大型三级甲等医院以微信公众号开展健康教育的现状调查研究  

Investigation on developing health education through We Chat platform in a first class of the third grade hospital

作　　者：黄明君[1] 宋锦平[1] 朱红[1] 袁丽[2] 李蓉琼[3] 杨婕[4] 杨梅[5] 陈吉辉[6] 

机构地区：[1]四川大学华西医院护理部,成都610041 [2]四川大学华西医院内分泌代谢科,成都610041 [3]四川大学华西医院金卡国际医疗中心,成都610041 [4]四川大学华西医院胃肠外科,成都610041 [5]四川大学华西医院胸外科,成都610041 [6]四川大学华西医院皮肤性病科,成都610041

出　　处：《华西医学》2017年第1期107-111,共5页West China Medical Journal

摘　　要：目的了解患者/家属对三级甲等医院微信健康教育公众号的开展现状的反应。方法采用查阅资料法、专家评审法自行设计患者/家属对微信健康教育平台的调查问卷,按照纳入排除标准,于2015年4月—10月对运行了微信号进行健康教育的内分泌代谢科、金卡国际医疗中心、胃肠外科、胸外科及皮肤性病科的住院患者或其家属发放问卷。结果 5个微信公众号平均运行时间为177.2 d,平均关注人数2 974人,平均推送消息30条,订阅号运行效果较好。接受调查的289例患者/家属中,137例添加了所在住院科室微信。调查对象学历主要为本科及大专(54.02%),大多数具有稳定工作(如公务员12.41%、工人13.87%、医务人员9.49%、教师7.30%、信息技术业人员6.57%),平均病程较长(4.5年),对微信公众号的了解途径多来自于科室宣传(87.59%),认为非常有用(30.66%)或有用(63.50%),47.45%的调查对象每天阅读科室公众号,认为微信健康教育平台阅读便捷方便(63.5%)、可随时查阅(66.42%)。缺点是不能在线沟通(54.74%)。结论微信健康教育平台受到患者/家属的认可,能有效宣传健康教育信息,但也存在一定缺点,需要进一步扩展微信的其他功能,为患者提供多样、全面的健康教育知识。Objective To investigate the present situation and effect of public health education based on We Chat platform in a first class of the third grade hospital in Sichuan province.Methods We designed the patient/relative health education questionnaire by literature reading and analysis,and expert consultancy.Then according to the inclusion and exclusion criteria,from April to December 2015,the questionnaire was used to investigate inpatients and their relatives in departments within the We Chat platform including the Department of Endocrinology,International Health Care Center,Department of Gastrointestinal Surgery,Department of Thoracic Surgery,and Department of Dermatovenereology.Results There were 5 We Chat public accounts in the hospital,and the average running days was 177.2,the average number of subscription was 2 974,and the average number of pushed messages was 30. A total of 289 patients/relatives were surveyed,among whom 137 subscribed to the We Chat public account. The investigation results showed that 54.02%of the responders were university or college graduates,most of whom had stable jobs（civil servants： 12.41%,factory workers： 13.87%,medical staff： 9.49%,teachers： 7.30%,IT workers： 6.57%）,and had a longer disease course averaging 4.5years. Among the respondents,87.59% came to know the We Chat public account through the publicity work by the hospital departments where they stayed,30.66% thought it was very helpful and 63.50% considered it to be useful,and47.45% read We Chat messages every day. They admitted that it was convenient and could be found at any time（63.50%,66.42%）,but the drawback was online communication with health educators was not integrated in the platform（54.74%）.Conclusions Health education We Chat platform is effective to give health education to the patients and their relatives,but there are also some shortcomings. More functions should be integrated in order to provide comprehensive health education knowledge to the patients.

关 键 词：三级甲等医院 健康教育 微信 公众号 

分 类 号：R197.3[医药卫生—卫生事业管理]