Effect Evaluation Of Transitional Care Based On We Chat Platform On Patients With Retinal Detachment Surgery

Objective:To explore the continuation of care based on WeChat platform,to explore the effect of different ways of continuous nursing model on postoperative retinal patients,for the clinical nursing staff to improve postoperative retinal vision,reset the rate of reference to provide reference.Methods:To select 83 patients who were filled with vitreous and silicone oil/inert gas filling in a hospital in zhengzhou from January 2015 to January 2016,taking the random number table method is divided into intervention group(n = 42)and control group(n = 41).Among them,the patients in the control group were followed by telephone follow-up guidance,the contents of which are the same as those of the intervention group;On the basis of the control group,implementation of continuous care based on WeChat platform.Two groups of patients every 1 month,go to the hospital for review once,the results of each review were compared;care for 6 months,the two groups of patients to implement the relevant data collection,by specially trained researchers to patients and experts When the patient completes the questionnaire,the researcher collects the questionnaire and finds that there is a missing item and a logical error,and then the patient is re-filled until the audit is correct.The collected data were analyzed by SPSS 17.0 software.The data of the measurement data are expressed as the mean ± standard deviation(x ±s),the categorical variable data is expressed in frequency,the t-test is shown by t test;the independent sample t or x2 test is used for comparison;P≤0.05 is the difference statistically significant The The curative compliance of the two groups of patients,the retinal reattachment rate and the degree of health knowledge were evaluated.Results:1.Before and after the intervention,the two groups of patients in the 48 h before discharge the compliance rate was basically the same.However,with the passage of time,1 to 6 months when the intervention group compliance was increasing trend,the control group was declining trend.At 6 months,the differences of good and good rate of medication,good and good rate of body weight,good rate of diet compliance,and differences in compliance rate were statistically significant(P <0.01).2.The factors that affect the patient’s failure to comply with the doctor’s behavior include the difference in the degree of attention between the family and the patient,and the difference was significant(P <0.05).The main causes of nonunion were: neck muscle pain(26.51%),poor posture caused by the position can not persist(15.66%),insomnia(10.84%)and can not adapt to visual deprivation(8.43%).3.Six months later,39 patients(92.86%)had retinal reattachment in the intervention group and 29(37.73%)in the control group.There was significant difference between the two groups(P <0.05).4.Six months later,41 cases(97.62%)were grasped in the intervention group.The healthy knowledge of the control group had 33 cases(80.49%).The difference between the two groups was statistically significant(P <0.05).5.6 months after the surgery,in the intervention group there were 3 cases of high intraocular pressure,4 cases of cataract increased,2 cases of vitreous body hemorrhage,endophthalmitis did not appear.While in the control group there were 11 cases of high intraocular pressure,13 cases of cataract becomes heavier,9 cases of vitreous body hemorrhage,6 cases of endophthalmitis.The incidence of complications using the chi square test,the difference was statistically significant(P<0.05).6.After 6 months,the intervention group of 40 patients was satisfied,not satisfied with 2 cases,satisfaction rate was 95.23%;the control group of patients with 34 cases,7 cases was not satisfactory,the satisfaction rate was 82.93%.Compared the satisfaction rate of the intervention group and the control group,the difference was statistically significant(P<0.05).Conclusion:1.In the extended care of discharged patients,the family’s cooperation and the patient’s attention to treatment play an important role in compliance with compliance.2.The continuous care based on the microcomputer platform can increase the retinal reattachment rate,reasonable diet and health knowledge of discharged patients after retinal detachment.Patients can master some of the relevant care skills of the disease,can increase the ability of self-care,reduce and prevent the occurrence of complications,thereby promoting the early rehabilitation of the disease.