颅脑损伤出院患者微信随访管理的实施效果分析

Analysis of implementation effect of WeChat follow-up management in discharged patients with craniocerebral injury

目的探讨微信随访管理在颅脑损伤出院患者中的实施效果。方法选取2015年9月至2016年8月在我院治疗后出院的颅脑损伤患者100例作为研究对象,根据出院先后顺序排号,采用随机数字法将其等分为对照组和观察组,观察组采用微信随访管理,对照组采取电话随访,为期3个月,分别对两组患者日常活动能力(ADL)、自我护理能力(ESCA)进行评分;比较两组患者居家护理不良事件及并发症的发生情况。结果干预前两组患者的ADL评分、ESCA总分及各因子得分比较差异无统计学意义(P> 0. 05),干预后观察组患者ADL评分、ESCA总分及各因子得分均明显高于对照组(P <0. 05),两组患者干预后ADL评分、ESCA总分及各因子得分均显著高于干预前,差异有统计学意义(P <0. 05);观察组患者不良事件及并发症总发生率明显低于对照组(P <0. 05)。结论微信随访管理能够明显提高患者ADL和ESCA评分,降低患者康复期间并发症及不良事件的发生率。

Objective To explore the implementation effect of WeChat follow-up management in discharged patients with craniocerebral injury.Methods To compare the incidences of adverse events and complications in home care,100 cases of discharged patients with craniocerebral injury who treated in our hospital from September 2015 to August 2016 were observed,and were equally divided into control group and study group by means of random number table with sequence of discharge previously numbered.The study group adopted the WeChat follow-up and the control group was followed up by telephone for 3 months.Two groups were evaluated with activities of daily living(ADL)and exercise of self-care agency scale(ESCA).Results There was no statistically significant difference in ADL score,ESCA total score and score of each factor between the two groups before the intervention(P>0.05).The ADL score,ESCA total score and score of each factor of the study group were significantly higher than those of the control group after the intervention(P<0.05).The ADL score,ESCA total score and score of each factor of the two groups after the intervention were significantly higher than those before the intervention,and the difference was statistically significant(P<0.05).The total incidence of adverse events and complications in the study group was significantly lower than that of the control group(P<0.05).Conclusion WeChat follow-up management could significantly improve patients'ADL and ESCA scores,and reduce the incidence of complications and adverse events during rehabilitation.