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  • 原文摘要
  • 目的 探讨基于微信平台对重症肌无力出院患者进行延续护理的效果.方法 选择2013年8月至2014年8月在我科室住院的重症肌无力患者,共入组60例,根据随机数表法随机分为2组,每组30例.试验组在常规出院健康宣教的基础上由微信延续护理小组成员向患者介绍微信平台,进行延续护理,对照组采用传统的出院健康宣教.比较2组患者3个月复查时的焦虑程度、抑郁程度、自我护理能力及健康行为等指标.结果 试验组患者和对照组患者在出院时焦虑、抑郁、自我护理能力及健康行为量表等测评结果差异无统计学意义(P>0.05).试验组焦虑自评量表测评结果正常者、轻度焦虑者、中度焦虑者、重度焦虑者分别为8、19、2、1例,对照组分别3、15、8、4例,差异有统计学意义(χ2=2.732,P<0.01);试验组抑郁自评量表测评结果正常者、轻度抑郁者、中度抑郁者、重度抑郁者分别为9、15、5、11例,对照组分别为3、13、8、6例,差异有统计学意义(χ2=2.626,P<0.01);试验组自我护理能力量表测评结果ESCA、HPLP分别为(134.2±14.1)、(151.9±14.3)分,对照组分别为(123.3±18.8)、(142.8±17.5)分,差异有统计学意义(t=2.541、2.294,P<0.05).结论 基于微信平台对重症肌无力出院患者进行延续护理效果良好,值得在临床广泛推广. Objective To evaluate the effectiveness of wechat-based transitional care in patients with Myasthenia gravis. Methods Choose 60 patients with Myasthenia gravis from August 2013 to August 2014 were divided into two groups,30 cases in each group.The patients in the two groups recevied routine dischared education.In addition,the patients in the experimental group received wechat-based transitional care for three months. The patients, anxiety, depression, self-care and health behavior at 3 months after discharge were compared between the two groups. Results There was no statistical significance between the experimental group and the control group in anxiety, depression, self-care ability and health behavior scale (P > 0.05). In the experimental group, the SAS evaluation results of normal, mild anxiety, moderate anxiety, severe anxiety respectively is 8、19、2、1. However, in the control group the result is 3、15、8、4 respectively. There was statistically difference (χ2=2.732, P < 0.01). In the experimental group, the SDS evaluation results of normal, mild depression, moderate depression, major depression respectively is 9、15、5、11. However, in the control group the result is 3、13、8、6 respectively. There was significant difference (χ2=2.626, P<0.01). Patients self-care ability and health behavior scale assessment results in the experimental group is (134.2±14.1)、(151.9±14.3) respectively and the results in the control group is (123.3±18.8)、(142.8±17.5) respectively. There was a statistically significant difference (t=2.541、2.294, P < 0.05). Conlusion Wechat-based transitional care acieves good effectiveness in patients with Myasthenia gravis and is worthy of promotion.
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