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微信远程健康教育改善非限制性室间隔缺损婴儿术前营养状况的效果:一项前瞻性随机对照研究。

Performance of remote health education via WeChat to improve the pre-operative nutritional status of infants with non-restrictive ventricular septal defects: A prospective randomised controlled study.

机构信息

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.

出版信息

J Paediatr Child Health. 2021 Oct;57(10):1666-1671. doi: 10.1111/jpc.15590. Epub 2021 May 31.

DOI:10.1111/jpc.15590
PMID:34057253
Abstract

AIM

This study aimed to explore the effect of performing remote health education via WeChat to improve the pre-operative nutritional status of non-restrictive ventricular septal defects (VSD).

METHODS

A prospective randomised controlled study was conducted in a provincial maternity and child hospital in China. Participants were randomised regarding education to the intervention group (WeChat) and the control group (leaflets). The nutritional status and complications of the patients were compared after intervening for 1 month.

RESULTS

Nutrient status comparison at 1 month after intervention showed that the body weight, head circumference, haemoglobin, albumin and pre-albumin of the WeChat group were significantly higher than those of the leaflet group (P < 0.05). The STRONGkids score of the WeChat group was significantly lower than that of the leaflet group (P < 0.05). The incidence of feeding intolerance and respiratory tract infection in the WeChat group was significantly lower than that found in the leaflet group (P < 0.05). There was no significant difference in the incidence of liver insufficiency and jaundice between the two groups (P > 0.05).

CONCLUSION

Providing pre-operative feeding and care guidance for parents of infants with non-restrictive VSD, via remote health education through WeChat, can effectively improve nutritional status and reduce the risk of malnutrition and feeding complications.

摘要

目的

本研究旨在探讨通过微信实施远程健康教育对改善非限制性室间隔缺损(VSD)患儿术前营养状况的效果。

方法

在中国一家省级妇幼保健院进行了一项前瞻性随机对照研究。根据教育方式将参与者随机分为干预组(微信组)和对照组(传单组)。干预 1 个月后比较两组患者的营养状况和并发症。

结果

干预 1 个月后营养状况比较显示,微信组的体重、头围、血红蛋白、白蛋白和前白蛋白均明显高于传单组(P<0.05)。微信组的 STRONGkids 评分明显低于传单组(P<0.05)。微信组喂养不耐受和呼吸道感染的发生率明显低于传单组(P<0.05)。两组肝功能不全和黄疸的发生率无明显差异(P>0.05)。

结论

通过微信为非限制性 VSD 婴儿的家长提供术前喂养和护理指导的远程健康教育,可以有效改善营养状况,降低营养不良和喂养并发症的风险。

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