个案管理加微信群管理模式在多囊卵巢综合征患者中的应用  

Case management and WeChat group management mode for patients with polycystic ovary syndrome

作　　者：张宇宏[1] 邓美莲[1] Zhang Yuhong;Deng Meilian(Department of Gynecology and Obstetrics,Third Affiliated Hospital of Guangzhou Medical University,Guangzhou Institute of Gynecology and Obstetrics,Guangzhou Center for Treatment of Severe Pregnant Women,Guangzhou 510150,China)

机构地区：[1]广州医科大学附属第三医院妇产科,广州妇产科研究所,广州重症孕产妇救治中心,广州510150

出　　处：《国际医药卫生导报》2022年第15期2190-2193,共4页International Medicine and Health Guidance News

摘　　要：目的探讨个案管理加微信群管理模式在多囊卵巢综合征(PCOS)患者中的应用效果。方法通过广州医科大学附属第三医院妇科内分泌护理门诊对2019年8月至2020年8月确诊PCOS的426例患者进行管理,年龄范围为18~41岁,运用双盲法随机分组,对照组采用个案管理模式,试验组在个案管理基础上加微信群管理模式,回顾性分析两组患者的应用效果。两组患者的数据使用SPSS 20.0软件进行统计学分析,计数资料采用χ^(2)检验,等级资料采用秩和检验。结果试验组PCOS知识掌握率94.37%(201/213)、治疗依从性[饮食控制率84.04%(179/213)、合理运动率85.45%(182/213)、遵医嘱用药率90.14%(192/213)、健康行为干预率81.22%(173/213)、合理睡眠率73.24%(156/213)、舒缓心理压力率86.38%(184/213)]和护理满意度93.42%(199/213)明显高于对照组PCOS知识掌握率82.63%(176/213)、治疗依从性[饮食控制率62.91%(134/213)、合理运动率54.93%(117/213)、遵医嘱用药率82.63%(176/213)、健康行为干预率72.30%(154/213)、合理睡眠率58.22%(124/213)、舒缓心理压力率78.40%(167/213)]和护理满意度78.40%(167/213),差异均有统计学意义(均P<0.05)。结论个案管理加微信群管理对PCOS患者在提高自我管理能力以及依从性方面取得明显成效,能够为PCOS患者提供更加全面的治疗与照顾,改善患者的生活质量,具有广泛的临床应用价值。Objective To explore the effect of case management and WeChat group management mode for patients with polycystic ovary syndrome(PCOS).Methods Four hundred and twenty-six patients diagnosed with PCOS from August 2019 to June 2020 were managed by Gynecological Endocrine Nursing Clinic,Third Affiliated Hospital of Guangzhou Medical University.They were 18-41 years old.They were randomly divided into a control group and an experimental group by the double-blind method.The control group took the case management mode,and the experimental group the case management mode and WeChat group management mode.The application effects of the two groups were analyzed retrospectively.The data in both groups were statistically analyzed by SPSS 20.0 χ^(2) test was 1 used for the count data,and rank sum test for ranked data.Results The mastery rate of PCOS knowledge,compliance(diet control rate,reasonable exercise rate,medication compliance rate,health behavior intervention rate,reasonable sleep rate,and rate of relieving psychological stress),and nursing satisfaction were 94.37%(201/213),84.04%(179/213),85.45%(182/213),90.14%(192/213),81.22%(173/213),73.24%(156/213),86.38%(184/213),and 93.42%(199/213)in the experimental group,which were significantly higher than those in the control group[82.63%(176/213),62.91%(134/213),54.93%(117/213),82.63%(176/213),72.30%(154/213),58.22%(124/213),78.40%(167/213),and 78.40%(167/213)],with statistical differences(all P<0.05).Conclusion Case management and WeChat group management can achieve obvious results in improving self-management ability and compliance of PCOS patients,and provide more comprehensive treatment and care for PCOS patients and improve their quality of life,so it is worth being clinically generalized.

关 键 词：个案管理 多囊卵巢综合征 微信 

分 类 号：R473.71[医药卫生—护理学]