微信对 COVID-19 大流行期间先心病术后儿童父母照顾负担、焦虑和抑郁的影响。
The Effect of WeChat on Parental Care Burden, Anxiety, and Depression in Children after CHD Surgery during COVID-19 Pandemic.
机构信息
Department of Cardiac Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, China.
Cardiac Surgery, Fujian Children's Hospital, Fuzhou, China.
出版信息
Appl Clin Inform. 2021 Aug;12(4):768-773. doi: 10.1055/s-0041-1733850. Epub 2021 Aug 18.
OBJECTIVES
This study aimed to explore the effect of applying WeChat in the follow-up and health education of children after congenital heart disease (CHD) surgery during the coronavirus disease 2019 (COVID-19) epidemic.
METHODS
Data from 135 children were retrospectively analyzed. The care burden, anxiety, depression, and satisfaction of the parents of patients at home were analyzed and compared.
RESULTS
One month after discharge, the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Zarit Burden Interview (ZBI), and Patient Satisfaction Questionnaire-18 scores of the WeChat follow-up group were significantly better than those of the outpatient follow-up group ( < 0.05). Compared with the discharge time, the SAS, SDS, and ZBI scores were significantly improved in the WeChat follow-up group but not in the outpatient follow-up group ( < 0.05).
CONCLUSION
During the COVID-19 epidemic, the application of WeChat to the follow-up management of children after CHD surgery can effectively reduce care burden and relieve anxiety and depression in parents at home. It can also improve the satisfaction of parents with medical treatment.
目的
本研究旨在探讨在 COVID-19 疫情期间，将微信应用于先心病（CHD）术后儿童随访及健康教育的效果。
方法
回顾性分析 135 例患儿资料，分析比较两组患儿家长居家照护负担、焦虑、抑郁及满意度。
结果
出院后 1 个月时，微信随访组的焦虑自评量表（SAS）、抑郁自评量表（SDS）、Zarit 负担量表（ZBI）和患者满意度问卷 18 项（PSQ-18）评分均显著优于门诊随访组（ < 0.05）；与出院时比较，微信随访组的 SAS、SDS 和 ZBI 评分均显著改善，但门诊随访组无明显变化（ < 0.05）。
结论
在 COVID-19 疫情期间，将微信应用于 CHD 术后儿童的随访管理中，可有效减轻居家照护负担，缓解家长的焦虑和抑郁情绪，提高家长对医疗服务的满意度。
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