应用微信平台对小儿肠造口出院患者行延续护理的效果与睡眠质量研究

Study on the Effect of Continuous Nursing and Sleep Quality of Children Discharged from Enterostomy with Wechat Platform

目的:探讨利用微信平台在小儿肠造口出院行延续性护理的应用效果。方法:选取2015年8月至2017年1月行肠造口术治疗的患儿作为对照组(常规性护理,n=20),2017年2月至2018年5月行肠造口术治疗的患儿作为观察组(延续性护理,n=20),对照组予以在院指导更换造瘘袋,出院电话回访进行护理;观察组利用微信平台建立延续护理小组进行护理。以出院3个月后,2组小儿肠造口术后并发症发生率、患儿家属肠造口知识知晓度、患儿家属焦虑水平、患儿家属睡眠质量、患儿家属满意度作为评价指标进行测评。结果:出院后3个月,观察组术后并发症发生率低于对照组,患儿家属造口护理知识知晓度明显高于对照组,家属状态焦虑水平得分、睡眠指数评分低于对照组,护理满意度高于对照组,差异有统计学意义(P<0. 05)。结论:微信平台因其及时性、可视性、方便性等优点,对出院患儿施行延续护理可减少术后并发症的发生,减轻家属的焦虑程度,改善睡眠,提升照护能力,提高护理服务满意度。

Objective:To explore the effect of continuing nursing care for children discharged from enterostomy by using Wechat platform.Methods:The routine nursing of children who underwent enterostomy in our department from August2015to January2017was taken as the control group,and the continuing nursing of children who underwent enterostomy from February2017to May2018was taken as the observation group.The control group was given guidance to replace the fistula bag in the hospital,and the nursing group was established by the Wechat platform for continuing nursing.Three months after discharge,the incidence of complications,awareness of enterostomy knowledge,anxiety level of family members,sleep quality of family members and satisfaction degree of family members were assessed.Results:Three months after discharge,the incidence of complications in the observation group was lower than that in the control group,the awareness of stoma nursing knowledge of the family members was significantly higher than that in the control group,the scores of anxiety level and sleep index of the family members were lower than those in the control group,and the nursing satisfaction was higher than that in the control group(P<0.05).Conclusion:Because of its timeliness,visibility,convenience and other advantages,continuous nursing for discharged children can reduce the incidence of postoperative complications,alleviate the anxiety of family members,improve sleep,improve nursing ability and improve nursing service satisfaction.