微信平台在极低出生体重儿延伸护理中的应用效果

Application Effect of WeChat Platform in Extended Care of Very Low Birth Weight Infant

目的探讨使用微信平台对极低出生体重儿(VLBWI)进行延伸护理的效果。方法选取我科符合入选标准的VLBWI 100例,根据剔除标准及失访人数,最终纳入实验组42例,对照组35例。对照组按照常规予以出院健康教育,每月电话随访。实验组出院时予以健康教育,出院后采用微信平台进行延伸护理。观察两组患儿3月龄、6月龄以及12月龄的体重增长情况,再住院率及再住院的患病情况,家长对护理人员的满意度。结果实验组3月龄、6月龄以及12月龄的体重均高于对照组,差异具有统计学意义(P<0.05)。实验组再住院率低于对照组(47.62%vs 74.29%),差异具有统计学意义(P<0.05);再住院的患病情况包括呼吸道感染、肠道感染、皮肤感染和营养不良。实验组家长对护理人员的满意度高于对照组(97.62%vs 94.29%),差异具有统计学意义(P<0.05)。结论使用微信平台对VLBWI进行延伸护理,能够提高家长相关的护理知识,提高参与的积极性,使VLBWI获得有效的护理,提升了对医院的满意度,同时也节省了护理人员的人力、时间,具有一定的可行性。

Objective To investigate the effect of extended care on very low birth weight infant (VLBWI) using WeChat platform. Methods A total of 100 patients with VLBWI who met our inclusion criteria were enrolled. According to the rejection criteria and the number of people lost to follow-up, 42 patients in the experimental group and 35 patients in the control group were included. The control group was discharged from the hospital in accordance with the routine health care, and monthly telephone follow-up. The experimental group was given health education at the time of discharge, and the WeChat platform was used for extended care after discharge. The weight gains of the three-month-old, 6-month-old, and 12-month-old children, the rate of rehospitalization and the re-hospitalization, and the satisfaction of the parents with the nursing staff were observed. Results The body weight of the experimental group at 3 months, 6 months and 12 months was higher than that of the control group,the difference was statistically significant (P<0.05). The re-hospitalization rate of the experimental group was lower than that of the control group (47.62% vs 74.29%),the difference was statistically significant (P<0.05). The re-hospitalization status included respiratory infection, intestinal infection, skin infection and malnutrition. Parents in the experimental group were more satisfied with the nursing staff than the control group (97.62% vs 94.29%),the difference was statistically significant (P<0.05). Conclusion The use of WeChat platform for extended care of VLBWI can improve parents' related nursing knowledge, increase participation enthusiasm, enable VLBWI to obtain effective nursing, at the same time, it also saves the manpower and time of the nursing staff and has certain feasibility.