基于微信的延续护理对改善视网膜脱离患者手术预后的效果  

Effect of WeChat-based extended care on improving the prognosis of patients with retinal detachment

作　　者：李立丽[1] 李群 左建云[1] Li Lili;Li Qun;Zuo Jianyun(Eye Ward,Jinan Central Hospital,Jinan 250013,China)

机构地区：[1]济南市中心医院眼科病房,济南250013

出　　处：《国际护理学杂志》2024年第9期1719-1723,共5页international journal of nursing

摘　　要：目的探讨以微信为基础的延续性护理对改善视网膜脱离患者术后依从性、健康知识掌握情况及并发症发生率的效果。方法选取济南市中心医院2017年1月至2022年1月收治的行手术治疗的视网膜脱离患者79例,采用随机数字表发将其分为试验组40例和参照组39例。参照组行常规护理干预,试验组加用以微信为基础的延续性护理。对比两组术后依从性、健康知识掌握情况及并发症发生情况。结果试验组用药依从(8.32±0.41)分、饮食依从(8.48±0.35)分、复诊依从(9.02±0.51)分、体位依从(8.85±0.48)分,试验组各项依从性均高于参照组,差异均有统计学意义(均P<0.05);试验组用药知识(8.36±0.59)分、检查知识(8.52±0.62)分、自护知识(8.91±0.71)分、情绪控制知识(9.02±0.88)分、饮食知识(8.84±0.70)分、体位知识(9.13±0.65)分、个人卫生知识(8.75±0.55)分,试验组健康知识掌握情况高于参照组,差异均有统计学意义(均P<0.05);试验组(7.50%)并发症率低于参照组(25.64%),差异有统计学意义(P<0.05)。结论以微信为基础的延续性护理对视网膜脱离患者具有重要意义,患者的术后依从性加强,健康知识掌握情况改善,术后并发症减少。Objective To explore the effect of WeChat based continuous nursing on improving postoperative compliance,health knowledge and complication rate of patients with retinal detachment.Methods A total of 79 patients with retinal detachment who underwent surgical treatment in this hospital from January 2017 to January 2022 were selected.They were divided into experimental group(40 cases)and reference group(39 cases)by random number tabulation.The reference group received routine nursing intervention,and the experimental group received continuous nursing based on WeChat.Postoperative compliance,health knowledge and complications were compared between the two groups.Results The experimental group′s medication compliance was(8.32±0.41)points,diet compliance was(8.48±0.35)points,return visit compliance was(9.02±0.51)points,and body position compliance was(8.85±0.48)points.The compliance of experimental group was higher than that of reference group,and the differences were statistically significant(P<0.05).The experimental group′s medicine knowledge was(8.36±0.59)points,check knowledge was(8.52±0.62),self protection knowledge was(8.91±0.71),emotional control knowledge was(9.02±0.88),dietary knowledge was(8.84±0.70)points,position knowledge was(9.13±0.65),personal hygiene knowledge was(8.75±0.55)points.The mastery of health knowledge in experimental group was higher than that in reference group,and the differences were statistically significant(P<0.05).The complication rate of experimental group(7.50%)was lower than that of control group(25.64%),and the difference was statistically significant(P<0.05).Conclusions WeChat-based continuous care is of great significance for patients with retinal detachment,with enhanced postoperative compliance,improved health knowledge mastery,and significantly reduced postoperative complications.

关 键 词：微信 延续性护理 视网膜脱离 术后依从性 健康知识掌握情况 

分 类 号：R473.77[医药卫生—护理学]