微信辅助下的个性化“1+1+X”延续护理模式用于宫腔粘连术后临床效果

Clinical effect of the personalized 1+1+X continuous nursing mode assisted by Wechat for patients after intrauterine adhesion operation

目的:分析宫腔粘连术后基于微信的“1+1+X”连续护理模式的应用效果。方法:选择2020年3月-2022年6月本院拟行宫腔镜手术的宫腔粘连引起的不孕不育患者128例,随机数字表法分为对照组和观察组各64例。对照组术后采用常规护理,观察组在常规护理基础上给予以微信为基础的“1+1+X”连续护理模式。比较两组术后子宫内膜厚度、血清雌二醇(E_(2))、术后并发症和护理满意度。结果:护理后3个月,两组子宫内膜厚度及E_(2)水平均较护理前有所改善,且观察组(0.91±0.22cm、46.49±6.83nmol/L)均优于对照组(0.72±0.15cm、36.16±6.25nmol/L),观察组宫腔粘连术后并发症发生率(4.7%)低于对照组(15.6%),护理满意度(92.2%)高于对照组(73.4%)(均P<0.05)。结论:基于微信的“1+1+X”连续护理模式可以有效促进宫腔粘连术后患者的生育功能恢复,减少术后并发症,提高患者护理满意度。

Objective:To analyze the application effect the personalized 1+1+X continuous nursing mode assisted by Wechat for patients with intrauterine adhesion after operation.Methods:From March 2020 to June 2022,128 infertile patients with intrauterine adhesions who wanted hysteroscopic surgery were selected and were divided into two groups(64 cases in each group)according to the random number table method.The patients in the control group were given conventional postoperative care,while the patients in the observation group were given the personalized 1+1+X continuous nursing mode assisted by Wechat.The endometrial thickness,the level serum estradiol(E_(2)),and the postoperative complications and the nursing satisfaction of the patients were compared between the two groups.Results:The endometrial thickness and the E_(2) level of the patients in the two groups after 3 months of nursing had improved significantly,and which(0.91±0.22 cm and 46.49±6.83 nmol/L)of the patients in the observation group were significantly better than those(0.72±0.15 cm and 36.16±6.25 nmol/L)of the patients in the control group.The postoperative complications incidence(4.7%)of the patients in the observation group after intrauterine adhesion surgery was significantly lower than that(15.6%)of the patients in the control group,but the nursing satisfaction(92.2%)of the patients in the observation group was significantly higher than that(73.4%)of the patients in the control group(all P<0.05).Conclusion:The personalized 1+1+X continuous nursing mode assisted by Wechat for the patients after intrauterine adhesion surgery can effectively promote their fertility function recovery,reduce their postoperative complications and improve their nursing satisfaction.