达标理论下微信平台在行腹腔镜胆囊切除术患者术前访视及术后回访中的应用

Application of Wechat Platform in Preoperative and Postoperative Follow-Up Visits of Patients with Laparoscopic Cholecystectomy Under the Theory of Compliance

目的 探讨达标理论下微信平台在行腹腔镜胆囊切除术患者术前访视及术后回访中的应用效果。方法 选取2020年3月至2021年12月于医院行腹腔镜胆囊切除术的200例患者作为研究对象,依照抽签法将其分为两组,每组100例。对照组予以常规术前访视及术后回访,观察组在此基础上进行达标理论下基于微信平台的术前访视及术后回访,比较两组一般状况、炎症水平、恢复指标及并发症发生率。结果 术前访视后,两组收缩压、舒张压、心率、汉密尔顿焦虑评分量表(HAMA)评分均降低,且观察组均低于对照组,差异均有统计学意义(P <0.05);术后3 d,两组C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)水平均降低,且观察组均低于对照组,差异均有统计学意义(P<0.05);观察组下床时间、术后排气时间、术后排便时间及术后住院时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论 达标理论下基于微信平台的术前访视及术后回访在行腹腔镜胆囊切除术患者中的应用效果较好,可改善其一般状况,减轻炎症反应,加快恢复速度,改善预后。

Objective The application effect of WeChat platform on preoperative and postoperative follow-up visits of patients with laparoscopic cholecystectomy under the theory of compliance was explored.Methods A total of 200 patients treated with laparoscopic cholecystectomy in the hospital from March 2020 to December 2021 were selected and divided into two groups according to the lottery method,with 100 patients in each group.The control group received routine preoperative and postoperative followup visits,while the observation group received preoperative and postoperative follow-up visits based on the WeChat platform under the theory of compliance.The general condition,inflammation level,recovery index and complication rate of the two groups were compared.Results After the preoperative visit,the systolic blood pressure,diastolic blood pressure,heart rate and Hamilton anxiety scale(HAMA)scores of the two groups were decreased,and compared with the control group,the test group was lower,with statistically significant differences(P<0.05).3 days after operation,the levels of C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)and interleukin6(IL-6)of the two groups were decreased,and compared with the control group,the observation group was lower,with statistically significant differences(P<0.05).Compared with the control group,the time to get out of bed,postoperative exhaust time,postoperative defecation time,and postoperative hospital stay of the observation group were shorter,with statistically significant differences(P<0.05),and the incidence of complications was lower,with statistically significant difference(P<0.05).Conclusion The preoperative and postoperative follow-up visits based on the WeChat platform under the theory of compliance has a better effect in patients treated with laparoscopic cholecystectomy,which can improve the general condition,relieve the inflammation,promote the recovery speed,and improve the prognosis of the patients.