基于微信结合回授法的延续护理在气管切开患者中的应用

doi:10.3969/j.issn.2095-378X.2025.01.023

外科研究与新技术（中英文） ›› 2025, Vol. 14 ›› Issue (1): 96-100.doi: 10.3969/j.issn.2095-378X.2025.01.023

• 护理园地 • 上一篇

基于微信结合回授法的延续护理在气管切开患者中的应用

金煜红, 施海柳

同济大学附属同济医院急诊科,上海 200065

收稿日期:2024-02-20 出版日期:2025-03-28 发布日期:2025-04-09
通讯作者: 施海柳,电子信箱：jinyuhong983@sina.com
作者简介:金煜红（1982—），女，学士，主管护师，从事急诊临床护理

Application of continuous nursing based on WeChat platform combined with teach-back method to patients with tracheotomy

JIN Yuhong, SHI Hailiu

Department of Emergency, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China

Received:2024-02-20 Online:2025-03-28 Published:2025-04-09

摘要/Abstract

摘要： 目的　探讨基于微信结合回授法的延续护理在气管切开患者中的应用及效果。方法　选取2021年9月—2023年3月同济大学附属同济医院急诊监护室气管切开带管出院患者28例为研究对象,采用随机数字表法分为对照组和观察组,每组各14例。对照组实施常规延续护理,予出院健康指导及出院后电话随访,观察组实施基于微信结合回授法的延续护理模式,比较两组气管切开居家护理知识掌握程度、并发症发生率、护理服务满意率方面的差异。结果　干预前,两组气管切开居家护理知识调查问卷得分均较低,差异无统计学意义（P>0.05）;干预后,两组气管切开居家护理知识调查问卷得分均提高,且观察组高于对照组（P<0.05）。观察组并发症发生率低于对照组,护理服务满意率均高于对照组,差异均有统计学意义（P<0.05）。结论　基于微信结合回授法的延续护理模式,可有效促进气管切开患者居家护理规范性,减少并发症,提升护理满意度。

关键词: 气管切开, 延续护理, 回授法, 微信

Abstract: Objective To evaluate the effect of continuous nursing based on WeChat platform combined with teach-back method among patients with tracheotomy. Methods From September 2021 to March 2023, a total of 28 patients with tracheotomy and tube insertion discharged from the Emergency Intensive Care Unit at Tongji Hospital Affiliated to Tongji University were randomly divided into a control group and an observation group by random number table method, with 14 cases in each group. The control group received routine continuous nursing, health guidance, and telephone follow-up after discharge. The observation group were given continuous nursing based on WeChat platform and teach-back method. The differences in home nursing knowledge mastery rate, complication rate, and nursing service satisfaction rate between the two groups were compared. Results Before nursing, the home nursing knowledge scores were low in the two groups, and the difference was not statistically significant （P>0.05）; after nursing, the scores in both groups were increased, and the score of the observation group was higher than those of the control group （P<0.05）. The incidence of complications was lower and the nursing service satisfactory rate was higher in the observation group than those in the control group （P<0.05）. Conclusion The continuous nursing mode based on WeChat platform combined with teach-back method can effectively promote standardized home nursing for patients with tracheotomy, reduce complications, and improve nursing satisfaction.

Key words: Tracheotomy, Continuous nursing, Teach-back method, WeChat

中图分类号:

金煜红, 施海柳. 基于微信结合回授法的延续护理在气管切开患者中的应用[J]. 外科研究与新技术（中英文）, 2025, 14(1): 96-100.

JIN Yuhong, SHI Hailiu. Application of continuous nursing based on WeChat platform combined with teach-back method to patients with tracheotomy[J]. Surgical Research and New Technique, 2025, 14(1): 96-100.

参考文献

[1] 冯小梅. 气管切开术后护理进展[J]. 护理学杂志,2002,17(11):876.
[2] 叶海春,李丽,高先连. 回授法在护理健康教育中的研究进展[J]. 中华护理教育,2019,16(7):547-550.
[3] Tran S, Bennett G, Richmond J, et a1. ‘Teach-back' is a simple communication tool that improves disease knowledge in people with chronic hepatitis B—a pilot randomized controlled study[J]. BMC Public Health, 2019, 19(1): 1355.
[4] Ahmadidarrehsima S, Bidmeshki EA, Rahnama M, et a1. The effect of self management education by the teach-back method on uncertainty of patients with breast cancer: a quasi-experimental study[J]. J Cancer Educ, 2020, 35(2): 366-372.
[5] 李亚楠,欧阳淑怡,张小妮,等. 回授法在孔源性视网膜脱离患者术后体位配合及用药知识健康教育中的应用[J]. 齐鲁护理杂志,2022,28(16):27-30.
[6] 王丽娜,李青荷,林娟. 颅脑操作气管切开术后患者两种居家护理服务模式应用比较[J]. 护理学杂志,2017,32(22):99-101.
[7] 陈红,曹李瑶,王冲. 气管切开患者居家护理主要照顾者负担及其影响因素分析[J]. 中国医药,202l,16(3):460-463.
[8] 尹淑慧,彭瑛,钟礼立,等. 气管切开患者照顾者照护体质性研究的Meta整合[J]. 中华现代护理杂志,2021,27(24):3251-3258.
[9] McCormick ME, Ward E, Roberson DW, et a1. Life after tracheostomy: patient and family perspectives on teaching,transitions, and multidisciplinary teams[J]. Otolaryngol Head Neck Surg, 2015, 153(6): 914-920.
[10] 覃桂荣. 出院患者延续护理的现状及发展趋势[J]. 护理学杂志,2012,27(3):89-91.
[11] 付伟,李萍,钟银燕. 延续性护理研究综述[J]. 中国实用护理杂志,2010,26(4):27-30.
[12] 陶剑芳,陶建双,陶俊洁. 癌痛规范化管理结合微信平台宣教对肿瘤患者镇痛的影响[J]. 护理学杂志,2018,33(5):89-91.
[13] 葛畅,席淑新. 前庭功能障碍患者基于微信平台的个性化前庭康复管理[J]. 护理学杂志,2020,35(10):86-89.
[14] Jager AJ, Wynia MK.Who gets a teach-back? Patient-reported incidence of experiencing a teach-back[J]. J Health Commun, 2014, 19(3): 294-302.
[15] White M, Garbez R, Carroll M, et al.Is "teach-back" associated with knowledge retention and hospital readmission in hospitalized heart failure patients?[J]. J Cardiovasc Nurs, 2013, 28(2): 137-146.
[16] 潘翠柳,张双,张志茹. 回授法在护理健康教育中的应用现状[J]. 护理学杂志,2016,31(14):110-112.
[17] 黄丽,王晓霞,张娟. 回馈教学对食管癌开胸手术患者呼吸功能锻炼依从性的研究[J]. 中华护理杂志,2016,51(1):26-28.
[18] 周长兰,闻俊,谢翠琴. 回授法促进肺结核合并慢性阻塞性肺疾病患者呼吸功能锻炼的实践研究[J]. 中华护理教育,2017,14(5):368-371.
[19] 王静,柯炜. 回授法在慢性病管理中的应用进展[J]. 中华现代护理杂志,2018,24(19): 2349-2352.
[20] 彭孔梅,黄晓英. 对家庭主要照顾者实施回授法干预对老年桡骨远端骨折患者术后营养状况和康复的影响[J]. 护士进修杂志,2020,35(3):229-233.
[21] 张云霞,丁娟,赵一雷. 团体生活延续性护理对脑出血患者术后自我效能与的生活质量的影响[J]. 现代医学,2017,45(3):459-462.
[22] 韦艳时. 回授法健康教育模式的适用性综述[J]. 中国实用护理杂志,2018,34(2): 144-147.
[23] 黄敏香,孙恋冬,陈燕燕,等. 基于微视频的回授法在踝关节骨折术后康复训练指导中的应用[J]. 全科护理,2020,18(14):1712-1715.
[24] 缪姗姗,张丽华,保雯雯. 回授法健康教育对肝硬化患者疾病知识认知程度、自我管理能力及生活质量的影响[J]. 齐鲁护理杂志,2022,28(17):123-125.
[25] 王新,鲁军帅,宋佳佳,等. 回授法联合微信健康教育对后颅窝肿瘤术后吞咽困难患者康复的影响[J]. 护理学杂志,2021,36(9):75-78.
[26] 宋利英,韩晓霞,田晓庚,等. 微信多学科协作团队模式下的延续护理在脑卒中患者居家管理中的应用[J]. 齐鲁护理杂志,2023,29(3):144-146.

基于微信结合回授法的延续护理在气管切开患者中的应用

Application of continuous nursing based on WeChat platform combined with teach-back method to patients with tracheotomy

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 4

编辑推荐

Metrics

本文评价

[1]	李柳, 杨雪英, 吕玉红. 微信平台在老年髋部骨折出院患者家庭养护中应用分析[J]. 外科研究与新技术, 2019, 8(4): 291-294.
[2]	张莹, 葛琴, 杨皓珺. 环保型气管切开防水垫的制作与临床应用[J]. 外科研究与新技术, 2017, 6(3): 226-228.
[3]	胡小懿张馨. 延续护理对肺癌术后化疗患者生活质量的影响[J]. 外科研究与新技术, 2017, 6(1): 70-72.
[4]	刘丽. 改良插胃管术在昏迷气管切开患者中的护理体会[J]. 外科研究与新技术, 2016, 5(2): 136-138.