医患互动微信平台干预在膝关节置换术后患者延续护理服务中的应用

Application of WeChat Doctor-patient Interaction Platform Intervention in Continuing Nursing Service among Post Knee Arthroplasty Patients

目的:探讨医患互动微信平台干预在膝关节置换术(TKA)后患者延续护理服务中的应用效果。方法:将80例行TKA患者随机分为观察组和对照组各40例。对照组给予常规干预,出院时进行健康教育和心理干预,教会患者进行康复功能锻炼;观察组在对照组基础上给予医患互动微信平台干预。比较两组干预效果。结果:两组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于干预前(P<0.05),观察组干预后SAS、SDS评分低于对照组(P<0.01)。观察组总依从率及护理满意度评分高于对照组(P<0.05,P<0.01)。两组干预后美国特种外科医院(HSS)、改良Barthel指数评定量表(MBI)、生活质量评分高于干预前(P<0.05),观察组干预后HSS、MBI、生活质量评分高于对照组(P<0.01)。结论:医患互动微信平台干预能有效改善TKA后患者的焦虑、抑郁情绪,提高锻炼依从性,改善膝关节功能,提升生活自理能力、生活质量及护理满意度。

Objective:To explore the application effect WeChat doctor-patient interaction platform intervention in continuing nursing service among post knee arthroplasty patients.Methods:A total of 80 patients with TKA were randomly divided into the observation group and the control group with 40 cases in each group.The control group was given conventional intervention,health education and psychological intervention when discharged from hospital,teaching patients with functional exercise of rehabilitation.The observation group on the basis of the control group was given WeChat doctor-patient interaction platform intervention.to compare intervention effect between two groups.Results:The self-evaluation on anxiety scale(SAS)and depression self rating scale(SDS)scores were lower in two groups after the intervention than thosef before intervention(P<0.05),the SAS and SDS scores were lower in the observation group after the intervention than those in the control group(P<0.01).The total compliance rate and nursing satisfaction scores were higher in the observation group than those in the control group(P<0.05,P<0.01).The American hospital for special surgery(HSS),scale for assessment of modified Barthel index(MBI),and quality of life scores in the two groups after intervention were higher than those before the intervention(P<0.05),the HSS,MBI and quality of life scores were higher in the observation group after the intervention than those in the control group(P<0.01).Conclusion:WeChat doctor-patient interaction platform intervention can effectively improve the anxiety and depression among post TKA patients,improve exercise adherence,improve the function of knee joint,promote life self-care ability,life quality and nursing satisfaction.