Abstract:

Objective　To analyze the application effect of WeChat group continuous nursing + peer education in the outpatient treatment for children with congenital talipes equinovarus (CTEV). Methods　A total of 42 children with CTEV treated in Outpatient Department, Nanyang Orthopedic Hospital from January 2018 to December 2020 were selected for the random control trial. They were divided into a control group and an observation group by the random number table method, with 21 cases in each group. The control group had 14 males and 7 females who were (6.95±1.20) months old. The observation group had 16 males and 5 females who were (6.98±1.23) months old. The control group received routine nursing, and the observation group WeChat group continuous nursing + peer education. Both groups received continuous nursing for 6 weeks. The family members' mastery conditions of disease-related knowledge, the incidences of complications, and the family members' satisfaction degrees were compared between the two groups. t and χ² tests were applied. Results　The scores of pathogenesis, plaster nursing, life nursing, and complication observation in family members' disease-related knowledge were (82.29±2.65), (83.94±3.25), (83.46±3.62), and (80.16±3.11) in the observation group, which were all higher than those in the control group, with statistical differences (t=6.778, 5.029, 3.195, and 4.884; all P<0.05). There were no complications in the observation group, which was lower than that in the control group [28.57% (6/21)], with a statistical difference (χ²=4.861, P=0.028). The scores of service attitude, disease knowledge notification, operation technology, and health guidance were (83.36±3.32), (84.02±3.62), (83.15±3.40), and (83.19±3.45) in the family members' satisfaction degree in the observation group, which were higher than those in the control group, with statistical statistical differences (t=3.052, 3.466, 2.715, and 2.670; P=0.004, 0.001, 0.010, and 0.011). Conclusions　The WeChat group continuous nursing + peer education can improve the family members' mastery of health knowledge of children with CTEV, effectively reduce the occurrence risk of complications of plaster fixation, and promote the improvement of family satisfaction degree.

Key words:

WeChat group, Continuous care, Peer education, Congenital talipes equinovarus in children, Complications, Satisfaction degree

摘要：

目的　分析微信群延续护理+同伴教育在小儿先天性马蹄足（CTEV）门诊治疗中的应用效果。方法　选择2018年1月至2020年12月南阳市骨科医院门诊治疗的42例CTEV患儿进行随机对照试验，采用随机数字表法将其分为对照组和观察组，各21例。对照组男14例，女7例，年龄（6.95±1.20）个月。观察组男16例，女5例，年龄（6.98±1.23）个月。对照组实施常规护理，观察组实施微信群延续护理+同伴教育，两组均持续护理6周。比较两组家属疾病相关知识掌握情况、并发症发生率和家属满意度。采用t检验和χ²检验，P<0.05差异有统计学意义。结果　观察组护理后家属疾病相关知识中发病机制（82.29±2.65）分、石膏护理（83.94±3.25）分、生活护理（83.46±3.62）、并发症观察（80.16±3.11）分，均高于对照组，差异均有统计学意义（t=6.778、5.029、3.195、4.884，均P<0.05）。观察组未发生并发症，低于对照组的28.57%（6/21），差异有统计学意义（χ²=4.861，P=0.028）；观察组家属满意度中服务态度（83.36±3.32）分、疾病知识告知（84.02±3.62）分、操作技术（83.15±3.40）分、健康指导（83.19±3.45）分，均高于对照组，差异有统计学意义（t=3.052、3.466、2.715、2.670，P=0.004、0.001、0.010、0.011）。结论　微信群延续护理+同伴教育的实施能够提高CTEV患儿家属对健康知识的掌握，有效降低石膏固定并发症发生风险，促进家属满意度提升。

关键词:

微信群, 延续护理, 同伴教育, 小儿先天性马蹄足, 并发症, 满意度