女性心脏瓣膜置换术后患者微信随访干预效果评价

目的了解微信随访干预对女性心脏瓣膜置换术后患者遵医行为及生活质量的影响。方法选取2018年1月至2019年9月女性心脏瓣膜置换术后患者96例，分为对照组和干预组，对照组给予常规护理，干预组于常规护理基础上增加微信随访干预。 对比两组遵医行为、护理满意度及自我管理能力评分、生活质量综合评定问卷-74（GQOLI-74）评分。结果微信随访干预3个月后，干预组遵医行为优于对照组（χ2=4.016、4.142、4.904、5.056，均P<0.05）；干预组自我管理能力评分、生活质量评分和护理满意度得分均高于对照组，差异有统计学意义（P<0.05）。结论微信随访干预应用于女性心脏瓣膜置换术后患者，可改善遵医行为、提高患者的自我管理能力，提高生活质量及护理满意度。

Evaluation of effect of intervention with WeChat in female patients after receiving heart valve replacement

ObjectiveTo investigate the influence of WeChat follow-up intervention on medical advice compliance and quality of life of female patients after receiving heart valve replacement.MethodsA total of 96 female patients receiving heart valve replacement from January 2018 to September 2019 were selected and divided into a control group and an intervention group. The control group was given routine care, and the intervention group was given WeChat follow-up intervention on the basis of routine care. The scores of medical advice compliance, nursing satisfaction, and self-management ability scores, and Generic Quality of Life Inventory-74 (GQOLI-74) scores were compared between the two groups.ResultsAfter 3 months of follow-up intervention with WeChat, the medical advice compliance of the intervention group was better than that of the control group ( χ2=4.016, 4.142, 4.904, 5.056, all P<0.05). The self-management ability score, quality of life score and score of satisfaction to nursing of the intervention group were higher than those of the control group, and the difference was significant (P<0.05).ConclusionWeChat follow-up intervention was applied to female patients after receiving heart valve replacement, which improved the medical advice compliance, self-management, quality of life and satisfaction to nursing of the patients.