Application of transitional care based on Wechat in discharged patients with intestinal stoma
10.3760/cma.j.issn.1674-2907.2017.25.014
- VernacularTitle:基于微信平台的延续护理在肠造口出院患者中的应用
- Author:
Fengqing LU
1
;
Yahong CHEN
;
Xinming ZHAO
;
Ya′nan SHEN
;
Ping ZHANG
Author Information
1. 吉林大学中日联谊医院胃肠结直肠肛门外科
- Keywords:
Enterostomy;
Transitional care;
Wechat
- From:
Chinese Journal of Modern Nursing
2017;23(25):3246-3249
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of transitional care based on Wechat in discharged patients with intestinal stoma.Methods A total of 120 inpatients with intestinal stoma in department of stomach,intestine,colon,rectum and anus in China-Japan Union Hospital,Jilin University were recruited in 2015. They were randomly divided into observation group (n=60,routine health education on leaving hospital and transitional care through Wechat provided by members of the Wechat transitional care group for discharged patients,6 months follow-up) and control group (n=60,routine health education on leaving hospital and normally further consultation in outpatient service of stoma,6 months follow-up) according to the order of leaving hospital. The complications rate on intestinal stoma between two groups was compared at the first,third and sixth month after leaving hospital. The depression and satisfaction with nursing care was compared too at the sixth month. Results One month after leaving hospital,the incidence rates of infection in sutures around stoma and mucosa membrane separation in control group were significantly higher than those in observation group (P<0.05). Three months after leaving hospital,the incidence rates of dermatitis,infection in sutures around stoma and granuloma in control group were significantly higher than those in observation group (P<0.05). Six months after leaving hospital,the incidence rates of dermatitis and granuloma in control group were significantly higher than those in observation group (P<0.05). The score of depression in observation group was significantly lower than that in control group (P<0.05). Besides,the satisfaction with nursing care in observation group was higher than that in control group with a significant difference (P<0.05).Conclusions The transitional care based on Wechat has great significance in improving depression,reducing the incidence rates of complications on intestinal stoma and improving the satisfaction with nursing care. It is worth to be used widely.
