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。
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.
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