微信干预在急诊科肌肉骨骼损伤患者中的应用效果研究

目的 探讨微信干预对急诊科肌肉骨骼损伤患者心境、应对方式及满意度的效果.方法 选取2016年9月至2017年3月在郑州市某三级甲等医院急诊科就诊的76例肌肉骨骼损伤患者,分为对照组和干预组,每组38例.对照组给予急诊科常规引导、健康宣教及电话随访;干预组在对照组常规引导、宣教的基础上,由急诊信息化研究小组通过微信推送肌肉骨骼损伤相关信息,通过网络通信进行个性化指导、回答患者疑问.干预1周后比较两组患者心境、应对方式及患者满意度.结果 干预1周后,干预组简明心境量表[(41.55±8.40)分]、Grogan患者满意度量表[(83.45±8.07)分]得分均低于对照组的(46.13±9.37)、(94.58±9.49)分,差异有统计学意义(P<0.05);干预组干预后面对应对、回避应对、屈服应对均有明显改变(P<0.05).结论运用微信干预能够改善急诊科肌肉骨骼损伤患者心境及医疗应对方式,提高患者的满意度,值得推广.

Application effect of WeChat intervention in patients with musculoskeletal injuries in emergency department

Objective To explore the effect of WeChat intervention on mood ,coping style and satisfaction of the patients with musculoskeletal injury in emergency department .Methods Seventy-six patients with acute musculoskeletal injury in the emer-gency department of a grade 3A hospital in Zhengzhou City from September 2016 to March 2017 were selected and randomly divided into the control group and intervention group ,38 cases in each group .The control group was given the conventional guidance ,health education and telephone follow up ;while on this basis ,the intervention group received the musculoskeletal injury related information with WeChat sent by the emergency informatization research group ,the personalized guidance and answering the patient′s questions by network communication were performed .The mood ,coping style and patient satisfaction after 1 week intervention were com-pared between the two groups .Results The Brief Profile of Mood State score after 1 week intervention in the intervention group was (41 .55 ± 8 .40) points and the Grogan Patient Satisfaction Questionnaire score was (83 .45 ± 8 .07) ,which were lower than (46 .13 ± 9 .37) points and (94 .58 ± 9 .49) points ,the difference was statistically significant (P<0 .05);in the intervention group , the face-face coping ,avoidance coping and surrender coping were significantly improved (P<0 .05) .Conclusion After 1 weeks of in-tervention ,patients in the intervention group were better than those in the control group in mood ,medical coping and satisfac-tion ,It is a kind of intervention method worthy of popularization .