文章摘要
梁晓燕,李秀,雒玉,陆皓.运用微信对人工全髋关节置换术患者行院外延续护理的效果观察.骨科,2017,8(3):
运用微信对人工全髋关节置换术患者行院外延续护理的效果观察
Efficacy observation of continuous nursing by WeChat in the patients after total hip arthroplasty
投稿时间:2016-04-13  修订日期:2016-08-10
DOI:
中文关键词: 微信  延续护理  人工全髋关节置换术
英文关键词: WeChat  Continuous nursing  Total hip arthroplasty
基金项目:
作者单位E-mail
梁晓燕 兰州军区兰州总医院 lianghappy1234@163.com 
李秀 兰州军区兰州总医院  
雒玉 兰州军区兰州总医院  
陆皓 兰州军区兰州总医院护理部 375044544@qq.com 
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中文摘要:
      目的 观察运用微信对人工全髋关节置换术(total hip arthroplasty, THA)患者进行院外延续护理的效果。方法 选择2014年10月至2015年9月在我科行THA患者160例,按出院先后顺序分为观察组和对照组,两组患者出院时均按常规给予出院指导,对照组在出院后1月、3月、6月各电话随访1次,提供常规指导方案;观察组建立微信公众号,通过网络推送THA术后康复指导,提供患者咨询、沟通及交流的平台,同时组建延续护理团队群,由康复护士至少每周通过微信联系患者,根据患者不同时段髋关节功能恢复情况进行个体化的健康教育与指导。比较两组患者出院后1月、3月、6月髋关节功能情况(Harris评分)、出院后6月两组患者的并发症发生率及对康复效果的总体满意度。结果 观察组出院后不同时段Harris评分均明显高于对照组(P<0.05),出院后6月观察组的并发症发生率明显低于对照组(P<0.05),患者满意度明显高于对照组(P<0.05)。结论 运用微信对THA患者进行院外延续护理方便快捷,效果满意,能够有效促进患者术后髋关节功能的改善,减少并发症的发生,提高患者的满意度,是改善患者术后生活质量和促进髋关节功能康复的有效方法。
英文摘要:
      Objective: To investigate the effect of continuous nursing by WeChat in the patients after total hip arthroplasty(THA). Methods: A total of 160 patients after THA from October 2014 to September 2015 were divided into observation group and control group according to the date of discharge. All the patients received routine guidance before discharge. The patients in the control group were phoned for one time at the end of the 1st month, the 2nd month and the 3rd month and received routine guidance. The patients in the observation group received continuous nursing once a week to obtain guidance of rehabilitation training by WeChat from the 1st months to the 6th months after discharge. The Harris score, the incidence of complications and the rehabilitation satisfactory degree of the patients between the two groups were compared. Results: The Harris score and the rehabilitation satisfactory degree in the observation group were higher than that in the control group (P<0.05). The incidence of complications in the observation group was lower than that in the control group (P<0.05). Conclusion: Continuous nursing by WeChat is a convenient way to follow up the patients and could effectively improve the hip joint function, reduce the postoperative complications, promote rehabilitation and increase satisfactory degree of the patients.
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