基于微信平台的管理模式对视网膜脱离术后患者心理情绪、并发症及生活质量的影响

谢敏; 邓红燕; 李征亚; 邹玉平; 宋碧英

doi:10.16766/j.cnki.issn.1674-4152.002794

基于微信平台的管理模式对视网膜脱离术后患者心理情绪、并发症及生活质量的影响

doi: 10.16766/j.cnki.issn.1674-4152.002794

1.
南部战区总医院眼科，广东广州 510010
2.
陆军军医大学第三附属医院眼科

基金项目:

广东省基础与应用基础研究基金项目 2019A1515011732

广州市科技计划项目 202002030413

详细信息

通讯作者:
李征亚，E-mail: xiemm66@126.com

中图分类号: R473.77 R774.12
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- 文章访问数: 256
- HTML全文浏览量: 103
- PDF下载量: 13
- 被引次数: 0
出版历程
- 收稿日期: 2021-07-28
- 网络出版日期: 2023-02-07

Influence of management mode based on WeChat platform on the psychological mood, postoperative complications and quality of life of patients with retinal detachment after surgery

1.
Ophthalmology Department, General Hospital of Southern Theatre Command, Guangzhou, Guangdong 510010, China

摘要

摘要: 目的通过前瞻性、随机、单中心研究探讨基于微信平台的管理模式对视网膜脱离术后患者焦虑抑郁情绪、并发症及生活质量的影响。方法选取2018年9月—2019年11月南部战区总医院眼科就诊并手术治疗的92例视网膜脱离(RD)患者作为研究对象，采用随机数字表法将患者分为对照组和微信组，各46例，对照组实施常规护理，微信组在对照组的基础上增加基于微信平台的管理模式，采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者干预前后心理情绪进行评估，采用生命质量核心量表(QLQ-C30V3.0)评估患者生活质量，并比较2组患者术后并发症发生情况及护理满意度。结果护理后，微信组患者SAS、SDS量表评分均低于对照组(P＜0.05)。微信组颈背部肌肉酸痛、头痛头晕、失眠并发症发生率低于对照组(2.17% vs. 19.57%、2.17% vs. 13.04%、2.17% vs. 15.22%，χ²=7.180、3.866, 4.929, 均P＜0.05)]。护理后，微信组患者生活质量各维度均高于对照组(均P＜0.05)。微信组满意度为95.65%(44/46)，高于对照组的80.43%(37/46)，差异有统计学意义(χ²=5.059，P=0.024)。结论基于微信平台的管理模式有助于缓解视网膜脱离患者术后的焦虑抑郁情绪，促进患者生活质量及满意度的提高。
- 视网膜脱离 /
- 微信平台 /
- 心理情绪 /
- 生活质量
Abstract: Objective To explored the influence of management mode based on WeChat platform on anxiety, depression, complications and quality of life of patients with retinal detachment after surgery through a prospective, randomised, single-centre study. Methods A total of 92 patients with retinal detachment (RD) who were treated by surgery in Ophthalmology Department of General Hospital of Southern Theatre Command from September 2018 to November 2019 were selected as the study subjects. They were randomly divided into the control group and WeChat group, with 46 cases in each group. The control group was given routine nursing, and the WeChat group was given the management mode based on WeChat platform on the basis of routine nursing. Self-rating anxiety scale (SAS) and Self-rating depression scale (SDS) were used to evaluate the psychological emotion of patients before and after intervention. The quality of life of patients was evaluated by the quality of life questionnaire (QLQ-C30V3.0), and the incidence of postoperative complications and nursing satisfaction were compared between the two groups. Results After nursing, the WeChat group attained lower SAS and SDS scores than the control group (P < 0.05). The incidences of neck-and-back muscle pain, headache and dizziness and insomnia complications in the WeChat group were lower than those in the control group (2.17% vs. 19.57%, 2.17% vs. 13.04%, 2.17% vs. 4.35%), and the difference between the two groups was statistically significant (χ²=7.180, 3.866, 4.929, P < 0.05). After nursing, the WeChat group revealed higher scores in the quality of life compared with the control group (all P < 0.05). The satisfaction rate in the WeChat group was higher than that in the control group [95.65% (44/46) vs. 80.43% (37/46)], and the difference was statistically significant (χ²=5.059, P=0.024). Conclusion The management mode based on WeChat platform can help alleviate the anxiety and depression of patients with RD after surgery and promote the improvement of patients ' quality of life and satisfaction.
- Retinal detachment /
- WeChat platform /
- Psychological emotion /
- Quality of life

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表 1 2组RD患者心理应激反应比较(x±s，分)

Table 1. Comparison of psychological stress reaction between two groups of RD patients(x±s, scores)

组别	例数	SAS		SDS
组别	例数	护理前	护理后	护理前	护理后
对照组	46	59.35±4.75	44.83±3.46^a	59.18±6.20	47.26±3.79^a
微信组	46	60.16±4.39	37.96±2.98^a	59.94±5.97	40.75±2.84^a
t值		0.849	10.204	0.599	9.323
P值		0.199	＜0.001	0.275	＜0.001
注：与同组护理前比较，^aP＜0.05。

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表 2 2组RD患者术后并发症发生情况比较[例(%)]

Table 2. Comparison of postoperative complications between two groups of RD patients[cases(%)]

组别	例数	颈背部肌肉酸痛	头痛头晕	失眠	颜面部眼睑水肿	心慌气短
对照组	46	9(19.57)	6(13.04)	7(15.22)	5(10.87)	1(2.17)
微信组	46	1(2.17)	1(2.17)	1(2.17)	3(6.52)	0
χ²值		7.180	3.866	4.929	0.547
P值		0.007	0.049	0.026	0.459	0.999^a
注：^a为采用Fisher精确检验。

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表 3 2组RD患者护理前后生活质量比较(x±s，分)

Table 3. Comparison of quality of life between two groups of RD patients before and after nursing(x±s, scores)

组别	例数	躯体功能		角色功能		情绪功能
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后
对照组	46	35.52±4.35	38.35±4.34^a	43.07±5.55	47.16±6.35^a	22.01±5.08	25.09±4.85^a
微信组	46	35.37±4.59	42.19±3.20^a	42.65±5.47	52.72±4.12^a	22.97±4.15	32.53±3.42^a
t值		0.161	4.798	0.366	4.982	0.993	8.503
P值		0.436	＜0.001	0.358	＜0.001	0.162	＜0.001

组别	例数	认知功能		社会功能		总体健康
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后
对照组	46	52.63±8.13	58.46±7.19^a	23.74±8.16	25.88±5.73^a	68.26±5.81	85.47±3.53^a
微信组	46	53.79±8.08	66.03±6.25^a	22.65±8.22	31.71±4.53^a	68.38±5.26	91.65±4.22^a
t值		0.686	5.389	0.638	5.413	0.104	7.618
P值		0.247	＜0.001	0.262	＜0.001	0.459	＜0.001
注：与同组护理前比较，^aP＜0.05。

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表 4 2组RD患者满意度比较

Table 4. Comparison of patient satisfaction between two groups of RD patients

组别	例数	满意[例(%)]	一般[例(%)]	不满意[例(%)]	满意度(%)
对照组	46	17(36.96)	20(43.48)	9(19.57)	80.43(37/46)
微信组	46	20(43.48)	24(52.17)	2(4.35)	95.65(44/46)
注：2组满意度比较，χ²=5.059, P=0.024。

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