基于移动终端的信息化健康教育模式对骨折患者创伤后成长的影响

The influence of mobile terminal-based informational health education model on post-traumatic growth in fracture patients

目的 探讨基于信息化的健康教育模式对骨折患者创伤后成长的的影响.方法 纳入解放军总医院骨科2016年6-11月收治的踝部骨折患者82例,随机分为试验组42例和对照组40例.对照组实施常规健康教育及反馈,试验组应用骨科患者管理平台对患者进行基于移动终端的信息化护理干预.比较两组干预前后创伤后成长量表（PTGI）评分.结果 试验组患者干预前PTGI评分为（61.00±5.19）分,干预3个月后（80.20±6.97）分;对照组干预前后PTGI评分分别为（58.80±5.96）、（61.77±7.60）分;两组干预前PTGI评分差异无统计学意义（P〉0.05）,干预后差异有统计学意义（P〈0.05）.结论 通过移动终端信息化模式对创伤患者围术期进行健康宣教,联合PTGI量表引导患者积极心理体验,可促进患者的伤后成长,缩短康复宣教时间,提高护士工作效率.

Objective To explore the influence of mobile terminal-based informational health education model on post-traumatic growth in fracture patients. Methods Totally 82 fracture patients who were admitted in the Chinese PLA General Hospital from June to November 2016 were selected and randomized into a treatment group （n=42） and a control group （n=40）. Patients in the control group received conventional health education and gave feedbacks, while patients in the treatment group received informational nursing intervention based on mobile terminal using the orthopedic patient management platform. The Post-traumatic Growth Index （PTGI） was compared between the two groups. Results The PTGI scores of patients in the treatment group were （61.00 ±5.19） before intervention and （80.20 ± 6.97） post intervention; while the PTGI scores of the patients in the control group were （58.80 ± 5.96） and （61.77 ± 7.60） respectively before and after intervention. There was no significant difference in the PTGI scores before intervention （P 〉 0.05）, while there was significant difference after intervention （P 〈 0.05）. Conclusions Mobile terminal-based informational health education for trauma patients during the perioperative period, combined with PTGI scale can guide the patients to have positive psychological experience, improve the patients＇post-traumatic growth, shorten the time of rehabilitation health, and improve the working efficiency of nurses.