基于微信的健康教育模式对行玻璃体切除联合硅油填充术患者遵医行为及生活质量的影响  

Effects of WeChat-based health education model on compliance behavior and quality of life in patients receiving vitrectomy combined with silicone oil endotamponade

作　　者：马晓薇[1] 刘淑贤[1] Ma Xiaowei;Liu Shuxian(Center for Ophthalmology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院眼科中心,北京100730

出　　处：《中华现代护理杂志》2019年第4期509-512,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于微信的健康教育模式对行玻璃体切除联合硅油填充术患者遵医行为及生活质量的影响。方法采取便利抽样法,选择2016年1—12月北京同仁医院眼科收治的视网膜脱离患者120例为研究对象。将纳入患者按照随机数字法分为对照组和观察组,每组各60例。对照组给予常规出院指导,观察组在常规出院指导的基础上实施微信教育模式。出院后6个月采用遵医行为调查表、视功能损害眼病患者生活质量量表对两组患者进行调查,比较干预的效果。结果术后6个月,观察组患者保持体位、按时复查、自我监测、生活习惯、避免诱发因素、保健护理得分均高于对照组,差异有统计学意义(P<0.01)。术后6个月,观察组患者症状与视功能、身体机能、社会活动、精神与心理得分均高于对照组,差异有统计学意义(P<0.01)。结论应用微信教育模式对玻璃体切除联合硅油填充术患者实施延续护理和健康教育,可有效提高患者的遵医行为及生活质量。Objective To explore the effects of WeChat-based health education model on compliance behavior and quality of life in patients receiving vitrectomy combined with silicone oil endotamponade.Methods Totally 120 patients with retinal detachment admitted in Beijing Tongren Hospital between January and December 2016 were selected using convenient sampling and divided into the control group(n=60)and the observation group(n=60)according to the random number table.Patients in the control group received conventional discharge instructions,while patients in the observation group received WeChat-based health education on this basis.The patients in the two groups were investigated with the Compliance Behavior Scale and the Quality of Life Scale for Visual Impairment Patients 6 months post operation to compare the effects of intervention.Results The scores of positioning,regular reexamination,self-monitoring,lifestyle,avoidance of inducing factors,and health and fitness in the observation group were higher than those in the control group 6 months post operation(P<0.01).The scores of symptoms and visual function,physical function,social activity,mentality and phycology in the observation group were higher than those in the control group 6 months post operation(P<0.01).Conclusions The WeChat-based health education model,when used in patients receiving vitrectomy combined with silicone oil endotamponade,can effectively improve their compliance behavior and quality of life.

关 键 词：视网膜脱离 生活质量 硅油填充术 微信教育 遵医行为 

分 类 号：R473.77[医药卫生—护理学]