Influence of WeChat platform on the compliance of continuous treatment of scar in adult burn patients
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摘要: 目的 探讨微信平台对成年烧伤患者瘢痕延续治疗依从性的影响。 方法 将笔者单位烧伤科2015年1月—2016年1月收治的符合入选标准的124例成年烧伤患者,按随机数字表法分为微信组63例和对照组61例。对照组患者给予常规出院康复指导;微信组患者在常规出院康复指导的基础上于出院时加入微信平台,微信平台干预小组成员通过推送康复计划和康复相关知识、组织烧伤患者互助讨论、解答患者疑问等进行持续6个月的瘢痕延续治疗指导。采用笔者单位自制的功能锻炼依从性记录表评价2组患者出院前1周及出院后3、6个月的功能锻炼依从性,采用笔者单位自制的抗瘢痕药物和用具使用记录表评价患者出院后3、6个月的抗瘢痕药物和用具使用依从性。对数据行
χ 2检验、独立样本t 检验、独立样本非参数秩和检验、Wilcoxon秩和检验。 结果 (1)微信组患者出院前1周功能锻炼依从比为95.24%(60/63),与对照组的93.44%(57/61)相近(χ 2=0.188,P >0.05)。出院后3、6个月,微信组患者功能锻炼依从比分别为93.65%(59/63)、87.30%(55/63),分别高于对照组的68.85%(42/61)、65.57%(40/61),χ 2=12.615、8.166,P <0.01。(2)微信组患者在出院后3、6个月抗瘢痕药物使用依从性均明显优于对照组(Z =-4.150、-4.563,P <0.01)。(3)微信组患者在出院后3、6个月抗瘢痕用具使用依从性均明显优于对照组(Z =-4.242、-4.301,P <0.01)。 结论 利用微信平台提供瘢痕康复延续治疗指导,可以提高成年烧伤患者功能锻炼及抗瘢痕药物和用具使用的依从性。Abstract: Objective To explore influence of the WeChat platform on the compliance of continuous treatment of scar in adult burn patients. Methods A total of 124 adult burn patients, conforming to the study criteria, admitted in the Department of Burns of our hospital from January 2015 to January 2016 were divided into WeChat group (n =63) and control group (n =61) according to the random number table. Patients in control group only received regular discharging rehabilitation guide, while patients in WeChat group received regular discharging rehabilitation guide and joined WeChat platform after being discharged from hospital. Through pushing rehabilitation plan and rehabilitation related knowledge, organizing support discussion of burn patients, answering the patients′ questions, members of WeChat platform intervention group conducted continuous treatment for 6 months on patients of WeChat group. The compliance of functional exercise of patients in two groups in one week before discharge and 3 and 6 months after discharge was evaluated by using the self-made functional exercise compliance log sheet. The compliance of using anti-scar drug and appliance of patients in two groups in 3 and 6 months after discharge was evaluated by using self-made anti-scar drug and appliance usage log sheets. Data were processed with chi-square test, independent samplet test, non-parametric rank sum test of independent sample, and Wilcoxon rank sum test. Results (1) The compliance ratio of functional exercise of patients in WeChat group (95.24%, 60/63) was close to 93.44% (57/61) in control group in one week before discharge (χ 2=0.188,P >0.05). The compliance ratios of functional exercise of patients in WeChat group were respectively 93.65% (59/63) and 87.30% (55/63) in 3 and 6 months after discharge, which were higher than 68.85% (42/61) and 65.57% (40/61) in control group (χ 2=12.615, 8.166,P <0.01). (2) The compliance of using anti-scar drug of patients in WeChat group was significantly better than that in control group in 3 and 6 months after discharge (Z =-4.150, -4.563,P <0.01). (3) The compliance of using anti-scar appliance of patients in WeChat group in 3 and 6 months after discharge was obviously better than that in control group (Z =-4.242, -4.301,P <0.01). Conclusions By using WeChat platform to provide guide for scar rehabilitation continuous treatment, adult burn patients have better compliance to functional exercise and usage of anti-scar drug and appliance.-
Key words:
- Burns /
- Cicatrix /
- WeChat platform /
- Continuous treatment
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