基于微信平台的延续护理在急诊压力性损伤患者中应用的效果

The effect of application of continuing care for patients with emergency pressure injury based on WeChat platform

目的:评价基于微信平台的延续护理在急诊压力性损伤患者中应用的效果。方法:选择2018年10月-2019年12月在华东医院急诊科就诊的92例压力性损伤患者作为研究对象,其中男性59例,女性33例。平均年龄(78.92±9.57)岁。在患者就诊时和出院后采用微信平台对其主要照护者进行压力性损伤照护知识的宣教与技能的指导,评估患者的压力性损伤的转归情况以及照护者对护理满意度和压力性损伤知识的掌握情况。结果:1期、2期、3期和4期压力性损伤的平均愈合时间分别为(6.25±1.52)d、(23.18±2.69)d、(35.00±3.78)d和(75.00±4.76)d。深部组织损伤和不明确分期的平均愈合时间分别为(85.00±5.00)d和(76.00±8.04)d。照护者对压力性损伤的知识掌握情况及满意度明显优于干预前,差异有统计学意义(P<0.05)。结论:基于微信平台管理的延续护理干预可促进压力性损伤的愈合,改善照护者压力性损伤照顾的知识与技能水平,提高照护者的满意度。

Objective:To evaluate the effect of application of continuing care for patients with emergency pressure injuries based on WeChat platform.Methods:Ninety-two patients with pressure injuries who were treated in the Emergency Department of Huadong Hospital from October 2018 to December 2019 were selected as the research objects,among them,there were 59 males and 33 females.Their average age was(78.92±9.57)years old.The WeChat platform was used to conduct the pressure injury care knowledge and skills guidance for the main caregivers of the patients during the visiting and after discharge,assess the outcome of pressure injuries of the patients,care satisfaction and the knowledge of caregivers about pressure injury.Results:The average healing times of stage 1,2,3 and 4 pressure injury were(6.25±1.52)days,(23.18±2.69)days,(35.00±3.78)days,and(75.00±4.76)days.The average healing times of deep tissue injury and non-staged were(85.00±5.00)days and(76.00±8.04)days.The knowledge of caregivers about pressure injury and care satisfaction were significantly better than those before the intervention,and the difference was statistically significant(P<0.05).Conclusion:Continuing nursing intervention based on the management of the WeChat platform can promote the healing of pressure injuries,improve the caregiver’s knowledge and skills about pressure injury,and increase the care satisfaction.