeChat platform on accurate care for discharged patients after trabeculectomy. Methods A total of 100 patients who had been discharged after trabeculectomy were recruited, and divided into observation group and control group by random number table method, with 50 cases in each group. The patients in the control group received routine discharge education, while the patients in the observation group received accurate care based on WeChat platform. A self-designed questionnaire was used to investigate the treatment compliance after 6 months of discharge, and the compliance behavior was compared between the two groups. Results In the care of filtering blebs, the treatment compliance percentage of the observation group after the implementation of accurate care was 90%, while it was 70% in the control group, and the difference was statistically significant （ x^2=6.250, P=0.012）. Meanwhile, in the insisting on further consultation, insisting on intraocular pressure monitoring, review of perimetry and fundus stereoscopic image, the performance of the observation group was significantly better than that of the control group （ X ^2=5.316, 6.353, 4.762, 5.263 ; P 〈 0.05）. However there was no significant difference in medication adherence between the two groups （ X ^2=1.382, P=0.240）. Conclusions The application of WeChat platform in accurate care for discharged patients after trabeculectomy can effectively improve the patients＇ compliance of medical treatment.