云随访联合微信平台的知信行健康教育模式在带胃造瘘管出院患者延续性护理中的应用
Application of Health Education Model of Cloud Follow-Up Combined with WeChat Platform in Continuous Nursing Care of Patients Discharged from Hospital with Gastrostomy Tube

DOI: 10.12677/NS.2019.85068, PP. 364-369

Keywords: 云随访，微信平台，知信行，健康教育，PEG，延续性护理
Cloud Follow-Up, WeChat Platform, Knowledge, Belief and Practice, Health Education, PEG, Continuous Nursing

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Abstract:

目的：探讨云随访和微信平台的知信行健康教育模式在带胃造瘘管出院患者延续性护理中的应用的可行性，为临床有效开展带胃造瘘管出院患者的健康教育提供实证。方法：选择54名行胃造瘘术的患者，按随机数字表法分为对照组和观察组，每组27例，对照组予常规健康教育，观察组给予在常规健康教育的基础上，增加基于云随访和微信平台的知信行健康教育。分别在患者出院当天和出院一个月进行问卷调查，分析比较两组患者的一般资料、胃造瘘管日常管理知信行情况、健康教育满意度、胃造瘘管相关并发症发生情况，应用SPSS 22.0进行统计学分析。结果：经过云随访联合微信平台的知信行健康教育模式的干预，观察组患者的知信行情况、随访满意度显著优于对照组患者，并发症发生率明显低于对照组患者。结论：①通过云随访联合微信平台的知信行健康教育模式进行干预可提高带胃造瘘管出院患者的胃造瘘管相关知识水平、信念和行为能力；②通过云随访联合微信平台的知信行健康教育模式进行干预可提高患者的随访满意度；③通过云随访联合微信平台的知信行健康教育模式进行干预减少带胃造瘘管出院患者并发症的发生。
Objective: To explore the feasibility of the application of cloud follow-up and WeChat platform in continuous nursing care of patients discharged from hospital with gastrostomy, and to provide evidence for clinical health education of patients discharged from hospital with gastrostomy. Me-thods: Fifty-four patients undergoing gastrostomy were randomly divided into control group (n = 27) and observation group (n = 27). The control group was given routine health education. On the basis of routine health education, the observation group was given health education based on cloud follow-up and WeChat platform. A questionnaire survey was conducted on the day of discharge and one month of discharge, and the general expenses of the two groups were analyzed and compared. SPSS 22.0 was used to analyze the knowledge, belief and behavior of gastrostomy, the satisfaction of health education and the occurrence of complications related to gastrostomy. Results after cloud follow-up combined with WeChat platform of knowledge, practice and health education model intervention, the satisfaction rate of patients in the observation group was significantly better than that in the control group, and the incidence of complications was significantly lower than that in the control group. Conclusion: ① intervention of health education model through cloud follow-up combined with WeChat platform can improve the knowledge level, belief and behavior ability of patients discharged from hospital with gastrostomy; ② intervention through cloud follow-up combined with WeChat platform’s health education mode of knowledge, practice and practice can improve patients’ satisfaction with follow-up; ③ the health education model of the WeChat platform can reduce the occurrence of complications in the patients discharged from the hospital with gastrostomy through cloud follow-up combined with the WeChat platform health education model.

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