劉蘭霞　張建榮　陳志錦

[摘要]目的 探討移動(dòng)宣教平臺(tái)在行外科手術(shù)的血液透析患者中的應(yīng)用效果。方法 選取2016年1月～2017年12月我院收治且行手術(shù)的透析患者107例。采用目的抽樣法，將2016年1～12月收治且行手術(shù)的透析患者53例設(shè)為對(duì)照組，將2017年1～12月收治且行手術(shù)的透析患者54例設(shè)為觀察組。觀察組圍術(shù)期采用血透專科護(hù)士基于微信平臺(tái)構(gòu)建的移動(dòng)、便捷、可視宣教模式，對(duì)照組圍術(shù)期采用常規(guī)外科護(hù)士面對(duì)面健康宣教模式，比較兩組患者術(shù)前對(duì)預(yù)防手術(shù)部位感染認(rèn)知情況、術(shù)后切口愈合情況、手術(shù)部位感染發(fā)生率。結(jié)果 觀察組術(shù)前預(yù)防手術(shù)部位感染認(rèn)知情況、術(shù)后切口愈合情況均優(yōu)于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05），手術(shù)部位感染發(fā)生率低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 血透專科護(hù)士指導(dǎo)下的移動(dòng)宣教平臺(tái)能夠?qū)π型饪剖中g(shù)的透析患者進(jìn)行更為便捷有效的指導(dǎo)，提高患者預(yù)防手術(shù)部位感染認(rèn)知，降低手術(shù)部位感染發(fā)生率。

[關(guān)鍵詞]血液透析；移動(dòng)宣教平臺(tái)；外科；手術(shù)；感染

[中圖分類號(hào)] R473.5 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-4721（2018）6（c）-0164-03

[Abstract]Objective To explore the application effect of mobile propaganda and education platform in hemodialysis patients performed with surgeries.Methods A total of 107 dialysis patients admitted to our hospital from January 2016 to December 2017 who underwent surgery were selected.Using objective sampling method，53 patients admitted from January to December 2016 were set as control group and 54 patients admitted from January to December 2017 were set as observation group.The observation group adopted a mobile，convenient and visual education model built by hemodialysis specialist nurses based on wechat platform during the perioperative period，while the control group adopted a face-to-face health education model for routine surgical nurses during the perioperative period.The preoperative awareness of the prevention of surgical site infection， postoperative wound healing， and the incidence of surgical site infection in the two groups were compared.Results The observation group was better than the control group in the cognition of prevention of surgical site infection before operation and the healing of incision after operation，and the difference was statistically significant （P<0.05）. The incidence of surgical site infection in the observation was lower than that of the control group， and the difference was statistically significant （P<0.05）.Conclusion The mobile propaganda and education platform under the guidance of professional nurses in the hemodialysis room can provide convenient and effective guidance for hemodialysis patients undergoing surgeries.It can improve patients′ knowledge of infection prevention in surgical sites and reduce the incidence of surgical site infection.

[Key words]Hemodialysis；Mobile propaganda and education platform；Department of Surgery；Operation；Infection

目前我國血液透析患者數(shù)量呈現(xiàn)逐年增長趨勢(shì)[1-2]，行外科手術(shù)的血液透析患者數(shù)量也呈現(xiàn)增長趨勢(shì)[3]；而行手術(shù)的血液透析患者與其他手術(shù)患者相比，更容易出現(xiàn)貧血、低蛋白血癥、電解質(zhì)紊亂等，這些因素使得血液透析患者手術(shù)部位感染發(fā)生率往往高于其他患者[4-5]。外科的醫(yī)護(hù)由于不夠?qū)I(yè)，對(duì)透析期間行手術(shù)患者的宣教內(nèi)容只關(guān)注本專業(yè)，而忽略強(qiáng)調(diào)與血液透析相關(guān)的圍術(shù)期宣教。2017年1月開始我院在血液透析專科護(hù)士指導(dǎo)下，基于微信平臺(tái)構(gòu)建了移動(dòng)、便捷、可視性宣教模式，對(duì)行外科手術(shù)的血液透析患者進(jìn)行預(yù)防手術(shù)部位感染的相關(guān)知識(shí)宣教，以期降低手術(shù)部位感染發(fā)生率，現(xiàn)取得良好效果，現(xiàn)報(bào)道如下。