微信式延续性护理在急诊面部外伤患者院外护理中的应用(1)
[摘要]目的：探讨微信式延续性护理在急诊面部外伤患者院外護理中的应用效果。方法：选取2017年9月-2018年2月于笔者科室行整形美容清创缝合术的急诊面部外伤患者240例，随机分为对照组和观察组，每组各120例。对照组术后给予常规护理，观察组术后通过微信沟通，给予延续性护理，随访半年，对比两组患者术后并发症、瘢痕防治依从性、患者满意度的指标。结果：观察组并发症发生率低于对照组，瘢痕防治依从性及患者满意度高于对照组，差异具有统计学意义(P<0.05)。结论：微信式延续性护理用于急诊面部外伤患者的院外护理中，有利于减少并发症的发生，提高瘢痕防治依从性及满意度，值得临床推广。
[关键词]微信；延续性护理；急诊；面部外伤；伤口护理；瘢痕防治
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2018)11-0156-04
Abstract： Objective To explore the effect of continuous nursing in emergency patients with facial trauma during out-hospital nursing. Methods From September 2017 to February 2018， 240 patients with emergency facial trauma who underwent debridement and suturing in our department were randomly divided into two groups： control group (n=120) and observation group (n=120). The control group was given routine nursing after operation， while the observation group received continuous nursing through wechat platform after operation. All the patients were followed up for half a year. The rates of postoperative complications， scar prevention compliance and patient satisfaction were compared between the two groups. Results The complication rate in the observation group was lower than that in the control group， and the compliance of scar prevention and treatment and patient satisfaction were significantly higher in the observation group than in the control group (P<0.05). Conclusion The application of continuous nursing in emergency patients with facial trauma during out-hospital nursing was beneficial to decreasing the rate of complications， improving the compliance of scar prevention and treatment and patient satisfaction. It is worth popularizing in clinic.
, 百拇医药
Key words： wechat platform； continuous nursing； emergency；facial trauma； wound care； prevention and control of scar
面部是人体最重要的美学单元，也是常见的外伤部位，如果处理不当可遗留较大的瘢痕，影响患者容貌和生活质量，给患者带来心理和生理上的痛苦，甚至造成医患纠纷[1]。随着人们生活水平及审美意识的提高，面部外伤后要求减少瘢痕、达到理想美容效果的患者越来越多，除了选择整形美容清创缝合术减少瘢痕外，术后的护理也尤为重要。良好的伤口护理可以保证最大限度地美学修复伤口、恢复面部功能和形态，减少术后瘢痕增生[2]。由于急诊就诊时间短及医护人力有限，常规口头健康教育护理方式很难让患者掌握正确的伤口护理方法及瘢痕防治知识。微信能即时传输文字、语音、视频、图片等信息。延续性护理的实施使护理从医院延伸到家庭，让患者在院外得到持续照护，有利于患者康复[3]。如何指导急诊面部外伤患者做好术后伤口护理，预防并发症、提高瘢痕防治依从性、减少瘢痕形成，是急诊面部外伤患者术后延续性护理中亟待解决的问题。笔者将微信式延续性护理应用于120名急诊面部外伤患者术后院外护理中，取得了满意效果，现报道如下。
, 百拇医药
1 资料和方法
1.1 一般资料：选取2017年9月-2018年2月于笔者科室行整形美容清创缝合术的急诊面部外伤患者240例。其中男138例，女102例；年龄1～74岁；受伤时间15min～11h；外伤原因：摔伤、车祸伤、刀割伤、咬伤。采用计算机数字表法将患者随机分为观察组和对照组，每组120例，两组患者一般资料比较，差异无统计学意义，具有可比性。
1.2 纳入和排除标准
1.2.1 纳入标准：①因急诊面部外伤需行整形美容清创缝合术者；②无糖尿病等影响伤口愈合的疾病；③患者或家属意识清，与医护人员沟通无障碍，可熟练使用手机微信软件；④所有患者均自愿签属知情同意书。, http://www.100md.com(行倩倩 郭媛 马艳梅)
[关键词]微信；延续性护理；急诊；面部外伤；伤口护理；瘢痕防治
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2018)11-0156-04
Abstract： Objective To explore the effect of continuous nursing in emergency patients with facial trauma during out-hospital nursing. Methods From September 2017 to February 2018， 240 patients with emergency facial trauma who underwent debridement and suturing in our department were randomly divided into two groups： control group (n=120) and observation group (n=120). The control group was given routine nursing after operation， while the observation group received continuous nursing through wechat platform after operation. All the patients were followed up for half a year. The rates of postoperative complications， scar prevention compliance and patient satisfaction were compared between the two groups. Results The complication rate in the observation group was lower than that in the control group， and the compliance of scar prevention and treatment and patient satisfaction were significantly higher in the observation group than in the control group (P<0.05). Conclusion The application of continuous nursing in emergency patients with facial trauma during out-hospital nursing was beneficial to decreasing the rate of complications， improving the compliance of scar prevention and treatment and patient satisfaction. It is worth popularizing in clinic.
, 百拇医药
Key words： wechat platform； continuous nursing； emergency；facial trauma； wound care； prevention and control of scar
面部是人体最重要的美学单元，也是常见的外伤部位，如果处理不当可遗留较大的瘢痕，影响患者容貌和生活质量，给患者带来心理和生理上的痛苦，甚至造成医患纠纷[1]。随着人们生活水平及审美意识的提高，面部外伤后要求减少瘢痕、达到理想美容效果的患者越来越多，除了选择整形美容清创缝合术减少瘢痕外，术后的护理也尤为重要。良好的伤口护理可以保证最大限度地美学修复伤口、恢复面部功能和形态，减少术后瘢痕增生[2]。由于急诊就诊时间短及医护人力有限，常规口头健康教育护理方式很难让患者掌握正确的伤口护理方法及瘢痕防治知识。微信能即时传输文字、语音、视频、图片等信息。延续性护理的实施使护理从医院延伸到家庭，让患者在院外得到持续照护，有利于患者康复[3]。如何指导急诊面部外伤患者做好术后伤口护理，预防并发症、提高瘢痕防治依从性、减少瘢痕形成，是急诊面部外伤患者术后延续性护理中亟待解决的问题。笔者将微信式延续性护理应用于120名急诊面部外伤患者术后院外护理中，取得了满意效果，现报道如下。
, 百拇医药
1 资料和方法
1.1 一般资料：选取2017年9月-2018年2月于笔者科室行整形美容清创缝合术的急诊面部外伤患者240例。其中男138例，女102例；年龄1～74岁；受伤时间15min～11h；外伤原因：摔伤、车祸伤、刀割伤、咬伤。采用计算机数字表法将患者随机分为观察组和对照组，每组120例，两组患者一般资料比较，差异无统计学意义，具有可比性。
1.2 纳入和排除标准
1.2.1 纳入标准：①因急诊面部外伤需行整形美容清创缝合术者；②无糖尿病等影响伤口愈合的疾病；③患者或家属意识清，与医护人员沟通无障碍，可熟练使用手机微信软件；④所有患者均自愿签属知情同意书。, http://www.100md.com(行倩倩 郭媛 马艳梅)