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目的:探讨基于微信平台的延续性护理干预对胃肠手术患者术后康复及生活质量的影响,为临床护理提供参考依据。方法:选取2013年1月-2016年12月于湖州市南浔区菱湖人民医院行胃肠手术患者86例,术后给予患者常规护理的基础上实施基于微信平台的延续性护理干预,观察患者护理前后SAS评分、SDS评分、胃肠功能恢复情况及生活质量情况。结果:患者经基于微信平台的延续性护理干预后,其肠蠕动恢复时间、肛门排气时间及排便时间分别为(28.8±6.4)h、(35.1±11.2)h、(47.9±15.3)h。与护理前比较,患者经基于微信平台的延续性护理干预后其SAS评分、SDS评分及胃肠功能评分均明显降低,差异具有统计学意义(P<0.05);与护理前比较,患者经护理干预后其生活质量各维度评分均明显提高,差异具有显著性(P<0.05)。结论:基于微信平台的延续性护理干预对胃肠手术患者进行护理可促进患者肠道蠕动快速恢复,改善患者心理状态及胃肠功能,减轻患者腹胀程度,同时能够显著提高患者生活质量,护理效果显著,值得临床进一步推广与应用。
Objective: To investigate the effect of continuous nursing intervention based on WeChat platform on postoperative rehabilitation and quality of life in patients undergoing gastrointestinal surgery, and provide a reference for clinical nursing. Methods: From January 2013 to December 2016, 86 patients undergoing gastrointestinal surgery in Linghu People’s Hospital, Nanxun District, Huzhou City were enrolled in this study. Continued nursing intervention based on the WeChat platform was conducted on the basis of routine nursing care. Patients were followed up SAS score before and after nursing, SDS score, gastrointestinal function recovery and quality of life. Results: The recovery time of intestinal peristalsis, the time of defecation and the time of defecation were (28.8 ± 6.4) h, (35.1 ± 11.2) and (47.9 ± 15.3) h respectively after the continuous nursing intervention based on the WeChat platform. Compared with the pre-treatment, the scores of SAS, SDS and gastrointestinal function were significantly decreased after the continuous nursing intervention based on WeChat platform, the difference was statistically significant (P <0.05). Compared with the pre-treatment, the patients were nursing After intervention, their quality of life scores were significantly improved, the difference was significant (P <0.05). CONCLUSION: The continuous nursing intervention based on the WeChat platform can improve the intestinal peristalsis in patients with gastrointestinal surgery, improve the patients’ psychological status and gastrointestinal function, reduce the degree of abdominal distension, and at the same time can significantly improve the quality of life and the nursing effect Significant, it is worth further clinical application and application.