基于微信平台的延续护理在经外周静脉置入中心静脉导管肿瘤病人中的应用

Application of transitional care based on WeChat public platform in cancer patients with PICC

目的探讨运用微信平台对经外周静脉置入中心静脉导管(PICC)肿瘤病人进行延续护理的干预效果。方法选择2016年3-8月四川大学华西医院收治的肿瘤病人120例,采用随机数字表法分为观察组和对照组,每组60例。观察组在常规PICC出院指导基础上,由微信延续护理小组成员利用微信对出院病人进行PICC延续护理,对照组沿用原来的出院健康宣教。比较两组病人出院当天以及3个月后的PICC知信行以及PICC相关并发症情况等。结果观察组病人3个月后,PICC知信行测评结果均明显优于对照组,差异有统计学意义(P<0.05);PICC并发症总体发生率0.07%低于对照组0.27%,差异有统计学意义(P<0.05)。结论运用微信平台对肿瘤病人进行PICC延续护理的效果较好,可以降低病人的PICC并发症和提高病人PICC知信行情况,因此将微信应用于延续护理是值得推广的。

Objective To evaluate the effectiveness of transitional care based on WeChat public platform in cancer patients with PICC.Methods 120 cancer patients with PICC were divided into two groups,60 cases in each.The patients in the two groups received routine discharge education.In addition,the patients in the observation group received transitional care based on WeChat public platform for three months.The patients’Knowledge-Attitude-Practice(KAP)and incidence of catheter-related complications at 3 months after discharge were compared between the two groups.Results Three months after discharge,KAP in the observation group was significantly better than that in the control group(P<0.05)he overall incidence of catheter-related complications in the observation group were significantly lower than those in the control group(0.07%vs.0.27%,P<0.05).Conclusion Transitional care based on WeChat public platform achieve good effectiveness in cancer patients with PICC is worthy of promotion.