陈迪 蒋李艳 徐芬芬

摘要：目的  探讨微信视频护理模式对内科ICU心衰患者康复的影响。方法  选取2016年9月～2017年10月我院接受治疗的ICU心衰患者82例作为研究对象，按照随机数字表法分为对照组和观察组，每组41例。对照组采取半限制性探视，观察组在对照组基础上采取微信视频探视，比较两组感染情况（肺部感染、血管内导管感染及消化道感染）、患者焦虑状况及护理满意度。结果  观察组入住ICU期间感染发生率为4.88%，低于对照组的19.51%，差异有统计学意义（P<0.05）;观察组焦虑状态发生率为7.32%，低于对照组的41.46%，差异有统计学意义（P<0.05）;观察组护理满意度为90.24%，高于对照组的51.22%，差异有统计学意义（P<0.05）。结论  微信视频的护理模式有助于减少内科ICU心衰患者的感染发生率，改善患者的焦虑情绪，提高护理满意度。

关键词：微信视频;内科ICU;心衰

Abstract：Objective  To explore the effect of WeChat video nursing model on rehabilitation of patients with heart failure in internal medicine ICU. Methods  A total of 82 patients with ICU heart failure treated in our hospital from September 2016 to October 2017 were selected as the research object，  and were divided into a control group and an observation group according to the random number table method， with 41 cases in each group. The control group took semi-restricted visits， and the observation group took WeChat video visits on the basis of the control group to compare the infection status （pulmonary infection， intravascular catheter infection and digestive tract infection）， patient anxiety status and nursing satisfaction. Results  The incidence of infection during the ICU stay in the observation group was 4.88%， lower than 19.51% in the control group， the difference was statistically significant（P<0.05）; the incidence of anxiety in the observation group was 7.32%， lower than 41.46% in the control group，the difference was statistically significant（P<0.05）;the nursing satisfaction of the observation group was 90.24%， higher than that of the control group of 51.22%，the difference was statistically significant（P<0.05）.Conclusion  The WeChat video nursing model helps to reduce internal medicine ICU The incidence of infection in patients with heart failure improves their anxiety and improves nursing satisfaction.

Key words：WeChat video;Internal medicine ICU;Heart failure

內科ICU是专门救治急危重症患者设立的特殊场所，拥有先进仪器设备与专业医护人员[1]，由于内科ICU患者免疫力低下，容易受到感染，需要限制家属的探视，但为了满足患者及家属的探视需求，家属在探望内科ICU患者时，大多采取半限制性探视制度，包括限制探视人数、规定探视时间、指导家属按要求须穿消毒服、穿戴鞋套等。然而半限制性探视模式不仅会增加感染的可能，且由于家属情绪的不稳定会导致患者心理状态的恶化，增加心衰患者心源性休克的可能[2]。随着智能手机及互联网的发展，为降低探视时患者的感染率，改善患者的焦虑状况，满足患者及家属的探视需求，本研究结合2016年9月～2017年10月我院接受治疗的ICU心衰患者82例作为研究对象，探讨微信视频护理模式对内科ICU心衰患者康复的影响，现报道如下。

1资料与方法

1.1一般资料  选取2016年9月～2017年10月同济大学附属杨浦医院ICU收治的心衰患者82例，本研究经医院伦理委员会审批通过，患者知情同意并签署知情同意书。……