基于微信平台的延伸性护理在手部严重外伤术后出院患者中的应用效果(1)
[摘要]目的 探讨基于微信平台的延伸性护理应用于手部严重外伤术后出院患者的效果。方法 选取2017年6月～2018年12月我院收治的50例手部外伤患者作为研究对象，按随机数字表法分为对照组(n=25)与观察组(n=25)。对照组采取常规护理，观察组采用基于微信平台的延伸性护理，比较两组干预6个月后Carroll上肢功能测试评分、手部感觉功能分级、并发症总发生率及锻炼依从性。结果 观察组的Carroll上肢功能测试评分、手部感觉功能分级及锻炼依从性高于对照组，差异均有统计学意义(P<0.05);观察组的并发症总发生率低于对照组，差异有统计学意义(P<0.05)。结论 基于微信平台延伸性护理促进手外伤患者手功能恢复，降低并发症发生，提高锻炼依从性，帮助患者尽早进入工作岗位实现个人价值。
[关键词]延伸性护理;手外伤;微信平台;术后康复
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2020)9(c)-0210-03
[Abstract] Objective To explore the effect of extended nursing based on WeChat platform on patients discharged from hospital after severe hand trauma. Methods A total of Fifty patients with hand trauma treated in our hospital from June 2017 to December 2018 were selected as subjects and divided into control group (n=25) and observation group (n=25) according to random number table method. The control group was treated with routine nursing. The observation group was treated with extended nursing based on WeChat platform. The Carroll upper limb function score， hand sensory function grade， incidence of complications and exercise compliance rate were compared between the two groups after 6 months of intotal tervention. Results The Carroll upper limb function score， hand sensory function grade and exercise compliance rate in the observation group were higher than those in the control group， with statistical differences (P<0.05)， and the total incidence of complications in the observation group was lower than that in the control group， with statistical difference (P<0.05). Conclusion Extended nursing based on WeChat platform promotes the recovery of hand function of patients with hand trauma， reduces the incidence of complications， improves exercise compliance， and helps patients take office as soon as possible to realize their personal value.
[Key words] Extended nursing; Hand trauma; WatChat platform; Postoperative rehabilitation
手外傷指人们在劳作时由于疏忽、意外导致的手部创伤。随着我国机械化水平的提高，我国手外伤发生率不断上升[1-2]。及时有效的手术治疗是手部功能恢复的基础，后期康复锻炼是手部功能恢复的关键，而康复护理是康复锻炼的重要一环。康复护理将康复锻炼与日常生活结合，注重锻炼过程的专业指导，尽可能改善手部功能，提高生活质量。伤后2～3个月是手部功能康复的关键时期，此期能否顺利开展康复锻炼直接影响手部功能预后效果[3]。延伸性护理是康复护理组成部分，是患者出院后对康复锻炼的指导。常规护理随访对患者康复的依从性影响有限，我院采用基于微信平台的延伸性护理方法对严重手外伤术后出院患者进行跟踪指导，以探讨对患者手功能恢复的效果，现报道如下。
1资料与方法
1.1一般资料
选取2017年6月～2018年12月在我院住院治疗后出院的50例手外伤患者，按照随机数字表法分为对照组(n=25)和观察组(n=25)。对照组中，男20例，女5例;年龄27～58岁，平均(33.35±9.56)岁;损伤类型：开放性损伤16例，闭合性损伤9例。观察组中，男21例，女4例;年龄16～52岁，平均(35.09±10.77)岁;损伤类型：开放性损伤18例，闭合性损伤7例。两组的性别、年龄、损伤类型等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。所有患者知晓本研究并签署知情同意书，本研究已获我院医学伦理委员会批准。, http://www.100md.com(陈凤娟 莫想有 张东桂)
[关键词]延伸性护理;手外伤;微信平台;术后康复
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2020)9(c)-0210-03
[Abstract] Objective To explore the effect of extended nursing based on WeChat platform on patients discharged from hospital after severe hand trauma. Methods A total of Fifty patients with hand trauma treated in our hospital from June 2017 to December 2018 were selected as subjects and divided into control group (n=25) and observation group (n=25) according to random number table method. The control group was treated with routine nursing. The observation group was treated with extended nursing based on WeChat platform. The Carroll upper limb function score， hand sensory function grade， incidence of complications and exercise compliance rate were compared between the two groups after 6 months of intotal tervention. Results The Carroll upper limb function score， hand sensory function grade and exercise compliance rate in the observation group were higher than those in the control group， with statistical differences (P<0.05)， and the total incidence of complications in the observation group was lower than that in the control group， with statistical difference (P<0.05). Conclusion Extended nursing based on WeChat platform promotes the recovery of hand function of patients with hand trauma， reduces the incidence of complications， improves exercise compliance， and helps patients take office as soon as possible to realize their personal value.
[Key words] Extended nursing; Hand trauma; WatChat platform; Postoperative rehabilitation
手外傷指人们在劳作时由于疏忽、意外导致的手部创伤。随着我国机械化水平的提高，我国手外伤发生率不断上升[1-2]。及时有效的手术治疗是手部功能恢复的基础，后期康复锻炼是手部功能恢复的关键，而康复护理是康复锻炼的重要一环。康复护理将康复锻炼与日常生活结合，注重锻炼过程的专业指导，尽可能改善手部功能，提高生活质量。伤后2～3个月是手部功能康复的关键时期，此期能否顺利开展康复锻炼直接影响手部功能预后效果[3]。延伸性护理是康复护理组成部分，是患者出院后对康复锻炼的指导。常规护理随访对患者康复的依从性影响有限，我院采用基于微信平台的延伸性护理方法对严重手外伤术后出院患者进行跟踪指导，以探讨对患者手功能恢复的效果，现报道如下。
1资料与方法
1.1一般资料
选取2017年6月～2018年12月在我院住院治疗后出院的50例手外伤患者，按照随机数字表法分为对照组(n=25)和观察组(n=25)。对照组中，男20例，女5例;年龄27～58岁，平均(33.35±9.56)岁;损伤类型：开放性损伤16例，闭合性损伤9例。观察组中，男21例，女4例;年龄16～52岁，平均(35.09±10.77)岁;损伤类型：开放性损伤18例，闭合性损伤7例。两组的性别、年龄、损伤类型等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。所有患者知晓本研究并签署知情同意书，本研究已获我院医学伦理委员会批准。, http://www.100md.com(陈凤娟 莫想有 张东桂)