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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。
Objective To explore the effect of WeChat intervention on mood, coping style and satisfaction of patients with musculoskeletal injury in emergency department. Methods Seventy-six patients with musculoskeletal injuries who visited the emergency department of a Grade-III Hospitals in Zhengzhou from September 2016 to March 2017 were divided into control group and intervention group, with 38 cases in each group. The control group was given routine guidance of emergency department, health education and telephone follow-up. On the basis of conventional guidance and mission education of the control group, the intervention group pushed the information of musculoskeletal injury through Wechat to conduct personalized guidance through network communication, Answer patient questions. One week after the intervention, the mood, coping style and patient satisfaction of the two groups were compared. Results After 1 week of intervention, the scores of Concise Mood Scale (41.55 ± 8.40) and Grogan Satisfaction Scale (83.45 ± 8.07) in intervention group were significantly lower than those in control group (46.13 ± 9.37, 94.58 ± 9.49), the difference was statistically significant (P <0.05). After the intervention, there were significant differences (P <0.05) between the intervention group and the control group. Conclusion WeChat intervention can improve mood and medical coping style of patients with musculoskeletal injury in emergency department and improve patient satisfaction, which is worthy of popularization.