微信平台在外耳再造患者健康宣教中应用的效果  

Application of WeChat platform on health education of patients with external ear reconstruction

作　　者：姜海霞 袁凤华 侯馨琪 胡金天 章庆国 

机构地区：[1]中国医学科学院整形外科医院外耳再造中心,北京100144 [2]西南医科大学临床医学院,泸州646000

出　　处：《中华现代护理杂志》2016年第11期1503-1506,共4页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金项目（81372085）;协和青年基金资助和中央高校基本科研业务费专项资金资助（3332013091,81300863）

摘　　要：目的 探讨应用微信平台的宣教方法对减少皮肤定量扩张法外耳再造并发症发生率的效果.方法 将2014年1-8月收治的先天性小耳畸应用扩张器注水患者及家属254例作为对照组,2014年9月-2015年4月收治的先天性小耳畸应用扩张器注水患者及家属238例作为观察组.对照组患者行常规宣教,观察组患者除行常规宣教外还利用微信平台进行宣教.由注水护士收集两组患者的健康知识掌握度量表资料,比较两组患者及家属的疾病知识掌握度、患者并发症发生率和两组护理满意度情况.结果 观察组的患者及家属护理知识的掌握程度高于对照组,患者并发症发生率低于对照组,两组差异有统计学意义（P＜0.01）;健康教育宣教干预后,观察组患者满意率为94.96％,对照组满意率为83.46％,两组差异有统计学意义（P＜0.05）.结论 微信平台护理干预能降低外耳再造患者扩张器注射期间扩张皮瓣并发症的发生率,提高患者及家属的知识掌握程度和护理满意度.Objective To explore the effects of health education based on WeChat platform to reduce external ear reconstruction complications through skin quantitative expansion method.Methods A number of 254 congenital microtia patients and their families admitted from January to August 2014 were treated as control group who received routine health education.A total of 238 cases patients with the same disease and their families admitted from September 2014 to April 2015 were chosen as observation group who received routine and WeChat platform for health education.Water injection nurses collected the data of patients＇ health knowledge mastering degree,comparing two groups of patients and families disease knowledge mastering degree,complication rates and nursing satisfaction.Results Patients and families in observation group grasped health knowledge better than that of control group,with a lower complication incidence than that of control group（P 〈0.01）.After the interventions of health education,the satisfaction was 94.96% in the observation group comparing with 83.46% in the control group （P 〈 0.01）.Conclusions Nursing intervention based on WeChat platform can reduce the incidence of expanded skin flap complications,improve patient and families＇ nursing knowledge and elevate nursing satisfaction.

关 键 词：外耳再造 扩张器 健康宣教 微信平台 并发症 

分 类 号：R473.76[医药卫生—护理学]