刘静 桑婧荣 缪红莉

[摘要]目的：探究基于微信平臺的延续性护理对皮肤激光美容患者术后及时干预及减少纠纷的作用。方法：收集笔者医院皮肤科2017年2月-2019年5月就诊的皮肤病患者80例，随机分为观察组（40例）和对照组（40例）。对照组接受传统的延续性护理，观察组则接受以微信平台为基础的延续性护理做为基础护理指导。比较两组患者的心理评分、护理满意度情况、不良反应和术后半年复发情况。结果：护理干预后，两组患者的汉密顿抑郁量表（Hamilton depression scale，HAMD）评分和汉密顿焦虑量表（Hamilton anxiety scale，HAMA）评分下降，且观察组患者评分均小于对照组，差异有统计学意义（P<0.05）。观察组患者护理总满意率97.50%显著高于对照组的77.50%，差异有统计学意义（P<0.05）。观察组患者红肿和色素沉着发生率为2.50%和0.00%显著小于对照组的15.00%和12.50%，差异有统计学意义（P<0.05）;观察组术后半年未见复发患者，对照组有5例患者复发，组间比较差异有统计学意义（P<0.05）。结论：及时对皮肤激光美容术后的患者采取以微信平台为基础的延续性护理措施，能够提高患者的满意度，减少不良反应和复发，让患者的身心得到全面照顾，值得临床推广应用。

[关键词]微信平台;延续性护理;皮肤病;激光美容;护理满意度

[中图分类号]R473    [文献标志码]B    [文章编号]1008-6455（2020）09-0170-04

Analysis of the Effect of Continuous Nursing Based on WeChat Platform on Timely Intervention and Dispute Reduction of Patients after Skin Laser Cosmetic Surgery

LIU Jing1，SANG Jing-rong2，MIAO Hong-li1

（1.Department of Dermatology;2.Department of Burn Plastic，First Affiliated Hospital of Xinjiang Medical University，Urumqi 830054，Xinjiang，China）

Abstract： Objective  To explore the effect of continuous nursing based on WeChat platform on timely intervention and dispute reduction of patients after skin laser cosmetic surgery. Methods  Eighty patients with skin diseases from February 2017 to May 2019 were collected and randomly divided into the observation group （40 cases） and the control group （40 cases）. The control group received routine nursing， while the observation group received continuous nursing based on WeChat platform as basic nursing guidance. The scores of psychological， nursing satisfaction， adverse reactions and recurrence in half a year after operation were compared between the two groups. Results  After nursing intervention， the scores of Hamilton depression scale （HAMD） and Hamilton anxiety scale （HAMA） in the two groups decreased significantly， while the two scores in the observation group were both lower than those in the control group， the difference was statistically significant （P<0.05）. The total satisfaction rate of patients in the observation group was 97.50%，significantly higher than that in the control group（77.50%， P<0.05）. The incidence of redness， swelling and pigmentation in the observation group were 2.50% and 0.00%， respectively， significantly lower than those in the control group（15.00% and 12.50%， P<0.05）. No recurrence was found in the observation group half a year after operation， and 5 cases in the control group had recurrence， the difference between the two groups was statistically significant （P<0.05）. Conclusion  Timely adoption of continuous nursing measures based on WeChat platform for patients after skin laser cosmetology can reduce adverse reactions， enable patients to receive comprehensive physical and mental care， reduce disputes， help improve the safety and compliance of patients after surgery， and is worthy of clinical application.

Key words： WeChat platform; continuous care; skin disease; laser cosmetology; nursing satisfaction

随着社会经济和科学技术地不断发展，人类生活水平不断提高，对于外貌的追求也越来越高。近几年，美容治疗手段不断提高，尤其是激光美容技术[1-3]。现阶段，激光美容技术常用以治疗雀斑、老年斑、斑痣等皮肤病[4-5]。但在激光美容治疗过程中，由于患者对激光美容原理不了解，加之其可对正常皮肤产生不同程度的影响，易产生一系列不良情绪。在既往研究中，大多都是采取一般护理或者传统的延续性护理方式对患者进行相关的护理干预，传统的延续性护理一般是患者主动提出疑问医护人员进行解答，但容易隐匿患者可能存在的问题，等患者发现时再咨询医护人员，极易耽误病情，因此效果不甚明显。以微信平台为基础进行延续性护理，在微信公众号或相关微信群里定期进行健康知识的讲座或相关手术后的注意事项的推送信息，这样既能帮助患者避开隐匿问题，又能解决患者已发现的问题，做到早发现早治疗和早预防。……