微信在妇科腔镜术后患者随访中的应用

doi:10.3969/j.issn.1006-9771.2020.09.020

Abstract

Abstract:

Objective To apply WeChat platform for discharged patients after gynecological laparoscopic surgery.
Methods From October, 2018 to February, 2019, 84 patients accepted gynecological laparoscopic surgery were followed up with telephone (control group,n = 42) or WeChat (WeChat group, n = 42) from discharge to three to four weeks after surgery. They were assessed with Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Affectometer 2 on the day of discharge and the last day of follow-up.
Results Seven cases lost in the control group. The comprehensive satisfaction and satisfaction to recovery were better in WeChat group than in the control group (χ ² > 4.614, P < 0.05). The scores of SAS, SDS and Affectometer 2 improved in WeChat group (| t| > 16.255, P < 0.001), and were better than those in the control group (| t| > 10.293, P < 0.001). There were no significant improvement in the control group (| t| < 1.950, P > 0.05).
Conclusion Follow-up based on WeChat platform is effective on psychological recovery and satisfaction after gynecological laparoscopic surgery.

Key words: gynecological endoscopic surgery, continuous rehabilitation, WeChat, psychology, satisfaction, nursing

YU Fei,HOU Kun,CAO Jing-hong,ZHAI Jian-jun,SUN Feng-mei,LONG Zhi-hua. Application of WeChat in Following-up after Gynecological Laparoscopic Surgery[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(9): 1107-1111.

Figures/Tables 6

References 17

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项目		对照组(n = 35)	微信组(n = 42)	χ²值	P值
年龄	20~40岁	20	27	0.164	0.685
	41~60岁	15	15
婚姻状况	单身	0	2	0.298	0.226
	已婚	33	39
	离异及丧偶	2	1
工作种类	事业单位	19	25	0.765	0.858
	公司企业	13	12
	农民	1	2
	其他	2	3
医保类型	医保	35	42	< 0.001	1.000
	自费	0	0
家庭月收入	≤ 5000元	2	2	< 0.001	1.000
	> 5000元	33	40
腔镜手术	子宫肌瘤切除	11	13	0.019	0.999
	单侧卵巢良性肿瘤切除	8	10
	双侧卵巢良性肿瘤切除	9	11
	全子宫切除术	7	8

时间	方式	内容
第1周	PPT讲解锻炼操视频放松训练及音乐治疗视频	结合出院时发放的纸质资料,PPT讲解切口保护、切口常见并发症处理、术后切口疼痛管理;腹腔镜手术后排便管理与饮食推荐;腹腔镜手术后心理康复指导推荐意见;腹腔镜手术后康复及运动训练指导;放松训练及音乐治疗视频
第2周	讲解与演示放松训练及音乐治疗视频	术后切口保护与洗浴要求;腹腔镜术后康复及盆底康复运动训练;腹腔镜术后心理康复指导;腹腔镜术后复查要求;常见妇产科疾病基本知识;放松训练及音乐康复指导
第3周	PPT讲解	腹腔镜术后康复及运动训练;盆底康复训练;家庭康复训练;腹腔镜术后心理康复指导;腹腔镜手术后复查要求与提醒;放松训练及音乐治疗;性生活答疑与后续综合治疗答疑

组别	n	出院时	末次随访	t值	P值
对照组	35	59.02±10.53	58.68±8.78	0.678	0.502
微信组	42	56.78±11.16	36.66±5.19	19.979	< 0.001
t值		-0.900	-13.051
P值		0.371	< 0.001

组别	n	出院时	末次随访	t值	P值
对照组	35	57.31±10.22	56.82±8.92	0.973	0.338
微信组	42	57.45±10.13	38.45±6.18	23.270	< 0.001
t值		0.059	-10.293
P值		0.953	< 0.001

组别	n	出院时	末次随访	t值	P值
对照组	35	13.40±2.98	14.14±3.27	-1.950	0.059
微信组	42	14.42±3.83	23.61±4.19	-16.255	< 0.001
t值		1.293	10.880
P值		0.200	< 0.001

Application of WeChat in Following-up after Gynecological Laparoscopic Surgery

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组别	n	很满意	满意	不满意
对照组	35	18	9	8
微信组	42	40	1	1