庄丽娟 苏乐艺

[摘要]目的 探讨基于微信公众平台的延续性护理在小儿神经科的应用效果。方法 选取2018年1～6月我院收治的108对神经内科患儿及家属作为研究对象，按数字随机法分为实验组（54对）和对照组（54对）。对照组采用常规入院宣教，出院电话随访的方式进行护理。实验组在常规护理基础上，让患儿家属关注微信公众号，采用网络化健康教育，动态化管理和多渠道与患儿家属沟通等综合模式进行延续性护理。两组均干预3个月，比较两组的生存质量、患儿家属的照顾行为、专业护理知识掌握程度和护理总满意度。结果 实验组的心理状态、社会功能、躯体功能评分和生活质量总分均显著高于对照组，差异有统计学意义（P>0.05）;患儿家属的照顾行为和专业护理知识掌握评分均高于对照组（P<0.05）;实验组患儿家属对随访模式、随访内容满意度和护理满意度的评分均高于对照组（P<0.05）。结论 基于微信公众平台的院外护理模式，可有效提高神经内科患儿的生存质量，提升患儿家属的护理满意度，值得临床应用推广。

[关键词]小儿神经内科;微信公众平台;延续性护理

[中图分类号] R473.74          [文献标识码] A          [文章编号] 1674-4721（2019）6（c）-0218-03

[Abstract] Objective To explore the effect of continuous nursing based on wechat public platform in the department of pediatric neurology. Methods A total of 108 paris patients who met the inclusion criteria were enrolled to this study from January to June 2018. They were divided into experiment group （54 pair） and control group （54 pair） according to digital random method. The control group was received oral education and telephone follow-up for continuous nursing. While the experimental group was given wechat public platform on continuous nursing. The quality of life， the care behavior of caregivers and knowledge of neurology were compared between two groups after three months. Results The psychological function score， the social function score， body function score and quality and cognitive score in experimental group were higher than that of in control group， the differences were statistically significant （P<0.05）. The similar to the care behavior of caregivers and knowledge of neurology in the experimental group was higher than that in the control group （P<0.05）. The model follow-up， satisfying degree and follow-up content in experimental group were also higher than control group （P<0.05）. Conclusion Utilizing wechat public platform in the department of pediatric neurology could improve the patients′ quality of life， enhance the degree of satisfaction， which is economic and worthy promotion.

[Key words] Pediatric neurology; Wechat public platform; Continuous nursing

神經内科患儿病情重、疾病周期长、对护理要求高等临床特点。受医疗资源和高额住院费用的限制，无法长时间住院治疗，出院后常需要长时间的康复治疗[1-2]。如何有效的衔接院内护理和院外护理，是目前护理的难点。延续性护理可提供有效、低成本且连续的健康教育，该模式打破空间上的限制，将护理延续到家庭或社区，同时将护理内容从单纯的医疗护理延伸到心理、康复等方面，已广泛应用于临床科室[3-4]。但传统的电话或上门随访模式，大大限制了延续性护理的机动性，降低医护人员和患儿家属间沟通的有效性。微……