摘要
目的:探究微信群联合健康指导对前交叉韧带并半月板损伤患者术后功能锻炼依从性及护理工作满意度的影响。方法:选取2017年1月―2020年8月郑州市骨科医院收治的118例前交叉韧带并半月板损伤患者作为研究对象,按建档时间不同分成常规组和微信组,每组各59例。常规组接受常规护理干预,微信组于常规组基础上接受微信群联合健康指导干预。比较两组患者干预后功能锻炼依从性、健康教育知识掌握度、自护能力测量量表(ESCA)评分、心理弹性量表(CD-RISC)评分及护理工作满意度。结果:微信组功能锻炼依从性优于常规组,差异有统计学意义(u=2.976,P<0.05)。干预1个月、3个月后微信组健康教育知识掌握度均较常规组高,差异有统计学意义(t=11.633、18.319,P<0.05)。干预1个月、3个月后微信组ESCA评分较常规组高,差异有统计学意义(t=10.226、8.572,P<0.05)。干预1个月、3个月后微信组CD-RISC评分较常规组高,差异有统计学意义(t=8.583、12.479,P<0.05)。微信组护理工作满意度为96.61%(57/59),较常规组的79.66%(47/59)高,差异有统计学意义(χ^(2)=8.104,P<0.05)。结论:微信群联合健康指导护理干预应用于前交叉韧带并半月板损伤患者中,可有效提高患者自身病症认知度、功能锻炼依从性、自护能力,提高护理工作满意度,且有助于调节患者心理状态,值得临床推广。
Objective:To explore the effect of WeChat group combined health guidance on postoperative functional exercise compliance and nursing job satisfaction of patients with anterior cruciate ligament and meniscus injury.Methods:A total of 118 patients with anterior cruciate ligament and meniscus injuries admitted to the hospital from January 2017 to August 2020 were selected as the research subjects,and divided into two groups according to the time of file establishment,with 59 cases in each group.The conventional group received routine nursing intervention,and the WeChat group received the WeChat group combined health guidance intervention on the basis of the routine group.The functional exercise compliance,mastery of health education knowledge,self-care ability measurement scale(ESCA)score,psychological resilience scale(CD-RISC)score and nursing job satisfaction were compared between the two groups after intervention.Results:The functional exercise compliance of the WeChat group was better than that of the conventional group,and the difference was statistically significant(u=2.976,P<0.05).After 1 month and 3 months of intervention,the knowledge mastery of health education in the WeChat group was higher than that in the conventional group,and the difference was statistically significant(t=11.633,18.319,P<0.05).After 1 month and 3 months of intervention,the ESCA score of the WeChat group was higher than that of the conventional group,and the difference was statistically significant(t=10.226,8.572,P<0.05).After 1 month and 3 months of intervention,the CD-RISC score of the WeChat group was higher than that of the conventional group,and the difference was statistically significant(t=8.583,12.479,P<0.05).The nursing job satisfaction of the WeChat group was 96.61%(57/59),which was higher than 79.66%(47/59)of the routine group,with statistically significant difference(χ^(2)=8.104,P<0.05).Conclusion:The application of WeChat group combined with health guidance nursing intervention in patients with anterior cruciate ligament and meniscus injury can effectively improve patients’awareness of their own symptoms,functional exercise compliance,self-care ability,improve nursing satisfaction,and help adjust the psychological state of patients,which is worthy of clinical promotion.
作者
师晓静
SHI Xiao-jing(Inpatient Department,Zhengzhou Orthopedic Hospital,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2022年第9期1131-1133,1136,共4页
Heilongjiang Medical Journal
关键词
前交叉韧带并半月板损伤
健康指导
微信群
功能锻炼依从性
Anterior cruciate ligament and meniscus injury
Health guidance
WeChat group
Functional exercise compliance
