微信平台在下肢深静脉血栓术后患者随访中的应用  

Application of Wechat platform in follow-up of postoperative patients with deep venous thrombosis of lower extremities

作　　者：廖黎黎[1] 磨兆智 刘倩[1] 陈彬彬[1] 韦荣鲜 吴坤兰 江婷婷 郭思恩[1] 周丽君[1] 张琦 何文玉 李晗梅 李达 Liao Lili;Mo Zhaozhi;Liu Qian;Chen Binbin;Wei Rongxian;Wu Kunlan;Jiang Tingting;Guo Sien;Zhou Lijun;Zhang Qi;He Wenyu;Li Hanmei;Li Da(Department of Vascular Surgery,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院血管外科,南宁530021

出　　处：《广西医科大学学报》2020年第5期986-990,共5页Journal of Guangxi Medical University

基　　金：广西卫生适宜推广课题资助项目(No.S2017023);广西医科大学第一临床医学院大学生科技创新训练重点项目(No.2019YFYA19)。

摘　　要：目的:探讨微信平台随访模式在下肢深静脉血栓(DVT)术后患者中的效果。方法:选取广西医科大学第一附属医院血管外科2019年1-9月收治的DVT术后患者100例,随机分成观察组和对照组。观察组实施微信平台模式随访,对照组采用传统院外方式随访,比较两组患者随访3个月后疾病自我管理的依从性、生存质量以及并发症发生率。结果:观察组在规律服抗凝药、定期观察出血倾向、坚持做踝泵运动、定期自测腿围和按时返院复诊方面均优于对照组(P<0.05);观察组在生理机能、生理职能、一般健康状况、精力、社会功能、精神健康等6个维度得分及总生存质量得分均明显高于对照组(P<0.05)。观察组术后3个月发生出血1例,对照组术后发生出血3例,观察组无血栓复发,对照组血栓复发2例,观察组并发症发生率显著低于对照组(P<0.05)。结论:微信平台在DVT患者术后随访中有助于提高患者自身管理水平,降低因疾病导致负面的影响,提高生存质量,值得推广应用。Objective: To explore the effect of follow-up model of Wechat platform in postoperative patients with deep venous thrombosis(DVT) of lower extremities. Methods: 100 DVT patients after operation in Department of Vascular Surgery, the First Affiliated Hospital of Guangxi Medical University from January 2019 to September2019 were selected and randomly divided into observation group and control group. Follow-up model of Wechat platform was used in the observation group and traditional out-of-hospital follow-up was used in the control group. The compliance of disease self-management, quality of life, and the incidence of complications were compared between the two groups after 3 months of follow-up. Results: The observation group were superior to the control group in taking anticoagulants regularly, observing bleeding tendency regularly, doing ankle pump exercise, measuring leg circumference regularly, and returning to hospital on time(P<0.05). The scores of physiological function, physiological function, general health status, energy, social function, mental health in the observation group were significantly higher than those in the control group(P<0.05). Three months after operation,there was 1 case of bleeding in the observation group and 3 cases in the control group;there was no thrombus recurrence in the observation group, and 2 cases of thrombosis were found in the control group. The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05). Conclusion: Wechat platform can help to improve patients’ self-management level, reduce the negative impact caused by disease, and improve the quality of life in the postoperative follow-up of DVT patients, which is worthy of clinical application.

关 键 词：微信 下肢深静脉血栓 随访 依从性 生存质量 

分 类 号：R473.6[医药卫生—护理学]