微信公众号在妇科日间腹腔镜手术患者术前宣教中的应用

Effects of WeChat-based preoperative visit on patients undergoing ambulatory gynecological laparoscopic surgery

目的评估使用微信公众号进行术前宣教在妇科日间腹腔镜手术患者中的应用效果。方法抽取2017年6月至12月在本院行妇科日间腹腔镜手术患者266例,采取随机数字表法分为研究组(n=134)和对照组(n=132),研究组采用微信公众号进行术前宣教,对照组采用口头讲解进行术前宣教。比较2组患者术前访视成功率、宣教内容的掌握程度、患者焦虑水平以及术前宣教满意度。结果研究组患者术前访视成功率100%,高于对照组(78%),差异有统计学意义(χ~2=25.11,P<0.05);研究组患者手术宣教内容问卷测试得分为(80.2±5.3)分,高于对照组(56.2±6.4)分,差异有统计学意义(t=7.96,P<0.05);研究组患者焦虑评分为(41.5±5.4)分,低于对照组(55.2±5.6)分,差异有统计学意义(t=2.96,P<0.05);研究组患者对术前宣教满意度评分为(8.1±1.4)分,高于对照组(6.2±1.1)分,差异有统计学意义(t=2.85,P<0.05)。结论使用微信公众号进行术前宣教,可以提高日间手术患者术前宣教成功率和质量,降低患者围术期焦虑水平并提高术前宣教满意度,值得临床推广应用。

Objective To evaluate the effect of WeChat-based preoperative visit on patients undergoing ambulatory gynecological laparoscopic surgery. Methods A total of 266 patients undergoing ambulatory gynecological laparoscopic surgery from June to December 2017 were enrolled into this study. Subjects were randomly allocated to the WeChat-based group （n=134） and the control group （n=132）. The outcomes included the success rate of preoperative visit, the scores of surgery-related knowledge, the self-rating anxiety scale and the patient’ s satisfaction scores. Results Compared with the control group, the success rate of preoperative visit was higher in the WeChat-based group （100% v.s.78%, P〈0.001）; and the scores of the surgery- related knowledge was higher （80.2±5.3 v.s.56.2 ± 6.4, P〈0.001）, and the self-rating anxiety scale was also lower in the WeChat-based group （41.5±5.4 v.s. 55.2±5.6, P=0.02）. Moreover,the patient’ s satisfaction scores were significantly higher in the WeChat-based group than those in the control group （8.1±1.4 v.s. 6.2±1.1, P=0.03）. Conclusion WeChat-based preoperative visit can improve the success rate and quality of preoperative visit, reduce perioperative anxiety level and improve the patient’ s satisfaction.