Wang Jie, Qin Jie, Tung Tao-Hsin, Chen Jianping, Zheng Ningyu, Lu Lili, Jin Yingying
Emergency Department, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China.
Evidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China.
Front Med (Lausanne). 2022 Feb 3;8:833942. doi: 10.3389/fmed.2021.833942. eCollection 2021.
To explore the application and effect of "WeChat cloud service" in the emergency intensive care unit (EICU) in the context of an epidemic, we examined 774 patients admitted to an EICU between February 2020 and June 2021. Patients admitted from February 2020 to December 2020 were selected as the control group ( = 503) and those from January 2021 to June 2021 comprised the observation group ( = 271). There were no statistically significant differences in gender, age, disease, and length of stay in the EICU between the groups. The control group received the general (routine) daily service, such as communicating with families through in-person information transmission, and receiving self-provided drugs and daily supplies during the specified visiting time; the observation group received the "WeChat cloud service" providing the chance of communication, supplies, and payment through the platform at any time. We used a -test and χ2-test to analyse the incidence of delirium, labour costs, and patient and family satisfaction throughout ICU treatment for comparison. Results indicated that the observation group had lower labour costs, less incidence of delirium, and greater patient and family satisfaction than the control group. The "WeChat cloud service" was beneficial for preventing and controlling coronavirus disease 2019 during the epidemic and providing an improved patient experience.
为探讨“微信云服务”在疫情背景下急诊重症监护病房（EICU）中的应用及效果，我们对2020年2月至2021年6月期间收治于某EICU的774例患者进行了研究。将2020年2月至2020年12月收治的患者选为对照组（ = 503），2021年1月至2021年6月收治的患者作为观察组（ = 271）。两组患者在性别、年龄、疾病及EICU住院时间方面无统计学显著差异。对照组接受常规日常服务，如通过当面信息传递与家属沟通，在规定探视时间领取自备药品和日常用品；观察组接受“微信云服务”，可通过该平台随时进行沟通、获取物资及支付费用。我们采用t检验和χ²检验分析谵妄发生率、人工成本以及患者和家属在整个ICU治疗过程中的满意度以作比较。结果表明，观察组的人工成本更低，谵妄发生率更低，患者及家属满意度更高。“微信云服务”在疫情期间有利于防控新型冠状病毒肺炎，并能改善患者体验。
