基于微信平台的延续性护理对回肠膀胱造口患者自我护理能力的影响

The effects of continuation nursing based on WeChat platform on self-care ability of patients with ileal bladder stoma

目的探讨基于微信平台的延续性护理对回肠膀胱造口患者自我护理能力的影响。方法选取2016年9月至2017年10月在郑州大学第一附属医院泌尿外科成功实行回肠膀胱术的80例患者,采用随机数字表法分为对照组和干预组各40例,对照组实施常规护理,干预组在常规护理的基础上增加基于微信平台的延续性护理,在出院前1 d、出院后第4周、出院后第12周,采用泌尿造口自我护理量表对2组的自我护理水平进行评价并统计并发症发生情况。结果干预组出院前1 d、出院后第4周、出院后第12周自我护理得分分别为(5.13±2.79)、(9.98±2.68)、(15.65±2.37)分,对照组分别为(5.35±3.20)、(8.13±3.45)、(12.30±5.93)分。2组患者的自我护理得分干预因素与时间因素的交互作用差异有统计学意义[F(1.735,67.680)=23.301,P<0.05];干预组出院前1 d、出院后第4周、出院后第12周并发症发生率分别为5.00%(2/40)、42.50%(17/40)、22.50%(9/40),对照组分别为0(0/40)、52.50%(21/40)、65.00%(26/40)。出院后第12周2组患者并发症发生率比较差异有统计学意义(χ^2=14.679,P<0.05)。结论基于微信平台的延续性护理有利于提高回肠膀胱造口患者的自我护理能力,降低并发症发生率。

Objective To explore the effects of continuous care based on WeChat platform on self-care ability of patients with ileal bladder stoma.Methods A total of 80 patients with ileal conduit were recruited from a urological department of The First Affiliated Hospital of Zhengzhou university from September 2016 to October 2017.The patients were randomly divided into intervention group (n=40) and control group (n=40).Both groups received routine care,and the experimental group also used the continuation care based on WeChat platform.The outcomes of complication incidence,self-care level with stoma were evaluated at the times of 1 day before discharge,4 weeks after discharge and 12 weeks after discharge.Results The self-care scores of the intervention group at 3 time points were 5.13 ± 2.79,9.98 ± 2.68,and 15.65 ± 2.37,The control group were 5.35 ± 3.20,8.13 ± 3.45,and 12.30 ± 5.93.The interaction of self-care level scores of the two groups were statistically significant (F(1.735,67.680)=23.301,P<0.05).The incidence of complications of the intervention group at the 3 time points was 5.00%(2/40),42.50%(17/40),and 22.50%(9/40).The control group were 0(0/40),51.22%(21/40),and 63.41%(26/40).The incidence of complications in the two groups was statistically significant at the 12th week after discharge (χ^2=14.679,P<0.05).Conclusions With continuous care based on WeChat platform,the self-care level of patients with ileal bladder stoma can be effectively improved,and reduce the incidence of complications.