基于微信的延续性护理在慢性心力衰竭患者中的应用

Application of WeChat-based transitional care in patients with heart failure

目的探讨基于微信的延续性护理对慢性心力衰竭患者疾病自我管理能力及再住院率的影响。方法采用便利抽样法,选取2019年1—7月首都医科大学附属北京潞河医院收治的130例慢性心力衰竭患者作为研究对象。按住院时间将其分为试验组(n=65)和对照组(n=65),对照组给予常规护理,试验组在对照组基础上实施基于微信的延续性护理。比较两组患者入院时,出院1、3个月慢性心力衰竭自我管理知识量表、自我护理指数6.2版的得分,并比较两组患者出院3个月内的再住院率。结果试验组62例患者完成研究,对照组59例患者完成研究。入院时两组患者慢性心力衰竭自我管理知识量表、自我护理指数量表6.2版得分比较,差异无统计学意义(P>0.05)。出院1、3个月,试验组患者慢性心力衰竭自我管理知识量表、自我护理指数量表6.2版得分高于对照组,差异有统计学意义(P<0.01)。出院3个月内,对照组患者的再住院率高于试验组,差异有统计学意义(P<0.05)。结论基于微信的延续性护理便捷、专业、可操作性强,能够提高慢性心力衰竭患者的自我管理能力,降低患者的再住院率。

Objective To explore the effect of"Transitional care on WeChat"mode on self-management ability and rehospitalization rate of heart failure patients.Methods A total of 130 patients with chronic heart failure in Beijing Luhe Hospital Affiliated to Capital Medical University from January to July 2019 were selected as the research subjects by convenience sampling method.All the subjects were divided into experimental group(n=65)and control group(n=65)according to the time of hospitalization.The control group was given routine nursing,and the experimental group was given"Transitional care on WeChat".The Self-management Knowledge Scale and Self-Care of Heart Failure Index(SCHFI)were used to evaluate the patients'self-management ability at the time of admission,1 month after discharge and 3 months after discharge,to compare the self management ability and rehospitalization rate between the two groups.Results At last,62 patients in the experimental group and 59 patients in the control group completed the study.There was no statistically significant difference in Selfmanagement Knowledge Scale and SCHFI between the two groups at admission(P>0.05).At 1 and 3 months after discharge,the scores of Self-management Knowledge Scale and SCHFI of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.01).Within 3 months after discharge,the rehospitalization rate of the control group was higher than that of the experimental group,and the difference was statistically significant(P<0.05).Conclusions"Transitional care on WeChat"is convenient,professional and highly operable.It can improve the self-management ability of heart failure patients and reduce the rehospitalization rate.