基于微信公众平台的延伸护理服务在胆道结石术后带管出院患者中的应用效果  

Effect of extended nursing service based on wechat public platform in patients discharged with biliary calculi after operation

作　　者：刘小红 马丽娟 刘春 余秀娟 唐薇 何振兴 LIU Xiao-hong;MA Li-juan;LIU Chun;YU Xiu-juan;TANG Wei;HE Zhen-xing(Department of Hepatobiliary,Pancreatic and Spleen Surgery,Nanchong Central Hospital,Nanchong 637000,Sichuan,China)

机构地区：[1]南充市中心医院肝胆胰脾外科,四川南充637000

出　　处：《川北医学院学报》2023年第3期413-416,共4页Journal of North Sichuan Medical College

基　　金：四川省基础卫生事业研究中心项目(SWFZ20-C-085)。

摘　　要：目的:探讨基于微信公众平台的延伸护理服务在胆道结石术后带管出院患者中的应用效果。方法:选取82例胆道结石术后带管出院患者为研究对象,依据护理干预模式不同分为对照组和观察组,每组各41例。在围手术期护理的同时,对照组给予常规护理服务模式干预;观察组对照组基础上实施延伸护理服务模式干预,均在出院时、出院3个月及6个月进行随访。比较两组患者自我护理能力[自我护理能力(ESCA)评分]、生活质量[生活质量综合评定问卷(GQO-LI-74)评分]及疾病相关健康教育的知晓率。结果:观察组患者在出院3个月及6个月的ESCA评分、GQO-LI-74)评分和对疾病相关健康教育的知晓率均高于对照组(P<0.05)。结论:基于微信公众平台的延伸护理服务可提高胆道结石术后带管出院患者的自我护理能力、出院后的生活质量及对疾病相关健康教育的知晓率,值得临床推广。Objective:To explore the application effect of extended nursing service based on WeChat public platform in patients discharged with bile duct stones after operation.Methods:82 patients with bile duct stones after operation were collected.They were divided into the control group and the observation group according to different nursing intervention modes,with 41 patients in each group.The patients in both groups received the same nursing care during the perioperative period.The control group received routine health education and discharge guidance.The observation group implemented extended nursing services on this basis.The patients of the two groups were followed up at the time of discharge,3 months after discharge,and 6 months after discharge,and the self-care ability(ESCA),quality of life(GQO-LI-74)and awareness rate of disease related health education of patients between the two groups were compered.Results:The scores of ESCA and GQO-LI-74,and awareness rate of disease related health education 3 months after discharge,and 6 months after discharge in the observation group were higher than those in the control group(P<0.05).Conclusion:The extended nursing service based on WeChat public platform can improve the self-care ability,quality of life and awareness rate of disease related health education of patients discharged from hospital with bile duct stones after surgery,which is worthy of clinical promotion.

关 键 词：胆道结石手术 带管出院患者 护理延伸服务 自护能力 生活质量 

分 类 号：R473.5[医药卫生—护理学]