Fang Yuanyuan, Lu Libao, Teng Lingjing, Qiu Pingping
Fujian Children's Hospital, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou Province, China.
School of Nursing, Fujian Medical University, Fuzhou Province, China.
Medicine (Baltimore). 2025 Jul 25;104(30):e42714. doi: 10.1097/MD.0000000000042714.
This study aims to explore the application of a WeChat-based telemedicine collaborative care model for managing the full disease cycle of a child with Type I congenital vaginal atresia complicated by megacolon. Given the complexity of the condition, the need for multidisciplinary care, and challenges such as difficult access to follow-up, this model addresses critical gaps by providing continuous, convenient, and effective remote guidance.
A 13-year-old girl from the Shaxian area of Sanming City was admitted to the hospital with a diagnosis of Type I vaginal atresia and megacolon on July 9, 2023. The girl had experienced difficulty with bowel movements for the past 10 years and developed cyclical lower abdominal pain 6 months ago without any apparent cause. An abdominal and gynecological ultrasound at a local hospital revealed the absence of normal uterine, cervical, and vaginal structures.
In this case, we summarize the full-cycle management experience of 1 case of Type I vaginal atresia combined with megacolon.
Key nursing points include: forming a multidisciplinary collaborative care team, and implementing precise management throughout the process using a telemedicine model.
Preoperatively, gynecologists from external hospitals were consulted to develop preoperative treatment, care plans, and surgical strategies. Intraoperatively, enhanced cooperation among surgeons, anesthesiologists, and nurses ensured the smooth progress of the surgery. Postoperatively, the multidisciplinary team provided timely, effective, convenient, and cost-efficient management through real-time remote guidance based on the patient's condition. During home care, communication with multidisciplinary professionals was maintained via WeChat, establishing a telemedicine-based continuity of care plan.
This case highlights the effectiveness of a WeChat-based collaborative care model in the full-cycle management of a child with Type I vaginal atresia complicated by megacolon, providing convenient, professional, and continuous treatment and care with significant clinical benefits.
本研究旨在探索一种基于微信的远程医疗协作护理模式在I型先天性阴道闭锁合并巨结肠患儿全病程管理中的应用。鉴于病情复杂、需要多学科护理以及随访困难等挑战，该模式通过提供持续、便捷且有效的远程指导来填补关键空白。
一名来自三明市沙县地区的13岁女孩于2023年7月9日入院，诊断为I型阴道闭锁和巨结肠。该女孩在过去10年中排便困难，6个月前无明显诱因出现周期性下腹痛。当地医院的腹部及妇科超声检查显示未见正常子宫、宫颈和阴道结构。
在此病例中，我们总结了1例I型阴道闭锁合并巨结肠的全病程管理经验。
关键护理要点包括：组建多学科协作护理团队，并使用远程医疗模式在整个过程中实施精准管理。
术前，咨询外院妇科医生制定术前治疗、护理计划和手术策略。术中，外科医生、麻醉医生和护士加强协作，确保手术顺利进行。术后，多学科团队根据患者病情通过实时远程指导提供及时、有效、便捷且经济高效的管理。在居家护理期间，通过微信与多学科专业人员保持沟通，建立基于远程医疗的连续性护理计划。
本病例突出了基于微信的协作护理模式在I型阴道闭锁合并巨结肠患儿全病程管理中的有效性，提供了便捷、专业且持续的治疗和护理，具有显著的临床效益。
