新型冠状病毒后疫情下医护患一体化微信视频探视在ICU中的应用研究

Application of integrated WeChat video visitation for medical and patient in ICU during the epidemic period of COVID- 19

目的探讨新型冠状病毒后疫情下医护患一体化微信视频探视在ICU的应用效果。方法选取2021年4月1日至2021年5月31日期间南京医科大学附属常州第二人民医院ICU收治的30例患者为对照组,采用常规视频探视;2021年6月1日至2021年7月31日期间30例患者为观察组,采用医护患一体化微信视频探视。对每例患者的1~2名家属进行问卷调查。对比两组患者心理韧性量表评分、患者和家属满意度评分、患者依从性评分。结果两组患者心理韧性评分比较,差异有统计学意义(P<0.001);两组患者满意度评分比较,差异有统计学意义(P<0.05);两组患者依从性评分比较,差异有统计学意义(P<0.05);两组家属满意度评分比较,差异有统计学意义(P<0.05)。结论医护患一体化模式在新型冠状病毒疫情下具有一定的创新性,实行医护患一体化微信视频探视能有效增强ICU患者积极心理韧性和依从性,显著提高患者及家属的探视满意度。

Objective To explore the application effect of integrated WeChat video visitation in ICU during the epidemic period of COVID-19.Methods A total of 30 patients in ICU of the Second People’s Hospital of Changzhou from April 1,2021 to May 31,2021 were selected as control group,and 30 patients from June 1,2021 to July 31,2021 were selected as observation group.Control group was given routine video visit,and observation group carried out the integrated WeChat video visit of doctors,nurses and patients.A questionnaire conducted was distributed to one or two families of each patient.The scores of psychological resilience and compliance of patients,satisfaction of patients and their families were compared between the two groups.Results There was statistically significant difference in mental toughness score between the two groups(P<0.001).There was statistically significant difference in satisfaction scores between the two groups(P<0.05).There was statistically significant difference in compliance score between the two groups(P<0.05).There was a statistically significant difference between the two groups in family satisfaction scores(P<0.05).Conclusions This integrated model of doctors,nurses and patients is innovative in the COVID-19 epidemic.Through WeChat video visit,the positive psychological resilience and compliance of patients are effectively enhanced,while the satisfaction of patients and their families is significantly improved.