The influence of continuous care based on wechat platform on patients with T-tube drainage
基于微信平台的延续性护理对T管引流患者的影响

摘要

目的 分析基于微信平台的延续性护理对胆管术后T管引流患者的影响。方法 以2023年1月-2023年12月为研究时段，筛选此时间段内本院68例因胆管结石行胆管切开取石、T管引流患者作为研究对象，电脑随机分为两组，组别设置为对照组（n=34，常规出院护理）与研究组（n=34，基于微信平台的延续性护理），从护理后健康知识掌握评分、出院后并发症发生率两个方面综合评价两组患者护理效果。结果 对比两组患者自我护理、饮食管理、康复训练、并发症监测四项健康知识知晓评分，经 t 验证，组间差异显著（P＜0.05），研究组均高于对照组；两组患者出院后并发症总发生率对比，经 χ2 验证，组间差异显著（P＜0.05），研究组低于对照组。结论 基于微信平台的延续性护理可有效提高T管引流患者健康知识知晓评分，从而提升患者出院后自我管理能力，有助于降低引流管相关并发症发生风险，值得推广。

Abstract

Objective To analyze the influence of continuous care based on wechat platform on patients with T-tube drainage after biliary surgery.
Methods From January 2023 to December 2023, 68 patients in our hospital who underwent cholangiolithotomy and T-tube drainage due to cholangiolithiasis during this period were selected as research objects, and were randomly divided into two groups by computer. The groups were set as control group (n=34, routine discharge care) and study group (n=34, continuous care based on wechat platform). The nursing effect of the two groups was evaluated comprehensively from the aspects of post-nursing health knowledge mastery score and post-discharge complication rate.
Results The four health knowledge scores of self-care, diet management, rehabilitation training and complication monitoring were compared between the two groups. The t test showed significant differences between the two groups (P < 0.05), and the study group was higher than the control group. The total incidence of complications after discharge between the two groups was significantly different (P < 0.05), and the study group was lower than the control group.
Conclusion   The continuous care based on wechat platform can effectively improve the health knowledge score of patients with T-tube drainage, thereby improving the self-management ability of patients after discharge, and helping to reduce the risk of complications related to drainage tube, which is worth promoting.