移动互联网管理在先天性心脏病术后患儿延续性护理中的应用效果评价

Effect of mobile internet management in the continuous nursing of children with Congenital Heart Disease surgery

目的:评价移动互联网管理在先天性心脏病术后患儿延续性护理中的应用效果。方法:将我院于2017年12月至2018年4月收治的诊断为先天性心脏病并实施手术治疗的160例患儿随机分为干预组和对照组,每组各80例,其中对照组患儿按照常规方式进行护理指导及随访,干预组在应用常规护理随访机制的同时,将移动互联网管理应用到延续性护理中,对两组患儿出院后均随访12个月,比较两组患儿体质量、随访期间的再住院率、患儿家长照顾技能及其自我效能。结果:两组患儿出院时体质量比较无统计学差异(P>0.05);干预组患儿出院后6个月、12个月体质量均高于对照组(P<0.05),干预组患儿随访期间再住院率为8.75%,对照组为23.75%,差异无统计学意义(P>0.05);干预组患儿出院时,出院后6个月、12个月患儿家长照顾技能均显著高于对照组(P<0.05);两组患儿出院时,出院后6个月、12个月患儿家长自我效能差异无统计学意义(P>0.05).结论:移动互联网管理在先天性心脏病术后患儿延续性护理中的应用可促进先天性心脏病术后患儿体质量增长,提高患儿家长照顾能力,对于改善患儿近期预后有较高的应用价值。

Objective: To explore the effect of mobile internet management in the continuous nursing of children with Congenital Heart Disease surgery. Methods: A total of 160 children with Congenital Heart Disease surgery from December 2017 to April 2018 were randomly divided into experimental group and control group, with 80 cases in each group. The control group were treated according to routine methods, while the experimental group were applied the mobile internet management to the continuous care except the routine nursing follow-up mechanism. Children in both groups were followed up for 12 months after discharge, and the weight of children, re-hospitalization rate, parental care skills, self-efficacy of the two groups were compared. Results: There was no significant difference in body weight when discharge between the two groups (P>0.05). The weight of the experimental group was significantly higher than that of the control group at 6 months and 12 months after discharge (P<0.05). The re-admission rate of children in the experimental group and the control group was 8.75% and 23.75%, respectively, showing no statistical deference (P<0.05) between the two groups. The parental care skills of the children in the experimental group at discharge, 6 months and 12 months after discharge were significantly higher than those in the control group (P<0.05). There was no significant difference in parental self-efficacy between the two groups at the time of discharge, 6 months and 12 months after discharge (P>0.05). Conclusion: The mobile internet management in the continuous care of children with Congenital Heart Disease surgery can promote the weight gain of children, improve the parental care ability of the children, and has a high value for improving the short-term prognosis of children.