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基于微信平台的延续性护理对初次剖宫产产妇手术切口恢复的影响
杨晓莉      刘琳      李洁      陈新华
安徽省芜湖市第一人民医院妇产科,安徽芜湖   241000
Effects of continuous nursing based on WeChat platform on the incision of first-time cesarean section
YANG Xiaoli   LIU Lin   LI Jie   CHEN Xinhua
Department of Obstetrics and Gynecology, the First People’s Hospital of Wuhu City, Anhui Province, Wuhu   241000, China
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摘要 目的 探讨基于微信平台的延续性护理对初次剖宫产产妇手术切口恢复的影响。 方法 选取2019年10月至2020年6月安徽省芜湖市第一人民医院产科接受初次剖宫产手术产妇152例为研究对象,采用随机数字表法将其分为对照组和观察组,各76例。对照组出院后进行常规护理,电话随访;观察组出院后在常规护理基础上进行基于微信平台的延续性护理,建立微信群随访;均随访6个月。观察并比较两组出院后切口并发症(包括切口感染、切口脂肪液化、切口裂开、切口血肿、切口疝等)发生率、术后6个月患者和观察者瘢痕评估量表(POSAS)评分及护理满意度。 结果 随访6个月后,对照组出院后出现切口感染3例、切口脂肪液化3例、切口局部皮肤裂开2例,观察组出院后切口出现脂肪液化1例。观察组出院后切口并发症发生率低于对照组,差异有统计学意义(P < 0.05);观察组术后6个月POSAS评分低于对照组,差异有统计学意义(P < 0.05);观察组术后6个月护理满意度高于对照组,差异有统计学意义(P < 0.05)。 结论 初次剖宫产产妇出院后采用基于微信平台的延续性护理,可以减少手术切口并发症发生率,降低患者手术切口POSAS瘢痕评分,提高护理满意度,值得临床应用推广。
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杨晓莉 刘琳 李洁 陈新华
关键词 剖宫产产妇切口延续性护理    
Abstract:Objective To explore the influence of continuous nursing based on WeChat platform on the recovery of surgical incision in women with first-time cesarean section. Methods A total of 152 parturients who underwent the first cesarean section in the Obstetrics Department of the First People’s Hospital of Wuhu City from October 2019 to June 2020 were selected. The patients were divided into control group and observation group, with 76 cases in each group. The control group were received routine nursing and telephone fellow-up after discharge, while the observation group were received continuous nursing based on WeChat platform after discharge on the basis of routine nursing. All the patients in both groups were fellowed up for six months. The incidence of incision complications (including incision infection, incision fat liquefaction, incision dehiscing, incision hematoma, incision hernia, etc.) after discharge was observed and compared between the two groups, patient and observer scar evaluation scale (POSAS) score and nursing satisfaction at six months postoperatively. Results After six months of follow-up, in the control group, there were three cases of incision infection, three cases of incision fat liquefaction and two cases of incision local skin dehysis after discharge, while in the observation group, there was one case of incision fat liquefaction after discharge, the incidence of incision complications in the observation group was lower than that in the control group after discharge, the different was statistical significance (P < 0.05). POSAS score of the observation group was lower than that of the control group six months after operation, and the difference was statistically significant (P < 0.05), and the nursing satisfaction of observation group was higher than control group six months after operation, the difference was statistically significant (P < 0.05). Conclusion Continuous nursing based on WeChat platform can reduce the incidence of surgical incision complications, reduce POSAS scar score of patients’ surgical incision, and improve nursing satisfaction, which is worthy of clinical application and promotion.
Key wordsCesarean section    Maternal    Incision    Continuous nursing
    
基金资助:国家卫生计生委医药卫生科技发展研究项目(W2016CWAH09)。
引用本文:   
杨晓莉 刘琳 李洁 陈新华. 基于微信平台的延续性护理对初次剖宫产产妇手术切口恢复的影响[J]. 中国医药导报, 2021, 18(26): 161-164.
YANG Xiaoli LIU Lin LI Jie CHEN Xinhua. Effects of continuous nursing based on WeChat platform on the incision of first-time cesarean section. 中国医药导报, 2021, 18(26): 161-164.
链接本文:  
https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I26/161

 

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