微信随访护理在先天性心脏病封堵术患儿出院随访护理中的应用效果分析  

Analysis of the Effect of WeChat Follow-Up Nursing in the Discharge Follow-Up Nursing of Children with Congenital Heart Disease Occlusion

作　　者：孟晓妹[1] 宋鹏[1] MENG Xiaomei;SONG Peng(Department of Cardiovascular Surgery,Henan Chest Hospital,Chest Hospital Affiliated to Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]河南省胸科医院,郑州大学附属胸科医院心血管外科,河南郑州450000

出　　处：《临床研究》2023年第9期161-163,共3页Clinical Research

摘　　要：目的探讨先天性心脏病(CHD)封堵术患儿在出院随访护理中应用微信随访护理的效果。方法选取河南省胸科医院2021年4月至2022年8月行封堵术治疗的78例CHD患儿,根据随机数表法分成对照组(n=39)与干预组(n=39),对照组给予常规出院随访护理,干预组给予微信随访护理,比较两组治疗依从性、心功能、营养状况及不良事件。结果干预组治疗依从性(94.87%)显著高于对照组(76.92%),差异有统计学意义(P<0.05)。出院3个月后,两组心率均显著降低,左心室射血分数(LVEF)均显著提高;但与对照组比较,干预组心率更低,LVEF更高,差异均有统计学意义(P<0.05)。出院3个月后,两组血清总蛋白(STP)、血清白蛋白(ALB)水平均显著提高,但干预组水平显著高于对照组,差异均有统计学意义(P<0.05);干预组不良事件发生率(2.56%)显著低于对照组(15.38%),差异有统计学意义(P<0.05)。结论微信随访护理应用于CHD封堵术患儿出院随访护理中,能够提高治疗依从性,改善心功能及营养状况,降低不良事件发生率。Objective To explore the effect of wechat follow-up nursing in discharge follow-up nursing of children with congenital heart disease(CHD)occlusion.Methods A total of 78 children with CHD who were underwent occlusive surgery in Henan Thoracic Hospital from April 2021 to August 2022 were selected,and by random number table method,they were divided into intervention group(n=39)and control group(n=39).Routine discharge follow-up care was given in the control group,and WeChat follow-up care was given in the intervention group.The treatment compliance,cardiac function,nutritional status and adverse events of the two groups were compared.Results In comparision of the control group(76.92%),the treatment compliance of the intervention group(94.87%)was higher,with significant difference(P<0.05).Three months after discharge,the heart rate of the two groups decreased significantly,and the left ventricular ejection fraction(LVEF)increased significantly.However,compared with the control group,the heart rate of the intervention group was lower and LVEF was higher,and the differences were statistically significant(P<0.05).Three months after discharge,the levels of serum total protein(STP)and serum albumin(ALB)in the two groups were significantly increased,but the levels of STP and ALB in the intervention group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05);The incidence of adverse events in the intervention group(2.56%)was significantly lower than that in the control group(15.38%),and the difference was statistically significant(P<0.05).Conclusion WeChat follow-up nursing can improve the treatment compliance,improve the cardiac function and nutritional status,and reduce the incidence of adverse events when it is applied to the follow-up nursing of children after CHD occlusion.

关 键 词：先天性心脏病 封堵术 出院随访护理 微信随访护理 

分 类 号：R47[医药卫生—护理学]