经皮经肝胆囊穿刺置管引流患者带管出院后的微信随访效果观察  

Follow-up management based on Wechat Platform in patients with an indwelling catheter after percutaneous transhepatic gallbladder drainage

作　　者：许超丽[1] 郁新[1] 周莉萍[1] XU Chaoli;YU Xin;ZHOU Liping(Department of Hepatobiliary Surgery,Wuxi People＇s Hospital,Wuxi,Jiangsu,214000)

机构地区：[1]江苏省无锡市人民医院肝胆外科,江苏无锡214000

出　　处：《中西医结合护理（中英文）》2018年第6期140-142,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨微信随访在经皮经肝胆囊穿刺置管引流术(PTGD)带管出院患者中的应用效果。方法 110例PTGD带管出院患者分为观察组56例和对照组54例。对照组给予常规出院指导,观察组在常规出院指导基础上联合微信随访。随访4周,比较2组患者管路护理知识知晓率及并发症发生率。结果随访4周后,观察组管路护理知识知晓率明显高于对照组(P<0.05);观察组脱管、局部感染、引流管堵塞的发生率低于对照组(P<0.05)。结论 PTGD带管出院患者应用微信随访,有助于提高患者管路护理知识知晓率,减少并发症的发生。Objective To investigate the follow-up management based on Wechat Platform in patients with an indwelling catheter after percutaneous transhepatic gallbladder drainage（ PTGD）.Methods Totally 110 patients with an indwelling catheter after PTGD were assigned to the observation group（ n = 56） and the control group（ n = 54）. Patients of both two groups received routine health education before discharge,and those in the observation group were given follow-up management based on Wechat Platform after discharge. After 4 weeks of follow-up,the knowledge level of patients and incidence of complications were compared between two groups. Results Patients of the observation group were more knowledgeable about the catheter maintenance compared with those of controls（ P〈0. 05）. The incidence of catheter dislocation,infection and blockage of the tube was lower than that of controls respectively（ P〈0. 05）. Conclusion The application of follow-up management based on Wechat Platform can help to increase the awareness of catheter-related knowledge of patients and reduce the risk of catheter-related complications.

关 键 词：微信 随访 经皮经肝胆囊管置管引流术 延续性护理 

分 类 号：R473.6[医药卫生—护理学]