摘要
目的探讨基于微信平台的异位妊娠术后延续护理的实施效果。方法采用随机抽样法选取2015年3月-2017年4月河南省商丘市第一人民医院异位妊娠腹腔镜手术后出院的280例患者为研究对象，按照住院时间先后顺序分为干预组（n=140）和对照组（n=140）。对照组给予门诊、电话随访等方式进行延续护理，干预组在对照组基础上给予基于微信平台的延续护理，采用自拟量表评价两组患者对术后保健知识的认知度、延续护理的满意度，采用自我护理能力测定量表评定评估患者自护能力，比较两组差异。结果干预后，两组患者对异位妊娠相关知识、良好的生活及饮食习惯、术后避孕知识的认知度差异均有统计学意义（P〈0．05）；两组患者干预3个月后自我概念、自护责任感、自我护理技能、健康知识水平、总分差异均有统计学意义（P〈0．01）；两组患者对护士问题解答、认知需求满足情况、术后关爱满意度方面比较差异均有统计学意义（P〈0．01）。结论异位妊娠术后开展基于微信平台的延续护理可提高异位妊娠腹腔镜手术患者的自护意识及护理满意度，值得临床推广。
Objective To explore the effects of the WeChat-based continuing nursing in patients after surgery for ectopic pregnancy. Methods Totally 280 patients with ectopic pregnancy who received laparoscopie surgery, and then were discharged from Shangqiu First People＇s Hospital from March 2015 to April 2017 were selected using random sampling and divided into the treatment group （n=140） and the control group （n=140） according to the admission time. Patients in the control group received continuing nursing by outpatient service and telephone follow-up, while patients in the treatment group received the WeChat-based continuing nursing on this basis. The self-designed scale was used to evaluate the patients＇awareness of postoperative heahhcare and satisfaction with continuing nursing in the two groups. The Exercise of Self-Care Agency （ESCA） Scale was used to assess the patients＇ self-care ability and compare the difference between the two groups. Results There were significant differences between the two groups in their awareness of ectopic pregnancy-related knowledge, bealty lifestyles and dietary habits, postoperative contraception post intervention （P〈0.05） ; there were significant differences between the two groups in their self-concept, sense of self-care, self-care skills, health knowledge and the total score three months post intervention （P〈0.01） ; and there were significant differences between the two groups in the nurses＇ question answering, satisfaction of cognitive needs and satisfaction with postoperative care （P〈0.01）. Conclusions The WeChat-based continuing nursing can improve the sense of self-care and satisfaction with nursing in patients receiving laparoseopic surgery for ectopic pregnancy, which is worth promoting in clinical practice.
作者
曹艳华
Cao Yanhua(Department of Gynecology,Shangqiu First People＇s Hospital of He＇nan Province,Shangqiu 476100,China)
出处
《中华现代护理杂志》
2018年第28期3400-3403,共4页
Chinese Journal of Modern Nursing
关键词
妊娠
异位
腹腔镜
延续护理
Pregnancy
ectopic
Laparoscopy
Continuing nursing
