Department of General Surgery, Dongfeng Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
College of Nursing, Hubei University of Medicine, Shiyan, Hubei, China.
Patient Educ Couns. 2018 Aug;101(8):1433-1438. doi: 10.1016/j.pec.2018.02.010. Epub 2018 Feb 19.
This study examined the effects of WeChat-assisted perioperative instructions for parents whose children were to undergo herniorrhaphy.
A randomized controlled trial was conducted in a day surgery center in China. Participants were randomly assigned to the intervention (WeChat) group (n = 209) and the control (Leaflet) group (n = 209). The primary outcomes of this study were parents' knowledge regarding hernia and rate of cancellation of children's surgery. The secondary outcomes were the rate of lost-to-follow-up and the rate of complications and adverse events during the seventh postoperative follow-up day.
There was a significant difference in the rate of cancelling the surgery and the mean knowledge score between the WeChat group and leaflet groups. The lost-to-follow-up rate was significantly lower in the WeChat group (0.54%) than in the leaflet group (3.66%). The incidence of postoperative complications were higher in the control group.
WeChat-assisted perioperative care instructions enhanced parents' knowledge on perioperative instructions and promoted the preparation of their children for day surgery resulting in lower rate of cancelling the surgery.
WeChat has the ability to expand health services outside the hospital confines and could be used as an important low-cost health educational medium in China.
本研究考察了微信辅助式围手术期家长指导对疝修补术患儿家长的影响。
在中国一家日间手术中心开展了一项随机对照试验。参与者被随机分配至干预（微信）组（n=209）和对照组（单页）组（n=209）。本研究的主要结局指标为家长对疝的认知水平和患儿手术取消率。次要结局指标为失访率和第 7 天术后随访期间并发症和不良事件的发生率。
微信组和单页组在手术取消率和平均知识评分方面存在显著差异。微信组的失访率（0.54%）显著低于单页组（3.66%）。对照组术后并发症发生率较高。
微信辅助式围手术期护理指导提高了家长对围手术期指导的认知水平，促进了患儿接受日间手术的准备，从而降低了手术取消率。
微信有能力扩大医院以外的医疗服务范围，可作为中国一种重要的低成本健康教育媒介。
