以微信为媒介的延续性护理在慢性心力衰竭患者中的应用

Application of continuous nursing with Wechat as medium in patients with chronic heart failure

目的探讨以微信为媒介的延续性护理在慢性心力衰竭患者中的应用效果。方法采用便利抽样法,2019年6月—2020年6月,选择在浙江医院接受治疗的慢性心力衰竭患者102例为研究对象,依据随机数字表法将其分为观察组52例、对照组50例。对照组给予常规护理干预,观察组在对照组基础上采用以微信为媒介的延续性护理干预。采用SAS、SDS、自护能力评定量表(ESCA)、健康状况调查问卷(SF-36)评价干预的效果。结果入院时两组患者SAS、SDS、ESCA各维度、SF-36各维度评分比较差异无统计学意义(P>0.05)。干预后3个月,观察组患者SAS、SDS评分低于对照组,ESCA各维度、SF-36各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论以微信为媒介的延续性护理在慢性心力衰竭患者中的应用效果良好,可减轻患者负性情绪,提高自护能力,改善生活质量。

Objective To explore the application effect of continuous nursing with Wechat as medium in patients with chronic heart failure.Methods Using the convenient sampling method,a total of 102 patients with chronic heart failure who were treated in Zhejiang Hospital were selected as the research objects from June 2019 to June 2020.According to random number table method,they were divided into the observation group(n=52)and the control group(n=50).The control group was given routine nursing intervention,while the observation group was given continuous nursing intervention with Wechat as medium.The effect of intervention was evaluated by Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Exercise of SelfCare Agency Scale(ESCA)and 36-item Short-Form(SF-36).Results There were no statistically significant differences in the scores of SAS,SDS,dimensions of ESCA and dimensions of SF-36 between the two groups at admission(P>0.05).Three months after intervention,SAS and SDS scores of patients in the observation group were lower than those in the control group,and scores of dimensions of ESCA and SF-36 were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions The continuous nursing with Wechat as medium has good application effect in patients with chronic heart failure,which can reduce the psychological mood of patients,improve the self-care ability and improve quality of life.