基于微信群的延续性护理对断指再植患者自护能力及手功能恢复的影响

来源:用户上传      作者:李晓晖 汪晓霜 王志新

　　[摘要]目的：探究基于微信群的延m性护理模式对断指再植患者自护能力及手功能恢复的影响。方法：选取2018年4月-2020年5月本院接受断指再植手术的患者88例作为研究对象，随机分为观察组及对照组，每组44例。对照组使用常规护理模式，观察组在对照组基础上给予基于微信群的延续性护理模式，两组均连续护理2月。比较两组护理效果，利用自我能力实施量表（ESCA）比较两组护自护能力，利用手功能量表（MHQ）对两组手功能进行评价，利用生活质量综合评定问卷（GQOLI-74）对患者生活中质量进行比较。结果：观察组护理后手功能总优良率为86.36%，相比对照组的68.18%明显升高，差异有统计学意义（P<0.05）;观察组护理后较对照组自我概念、为我护理技能、自我责任感、健康知识水平评分明显升高（P<0.05）;观察组护理后较对照组外观、手部满意情况、工作情况、日常活动、总体功能评分及总分明显升高（P<0.05）;观察组护理后较对照组躯体健康、社会功能、物质生活、心理健康评分明显升高（P<0.05）。结论：基于微信群的延续性护理模式可明显提高断指再植患者自护能力，提升患者手功能恢复效果，改善患者生活质量，有良好的应用价值。
　　[关键词]断指再造;延续性护理;微信;自护能力;手功能
　　[中图分类号]R622+.2 [文献标志码]B [文章编号]1008-6455（2022）02-0157-04
　　Effects of Continuous Nursing Based on Wechat Group on Self-care Ability and Recovery of Hand Function in Patients Undergoing Severed Finger Replantation
　　LI Xiaohui1，WANG Xiaoshuang1，WANG Zhixin2
　　（1.Department of One Day Ward;2.Department of Hand Surgery，Beijing Jishuitan Hospital，Beijing 100035，China）
　　Abstract： Objective To explore the effects of continuous nursing based on WeChat group on self-care ability and recovery of hand function in patients undergoing severed finger replantation. Methods A total of 88 patients undergoing severed finger replantation in the hospital from April 2018 - May 2020 were enrolled as the research objects. They were randomly divided into observation group and control group， 44 cases in each group. The control group was given routine nursing mode， while observation group was additionally given WeChat groupbased continuous nursing mode. Both groups were continuously nursed for 2 months. The nursing effects were compared between the two groups.The self-care ability in both groups was compared by exerciseofself-care agencyscale （ESCA）.The hand function in both groups was evaluated by Michigan hand outcomes questionnaire （MHQ）.The quality of life was compared by Generic quality of Life Inventory-74 （GQOLI-74）. Results After nursing， overall good rate of hand function in observation group was significantly higher than that in control group （86.36% vs 68.18%），the difference was statistically significant （P<0.05）. Scores ofself-concept， self-nursing skills， self-responsibility and health knowledge level were significantly higher than those in control group （P<0.05）. Scores of appearance， hand satisfaction， work conditions， daily activities and overall function， and total scorewere significantly higher than those in control group （P<0.05）. Scores of physical health， social function， material life and psychological health were significantly higher than those in control group （P<0.05）. Conclusion The continuous nursing mode based on WeChat group can significantly improve self-care ability， recovery effect of hand function and quality of life in patients undergoing severed finger replantation.

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