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

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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 words： Cesarean section Maternal Incision Continuous nursing

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	YANG Xiaoli LIU Lin LI Jie CHEN Xinhua

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YANG Xiaoli LIU Lin LI Jie CHEN Xinhua. Effects of continuous nursing based on WeChat platform on the incision of first-time cesarean section[J]. 中国医药导报, 2021, 18(26): 161-164.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I26/161

[1] 李萍，张玲，沙艳伟，等.剖宫产术后瘢痕子宫对再生育患者IVFET助孕结局影响的研究[J].实用妇产科杂志，2019，35（1）：60-63.
[2] 胡荣，田小飞.综合护理干预对剖宫产后切口愈合及瘢痕形成的影响[J].中国美容医学，2020，29（5）：164-166.
[3] Draaijers LJ，Tempelman FR，Bolman YA，et al. The pstient and observer scar assessment scales：a reliable and feasible tool for scar evaluation [J]. Plast Reconstr Surg，2004， 113（7）：1960-1965.
[4] 鲍红玉，李桂花，宋成秋，等.皮下美容缝合技术在剖宫产术后切口处理中的应用效果[J].中国美容医学，2020， 29（5）：100-103.
[5] 温素芹，张彦君，杜丽.剖宫产术后切口愈合不良相关因素分析[J].齐鲁护理杂志，2013，19（18）：104-105.
[6] 曹丹丹，杨东群，黄英.剖宫产切口愈合不良的原因分析及干预措施[J].临床医学工程，2021，28（2）：261-262.
[7] 俞巧稚，俞敏.剖宫产术后切口脂肪液化影响因素分析[J].临床军医杂志，2019，47（8）：797-798.
[8] 周玲，王莉，陈秀芳，等.剖宫产手术腹部切口愈合不良的相关因素分析[J].中华医院感染学杂志，2018，28（14）：2169-2172.
[9] 杨娅娅.剖宫产术后腹部切口愈合不良的高危因素分析[J].职业卫生与病伤，2018，33（2）：109-111.
[10] 阮冀，李占辉.剖宫产术后腹部切口愈合不良的原因及对策[J].分子影像学杂志，2018，41（4）：558-561.
[11] 梁伟玲.剖宫产术后腹部切口愈合不良的相关因素及预防[J].首都食品与医药，2018，25（15）：16-17.
[12] 于秀玲.综合护理干预对剖宫产术后切口愈合及瘢痕形成的影响[J].东方药膳，2020（14）：8.
[13] Quinn CC，Port CL，Zimmerman S，et al. Short-stay nursing home rehabilitation patients：transitional care problems pose research challenges [J]. J Am Geriatr Soc，2008， 56（10）：1940-1945.
[14] 董玉静，尚少梅，么莉，等.国外延续性护理模式研究进展[J].中国护理管理，2012，12（9）：20-23.
[15] 张妍，皮红英.术后延续性护理服务应用的研究进展[J].中华现代护理杂志，2010，16（29）：3595-3596.
[16] 田露，陈英.“互联网+”延续护理的研究进展[J].护理学杂志，2019，17：17-20.
[17] 王硕，吕利明，刘培培，等.基于网络平台的延续护理对乳腺癌术后患者负性情绪及生活质量影响的Meta分析[J].中国医药导报，2019，16（14）：152-157.
[18] 韦靖，何静，梁芳，等.“互联网+”在我国延续护理中的研究进展[J].海南医学，2021，32（4）：519-521.
[19] 周兰兰，李国宏，吕霞.基于互联网+COPD延续护理模式研究进展[J].护理学报，2021，28（3）：20-23.
[20] 燕丹丹.基于微信APP的延续性护理在初产妇产褥期的应用研究[J].齐齐哈尔医学院学报，2018，39（14）：1731-1733.
[21] 汤小丽，原蕊.基于微信平台的延续性护理对剖宫产产妇产褥期心境、自护能力及母婴健康状况的影响[J].临床医学研究与实践，2020，5（12）：181-183.
[22] 沈玉英，盛丽丽，严敏.基于微信平台的延续性护理干预对乳腺癌患者的影响[J].齐鲁护理杂志，2020，26（9）：61-63.
[23] 闫永仙.基于微信平台的延续性护理在初产妇产褥期的临床应用价值[J].中国药物与临床，2021，21（1）：159-161.
[24] 高丽娟，王金秀，莫革琴.基于微信平台的延续性护理服务对出院早产儿家庭照顾的影响[J].当代护士：上旬刊，2021，28（2）：129-131.
[25] 徐咏梅，丁娓，吕淑玲.基于微信平台的延续性护理干预对骨质疏松压缩性骨折患者运动功能及生活质量的影响[J].徐州医科大学学报，2020，40（2）：153-156.
[26] 庄丽娟，苏乐艺.基于微信公众平台的延续性护理模式在小儿神经内科中的应用效果[J].中国当代医药，2019， 26（18）：218-220.
[27] 戴晓萍，张晓颖.微信公众平台下的延续性护理对胃癌术后患者负性情绪及应对方式的影响[J].中国医学创新，2020，17（1）：99-103.