微信远程健康教育在 Ponseti 法治疗先天性马蹄内翻足患儿中的应用及连续护理对患儿家长的影响：单中心回顾性研究。
Continuous nursing for infants with congenital talipes equinovarus undergoing Ponseti therapy and telehealth education for their parents via WeChat: a single center retrospective study.
机构信息
Department of Pediatric Orthopedics, Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.
Department of Pediatric Orthopedics, Fujian Children's Hospital (Fujian Branch of Shanghai Children' Medical Center), Fuzhou, China.
出版信息
Front Public Health. 2024 Jul 22;12:1399616. doi: 10.3389/fpubh.2024.1399616. eCollection 2024.
AIMS
This study aimed to evaluate the impact of continuous nursing and telehealth education via WeChat in infants with congenital talipes equinovarus (CTEV) undergoing Ponseti therapy on reducing complications, care burden, and improving the quality of life for parents.
METHODS
This is a single-center retrospective study. From July 2021 to December 2022, 44 CTEV children who undergoing Ponseti treatment in our hospital who received continuous nursing and telehealth education via WeChat (experimental group). In addition, during January 2020 to June 2021, 44 children with CTEV treated with Ponseti in our hospital who received routine nursing and traditional health education were selected as the control group. The incidence of complications, parental care burden and parental quality of life were compared between the two groups.
RESULTS
There was no significant difference in the demographic characteristics of patients and parents between the two groups, and the groups were comparable ( > 0.05). The incidence of complications including plaster loosens, plaster falling off, pressure ulcer was significantly lower in the intervention group compared to the control group ( < 0.05). Parents in the intervention group experienced significantly lower care burdens compared to those in the control group ( < 0.05). The quality of life of parents in the intervention group was significantly higher than that for the control group ( < 0.05). There were significant differences in the incidence of complications, the care burden of parents and the quality of life of parents between the two groups.
CONCLUSION
This study found that continuous nursing and telehealth education via WeChat group during Ponsetis treatment of children with CTEV can effectively reduce complications, reduce the care burden of parents and improve the quality of life of parents. This method is simple and convenient, especially worthy of application and promotion in medically underdeveloped areas.
目的
本研究旨在评估对接受潘塞提治疗的先天性马蹄内翻足（CTEV）婴儿进行连续护理和微信远程健康教育对减少并发症、减轻父母照顾负担和提高父母生活质量的影响。
方法
这是一项单中心回顾性研究。2021 年 7 月至 2022 年 12 月，我院收治的 44 例接受潘塞提治疗的 CTEV 患儿接受了微信连续护理和远程健康教育（实验组）。此外，2020 年 1 月至 2021 年 6 月，我院收治的 44 例接受潘塞提常规护理和传统健康教育的 CTEV 患儿作为对照组。比较两组患儿并发症发生率、父母照顾负担和父母生活质量。
结果
两组患儿及其父母的人口统计学特征差异无统计学意义，两组具有可比性（>0.05）。实验组并发症发生率（包括石膏松动、石膏脱落、压疮）明显低于对照组（<0.05）。实验组父母的照顾负担明显低于对照组（<0.05）。实验组父母的生活质量明显高于对照组（<0.05）。两组并发症发生率、父母照顾负担和父母生活质量均有显著差异。
结论
本研究发现，潘塞提治疗 CTEV 儿童期间的微信连续护理和远程健康教育可以有效降低并发症发生率，减轻父母照顾负担，提高父母生活质量。该方法简单方便，尤其值得在医疗欠发达地区应用和推广。
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