利用微信开展延续性干预对永久性回肠造口患者自我护理能力的影响

Effect of continuous intervention with WeChat on self-care ability of patients with permanent ileostomy

目的 了解利用微信开展延续性干预对永久性回肠造口患者自我护理能力的影响.方法 120例永久性回肠造口患者随机分为对照组和观察组,每组60例.对照组在出院后仅进行常规随访,观察组则利用微信开展延续性随访,采用自制的自我护理能力测量表对两组患者出院前1d和出院后3、6个月的自我护理能力进行评价.结果 两组患者出院前1d的各项自我护理能力比较差异无统计学意义(P>0.05).出院后3、6个月时观察组患者的各项自我护理能力均较出院前1d明显提高,且高于同期对照组(P<0.05或0.01);出院6个月的各项自我护理能力得分亦高于出院后3个月(P<0.05或0.01).而对照组患者出院后3、6个月时的各项自我护理能力得分与出院前1d比较差异无统计学意义(P>0.05).结论 利用微信开展延续性干预能够显著提高并维持永久性回肠造口患者的自我护理水平.

Objective To explore and evaluate the effect of continuous intervention with WeChat on self-care ability of patients with permanent ileostomy. Methods A total of 120 patients with permanent ileostomy were randomly divided into the Control Group and Observation Group, 60 cases in each group. The Control Group received routine follow-up after the discharge while the Observation Group received continuous follow-up with WeChat. A self-made self-care ability scale was used to evaluate the self-care ability of the two groups 1 d before the discharge and 3 and 6 months after the discharge. Results There was no significant difference in scores of various self-care abilities between the two groups 1 d before the discharge(P> 0.05). The scores of various self-care abilities of the Observation Group at 3 months and 6 months after the discharge were significantly higher than that at 1 d before the discharge and higher than those of the Control Group at the same period(P<0.05 or 0.01). The scores of various self-care abilities of the Observation Group at 6 months after the discharge were significantly higher than those at 3 months after the discharge(P<0.05 or 0.01). There was no statistical difference in the scores of various self-care abilities of the Control Group at 1 d before the discharge and 3 and 6 months after the discharge(P>0.05). Conclusions Continuous intervention with WeChat for patients with permanent ileostomy can significantly improve and maintain their self-care ability.