基于微信平台的延续护理在颈动脉狭窄患者行颈动脉支架植入术后的应用效果  

Application effect of transitional care based on WeChat in patients with carotid artery stenosis after carotid artery stent implantation

作　　者：徐莹[1] 王慧[1] 杨美娟[1] Xu Ying;Wang Hui;Yang Meijuan(The Fourteenth Ward,Taizhou Hospital of Zhejiang Province,Taizhou 317000,China)

机构地区：[1]浙江省台州医院十四病区,台州317000

出　　处：《中华现代护理杂志》2022年第2期258-261,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于微信平台的延续护理在颈动脉狭窄患者行颈动脉支架植入术后的应用效果。方法选择2019年1月—2020年12月于浙江省台州医院行颈动脉支架植入术的120例颈动脉狭窄患者为研究对象,根据随机数字表法将其分为干预组和对照组,各60例。对照组患者应用常规出院指导及随访护理,干预组在对照组的基础上实施基于微信平台的延续护理。采用简易生活质量量表(SF-36)、家庭亲密度与适应性量表中文版(FACESⅡ-CV)、自制治疗依从性调查问卷调查两组患者的生活质量、家庭功能、治疗依从性。结果干预后,干预组患者SF-36评分及FACESⅡ-CV评分、治疗依从性均高于对照组,差异均有统计学意义(P<0.05)。结论基于微信平台的延续护理可以有效提升行颈动脉支架植入术后颈动脉狭窄患者的生活质量、治疗依从性及家庭功能,值得临床应用。Objective To explore the application effect of WeChat-based transitional care in patients with carotid artery stenosis after carotid artery stent implantation.Methods A total of 120 patients with carotid stenosis who underwent carotid artery stent implantation in Taizhou Hospital of Zhejiang Province from January 2019 to December 2020 were selected as the research objects.According to the random number table method,they were divided into the intervention group and the control group,with 60 cases in each group.The patients in the control group received routine discharge guidance and follow-up nursing,while the intervention group implemented family centered continuous nursing based on WeChat on the basis of the control group.Short Form 36-item Health Survey(SF-36),the Chinese version of Family Adaptability and Cohesion Evaluation Scale-Ⅱ-CV(FACESⅡ-CV)and a self-made Treatment Compliance Questionnaire were used to investigate quality of life,family function and treatment compliance of the two groups.Results After the intervention,the SF-36 score,FACESⅡ-CV score and treatment compliance of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Transitional care based on WeChat can effectively improve the quality of life,treatment compliance and family function of patients with carotid artery stenosis after carotid artery stent implantation,which is worthy of clinical application.

关 键 词：颈动脉狭窄 微信 以家庭为中心 延续护理 颈动脉支架植入术 

分 类 号：R473.6[医药卫生—护理学]