目的 探讨微信平台在老年髋部骨折出院患者家庭养护中应用效果。方法 选择2018年5月—2019年3月治疗的老年髋部骨折患者100例作为对象,以随机数字表法分为对照组(n=50)和观察组(n=50)。对照组给予常规出院指导,观察组在对照组基础上联合微信平台给予出院后的延续护理,比较两组出院指导满意度,复诊依从性,护理干预知识的掌握程度及并发症发生情况,评定两组患者干预后生活自理能力。结果 观察组出院后6个月并发症发生率(8.00%)明显低于对照组(36.00%),差异有统计学意义(P<0.05);观察组患者Barthel指数评分明显高于对照组(P<0.05);观察组服药依从性、复诊依从性、指导满意度和护理干预知识掌握情况,均优于对照组(P<0.05)。结论 通过微信平台进行老年髋部骨折出院随访及家庭养护知识指导,可提高患者复诊依从性,减少并发症的发生,提高老年患者自理生活能力,有效改善患者预后,提高临床疗效,值得推广应用。

Objective To explore the application effect of WeChat platform on family nursing of elderly patients with hip fracture.Methods A total of 100 elderly patients with hip fracture treated from May 2018 to March 2019 were enrolled and divided into control group (n=50) and observation group (n=50) according to random number table.The control group was given routine discharge guidance.The observation group was additionally given nursing after discharge using WeChat platform.The satisfaction of discharge guidance, compliance of follow-up visits, understanding of nursing intervention related knowledge, and complications were compared between the two groups.The patient’s self-care ability after intervention was evaluated.Results The complication rate of the observation group at 6 months after discharge (8.00%) was significantly lower than that of the control group (36.00%) (P<0.05).The Barthel index score of the observation group was significantly higher than that of the control group (P<0.05).Moreover, the medication compliance, follow-up compliance, guidance satisfaction, and understanding of knowledge of nursing intervention of the observation group were better than those of the control group (P<0.05).Conclusion Using WeChat platform for follow-up and family nursing of elderly patients with hip fracture can increase their follow-up compliance, reduce the incidence of complications, elevate self-care ability, and effectively improve prognosis and clinical efficacy, which is worthy of popularization and application.