基于微信平台的延伸护理在面部烧伤瘢痕疙瘩术中的应用  

Application of extended care based on WeChat platform in postoperative care of facial keloid scars

作　　者：宋会杰 吴娜 阿静静 王亚萍 SONG Huijie;WU Na;A Jingjing;WANG Yaping(Department of Burn and Plastic Surgery,PLA Joint Logistics Support Force 989th Hospital,Henan Province,467000,China)

机构地区：[1]解放军联勤保障部队第九八九医院烧伤整形外科,河南平顶山467000

出　　处：《中国医疗美容》2024年第9期75-78,共4页China Medical Cosmetology

摘　　要：目的 探讨基于微信平台延伸的护理服务对面部瘢痕疙瘩术后患者心理状态及应对方式的影响。方法 选取2022年4月至2023年4月联勤保障部队第九八九医院收治的面部瘢痕疙瘩患者84例,按照接诊时间分组,对照组为2022年4月至2022年10月采用传统延伸护理的42例患者为,观察组为2022年11月至2023年4月采用基于微信平台的延伸护理的42例患者。比较两组心理状态、生活质量、护理满意度、体象认知情况、应对方式。结果 观察组患者护理总满意度97.62%(41/42)显著高于对照组患者80.95%(34/42),差异有统计学意义(P<0.05);随访6个月时观察组各项焦虑量表评分、回避及屈服评分均低于对照组患者,生活状态、心理功能、躯体功能、社会功能评分均高于对照组观察,差异均有统计学意义(P<0.05)。结论 采取微信平台延伸护理服务对面部瘢痕疙瘩术后患者实施干预,可有效增加患者对面部瘢痕体象认知及应对能力,改善患者心理状态,提高患者生活质量及护理满意度。Objective To explore the impact of extended nursing services on the psychological state and coping styles of patients with facial keloid after surgery on the WeChat platform.Methods A total of 84 patients with facial keloids admitted to the 989th Hospital of the Joint Logistics Support Force from April 2022 to April 2023 were selected and grouped according to the time of admission.The control group consisted of 42 patients who received traditional extended care from April 2022 to October 2022,while the observation group consisted of 42 patients who received extended care based on the WeChat platform from November 2022 to April 2023.Compare the psychological status,quality of life,nursing satisfaction,physical cognition,and coping strategies between two groups.Results The overall satisfaction rate of nursing care in the observation group was 97.62%(41/42),significantly higher than that in the control group 80.95%(34/42),and the difference was statistically significant(P<0.05);At the 6-month follow-up,the scores of various anxiety scales,avoidance and surrender scores in the observation group were lower than those in the control group,while the scores of life status,psychological function,physical function,and social function were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Implementing extended care services through the WeChat platform to intervene in patients with facial keloid after surgery can effectively increase patients'cognition and coping ability towards facial scar body image,improve their psychological state,and enhance their quality of life and satisfaction with care.

关 键 词：微信平台 延伸护理服务 面部瘢痕疙瘩术后 心理状态 

分 类 号：R473.6[医药卫生—护理学]