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微信辅助健康教育和术前护理改善室间隔缺损患儿家长的心理状态。

WeChat-assisted health education and preoperative care improve the mental state of parents of children with ventricular septal defect.

机构信息

Department of Cardiac Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, China.

Department of Cardiac Surgery, Fujian Children's Hospital, Fuzhou, China.

出版信息

Psychol Health Med. 2022 Apr;27(4):948-955. doi: 10.1080/13548506.2021.1990360. Epub 2021 Oct 15.

Abstract

Many studies have shown that parents of children with congenital heart disease have more stress, anxiety and depression. This study was aimed to explore the effect of implementing WeChat-assisted health education and preoperative care on parents of children with the restrictive ventricular septal defect to improve the psychological state. A prospective randomized controlled study was conducted in a provincial hospital in China. Participants were randomly divided into an intervention group and a control group to explore the psychological state of parents of children with the restricted ventricular septal defect. Before surgery, the state-trait anxiety inventory scale score (STAI) of the WeChat group were 26.8 ± 8.2 and 27.3 ± 7.0, which were significantly higher than those of the leaflet group (37.6 ± 12.9 and 39.3 ± 11.7). Compared with the STAI score at the first visit, the WeChat group preoperative score was significantly lower (P < 0.05). The rate of loss to follow-up in the WeChat group (0%) was significantly lower than that of the leaflet group (14.3%). The complication of the leaflet group was significantly higher than that of the WeChat group. Health education and preoperative care for parents of children with restrictive ventricular septal defect through WeChat can effectively improve the parents' mental state and reduce the incidence of complications and the rate of loss to follow-up.

摘要

许多研究表明,先天性心脏病患儿的父母承受着更多的压力、焦虑和抑郁。本研究旨在探讨实施微信辅助健康教育和术前护理对改善限制性室间隔缺损患儿家长心理状态的影响。在中国的一家省级医院进行了一项前瞻性随机对照研究。参与者被随机分为干预组和对照组,以探讨限制性室间隔缺损患儿家长的心理状态。术前,微信组的状态-特质焦虑量表评分(STAI)为 26.8±8.2 和 27.3±7.0,明显高于传单组(37.6±12.9 和 39.3±11.7)。与首次就诊时的 STAI 评分相比,微信组术前评分明显降低(P<0.05)。微信组的失访率(0%)明显低于传单组(14.3%)。传单组的并发症发生率明显高于微信组。通过微信对限制性室间隔缺损患儿家长进行健康教育和术前护理,可有效改善家长的精神状态,降低并发症发生率和失访率。

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