Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China.
Braz J Cardiovasc Surg. 2021 Aug 6;36(4):530-534. doi: 10.21470/1678-9741-2020-0256.
To investigate the effect of WeChat-based telehealth services on the postoperative follow-up of children who underwent congenital heart surgery during the COVID-19 epidemic.
This study retrospectively analyzed the clinical and family data of 108 children who underwent congenital heart surgery and underwent remote follow-up via the WeChat platform from December 2019 to March 2020 in our hospital.
During the follow-up period, the WeChat platform was used to refer 8 children with respiratory infection symptoms to local hospitals for treatment. Two children with poor incision healing were healed after we used the WeChat platform to guide the parents in dressing the wounds on a regular basis at home. Nutritional guidance was given via the WeChat platform to 13 patients with poor growth and development. The psychological evaluation results of the parents showed that the median (range) SDS score was 43 (34-59), and 7 parents (6.5%) were classified as depressed; the median (range) SAS score was 41 (32-58), and 12 parents (11.1%) were classified as having mild anxiety.
The use of WeChat-based telehealth services was effective for the remote postoperative follow-up of children who underwent congenital cardiac surgery during the COVID-19 epidemic. Providing WeChat-based telehealth services can reduce the amount of travel required for these children and their families, which is helpful for controlling and preventing the spread of COVID-19.
研究在 COVID-19 疫情期间,基于微信的远程医疗服务对接受先天性心脏病手术患儿术后随访的影响。
本研究回顾性分析了 2019 年 12 月至 2020 年 3 月期间,我院 108 例行远程微信平台随访的先天性心脏病术后患儿的临床和家庭资料。
在随访期间,通过微信平台将 8 例有呼吸道感染症状的患儿转至当地医院治疗。2 例切口愈合不良的患儿,经我们指导家长定期在家中换药后愈合。对 13 例生长发育不良的患儿进行了微信平台的营养指导。家长的心理评估结果显示,SDS 评分中位数(范围)为 43(34-59),7 位家长(6.5%)为抑郁;SAS 评分中位数(范围)为 41(32-58),12 位家长(11.1%)为轻度焦虑。
在 COVID-19 疫情期间,使用基于微信的远程医疗服务对接受先天性心脏手术的患儿的远程术后随访是有效的。提供基于微信的远程医疗服务可以减少这些患儿及其家庭的出行需求,有助于控制和预防 COVID-19 的传播。