微信在妇科腔镜术后患者随访中的应用

目的 探讨微信平台对妇科腔镜手术后患者出院后随访中的应用价值。 方法 2018年10月至2019年9月期间接受妇科腔镜手术的患者84例,分为对照组和微信组,各42例。出院后,两组均进行相同内容的健康教育,包括伤口护理、院后康复训练指导等,对照组发放纸质材料,常规电话随访;微信组通过微信发放材料及随访,与患者沟通时可上传文本、语音、视频等资料。每周2次,至术后3~4周,最后一次为门诊面对面方式。出院当日和随访结束时采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和情感量表-2进行调查,并进行满意度调查。 结果 对照组失访7例。微信组满意度优于对照组(χ ² > 4.614, P < 0.05)。末次随访时,微信组SAS、SDS和情感量表-2评分均显著改善(| t| > 16.255, P < 0.001),且显著优于对照组(| t| > 10.293, P < 0.001);对照组在干预前后各量表评分变化不明显(| t| < 1.950, P > 0.05)。 结论 基于微信平台的随访对妇科腔镜术后患者的心理康复有积极影响。

Application of WeChat in Following-up after Gynecological Laparoscopic Surgery

Objective To apply WeChat platform for discharged patients after gynecological laparoscopic surgery. Methods From October, 2018 to February, 2019, 84 patients accepted gynecological laparoscopic surgery were followed up with telephone (control group,n = 42) or WeChat (WeChat group, n = 42) from discharge to three to four weeks after surgery. They were assessed with Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Affectometer 2 on the day of discharge and the last day of follow-up. Results Seven cases lost in the control group. The comprehensive satisfaction and satisfaction to recovery were better in WeChat group than in the control group (χ ² > 4.614, P < 0.05). The scores of SAS, SDS and Affectometer 2 improved in WeChat group (| t| > 16.255, P < 0.001), and were better than those in the control group (| t| > 10.293, P < 0.001). There were no significant improvement in the control group (| t| < 1.950, P > 0.05). Conclusion Follow-up based on WeChat platform is effective on psychological recovery and satisfaction after gynecological laparoscopic surgery.