基于微信平台的延续性护理对喉切除患者出院后自我护理能力的影响研究

Study on effect of continuous nursing based on WeChat platform on self care ability after discharge in patients with laryngectomy

目的探讨基于微信平台的延续性护理对喉切除患者出院后自我护理能力的影响。方法采用便利抽样法,选取2018年1-12月该院行喉切除术的112例喉癌患者为研究对象,分为观察组和对照组,每组56例。对照组实施常规出院宣教和护理指导及出院后电话随访,观察组在常规出院宣教和护理指导及出院后电话随访的基础上,由延续性护理小组利用微信平台对出院患者进行延续护理。比较两组出院后3、6个月的自我护理能力。结果出院3、6个月后,观察组自我护理能力总体均处于高等水平,对照组自我护理能力总体处于中等水平。观察组自我护理能力总分高于对照组;且自我护理能力各维度的自我概念、自护责任感、自我护理技能及健康知识水平得分也均高于对照组,差异有统计学意义(P<0.05)。结论基于微信平台的延续性护理能够提高喉切除患者出院后自我护理能力。

Objective To explore the effect of continuous nursing based on the WeChat platform on the self care ability after discharge in the patients with laryngectomy.Methods A total of 112 patients with laryngeal cancer treated by laryngectomy in this hospital from January to December 2018 were selected by adopting the convenience sampling method and divided into the observation group and control group,56 cases in each group.The control group implemented the routine discharge education,nursing guidance and telephone follow up after discharge.On this basis the observation group conducted the continuing care for discharged patients by using the WeChat platform.The self nursing abilities in 3 months and 6 months after discharge were compared between the two groups.Results In 3 months and 6 months after discharge,the self care ability in the observation group was generally at a high level,while which in the control group was generally at a medium level.The total score of self care ability in the observation group was higher than that in the control group.Moreover the scores of self concept,self care responsibility,self care skills and health knowledge in all dimensions of self care ability were also higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion The continuous nursing based on WeChat platform can improve the self care ability after discharge in the patients with laryngectomy patients.