基于微信平台多学科参与的术前访视系统在无痛胃肠镜检查中的应用效果评价  

Effects of the preoperative visit system based on Wechat platform and multidisciplinary participation on painless gastrointestinal endoscopy

作　　者：彭文君[1] 李斌飞[1] 周仕海[2] 阮思美[1] 梁爱群[1] 凌泉[1] 舒惠萍[1] 黄郁[1] 林志敏[1] PENG Wenjun;LI Binfei;ZHOU Shihai;RUAN Simei;LIANG Aiqun;LING Quan;SHU Huiping;HUANG Yu;LIN Zhimin(Anaesthesiology Department I,Guangdong Zhongshan Hospital,Zhongshan,Guangdong province,528403,China;不详)

机构地区：[1]中山市人民医院手术麻醉一科,广东省中山市528403 [2]中山市人民医院肿瘤外科,广东省中山市528403

出　　处：《中国护理管理》2021年第2期288-293,共6页Chinese Nursing Management

基　　金：中山市科技计划基金项目(2017B1072)。

摘　　要：目的:评价基于微信平台多学科参与的术前访视系统在无痛胃肠镜检查中的应用效果。方法:选择2018年1-12月基于微信平台进行多学科术前访视的419名患者为实验组,选择2017年1-12月采用常规术前访视的378名患者为对照组,两组患者均在我院手术室行无痛胃肠镜检查。比较两组患者访视前后的焦虑程度的改变情况,记录两组患者访视所需时间,通过调查问卷比较两组患者的访视效果的差异,比较两组患者的波士顿肠道准备评分和满意度情况。结果:使用基于微信平台多学科参与的术前访视系统进行访视后实验组焦虑评分为(1.05±0.67)分,低于对照组的(2.90±0.92)分,差异有统计学意义(P<0.05);访视护士对实验组进行访视所花费时间为(8.58±1.50)min,少于对照组的(15.37±2.29)min,差异有统计学意义(P<0.05);访视效果调查问卷的10项内容中,实验组有9项要优于对照组,差异有统计学意义(P<0.05);实验组波士顿肠道准备评分为(6.95±0.86)分,高于对照组的(6.19±1.43)分,差异有统计学意义(P<0.05);实验组患者满意度高于对照组,差异有统计学意义(P<0.05)。结论:基于微信平台多学科参与的术前访视系统在无痛胃肠镜检查中的应用效果较好,减轻了患者的手术应激,减少了访视时间成本,改善了访视效果,提高了患者的满意度,提高了手术室工作质量。Objective: To explore the effects of the preoperative visit system based on WeChat platform and multidisciplinary participation on painless gastrointestinal endoscopy. Methods: From January 2018 to December 2018, 419 patients receiving multidisciplinary preoperative visits based on WeChat platform were selected as the experimental group, and 378 patients receiving routine preoperative visits from January 2017 to December 2017 were selected as the control group. Both groups of patients were given painless gastrointestinal endoscopy in our hospital’s operating room, a specialized operating room for patients. The change of anxiety level, the effects achieved, the Boston bowel preparation score and satisfaction of the two groups before and after the visits were compared and the time for the visit of the two groups was recorded. Results: The anxiety score of the experimental group(1.05±0.67) was lower than that of the control group(2.90±0.92) with the difference being statistically significant(P<0.05). The time spent by visiting nurses in the experimental group(8.58±1.50) min was less than that in the control group(15.37±2.29) min and the difference was statistically significant(P<0.05). Among the ten items of the questionnaire, nine items in the experimental group were better than those in the control group(P<0.05). The Boston bowel preparation score(6.95±0.86) in the experimental group was higher than that in the control group(6.19±1.43), the difference was statistically significant(P<0.05). The satisfaction of the experimental group was higher than that of the control group(P<0.05). Conclusion: The preoperative visit system based on WeChat platform and multi-disciplinary participation in painless gastrointestinal endoscopy was effective, which could reduce the anxiety of patients and the visit time, improve the visit effects, the satisfaction of patients and the quality of work in the operating room.

关 键 词：微信平台 多学科 术前访视 健康教育 无痛胃肠镜 

分 类 号：R47[医药卫生—护理学]