基于微信平台的家属共同参与式延续护理在颈髓损伤患者术后康复中的应用  

Effects of family involvement and WeChat extended nursing on postoperative rehabilitation in patients with cervical spinal cord injury

作　　者：李翠翠[1] 胡靖[1] 郑林宏 苏向妮[3] 惠慧[1] 俞君 

机构地区：[1]西安交通大学附属红会医院护理部,西安710054 [2]脊柱外科椎间盘与畸形病区 [3]第四军医大学护理学院,西安710032

出　　处：《中华现代护理杂志》2017年第36期4599-4602,共4页Chinese Journal of Modern Nursing

基　　金：西安市科技计划项目[2016050SF/YX06（6）（3）];陕西省科技厅社会发展科技攻关项目（2016SF-202）

摘　　要：目的 探讨家属共同参与式微信延续护理对颈髓损伤患者术后康复的影响效果.方法 选取2013年10月—2016年6月西安交通大学附属红会医院脊柱外科颈髓损伤住院且行手术治疗患者60例及其出院后主要照顾家属作为研究对象,根据随机数字表法分为观察组（30例）和对照组（30例）.对照组于出院前1 d给予常规出院指导,患者出院后第1周和1、3、6个月分别进行电话随访;观察组在对照组基础上通过微信群网络平台对患者及家属实施延续护理.对两组患者术后6个月生存质量、并发症发生率、康复锻炼依从性进行比较.结果 术后6个月,两组患者生存质量各维度评分均较出院时提高,且观察组高于对照组（P〈0.05）;观察组患者腹胀、便秘和压疮并发症发生率低于对照组（P〈0.05）,而高热、肺部感染和泌尿系感染发生率虽有下降趋势,但差异无统计学意义（P〉0.05）.观察组患者康复锻炼依从性高于对照组,差异有统计学意义（P〈0.05）.结论 家属共同参与式微信延续护理可为颈髓损伤患者建立长期服务体系,促进患者术后康复,值得推广应用. Objective To explore the effects of family involvement and online extended nursing for postoperative rehabilitation in patients with cervical spinal cord injury （CSCI）. Methods Totally 60 CSCI patients who were admitted and received surgery in Honghui Hospital, Xi＇an Jiaotong University from October 2013 to July 2016 and their major caregivers after being discharged from hospital were equally divided into an observation group （n=30） and a control group （n=30） according to the random number table. Patients in the control group received conventional instructions 1 day before being discharged from hospital and telephone follow-ups in Week 1, Month 1, Month 3 and Month 6 after being discharged from hospital, while patients in the observation group received extended nursing via WeChat groups on this basis. The quality of life, incidence of complications and compliance of rehabilitation exercise six months after surgery were compared between the patients in the two groups. Results The patients in the two groups showed higher scores in various dimensions indicating the quality of life six months after surgery than they did at discharge, and the patients in the observation group showed higher scores than the patients in the control group （P〈 0.05）. The patients in the observation group showed lower incidence of abdominal distension, constipation and pressure ulcer complications than the patients in the control group （P〈0.05）, and the incidence of high fever, pulmonary infection and urinary tract infection tended to decline （P〉0.05）. The patients in the observation group showed higher compliance of rehabilitation exercise than the patients in the control group （P〈 0.05）. Conclusions Family involvement and WeChat extended nursing helps to build a long-term service system for CSCI patients and accelerate their postoperative rehabilitation, thus worthy of expansion and application

关 键 词：康复护理 颈髓损伤 延续护理 家属 微信 

分 类 号：R473.6[医药卫生—护理学]