张立娟 毕清泉

    [摘要] 目的 探讨使用微信群的干预性措施在泌尿外科术后留置双J管患者延续护理中的应用效果。 方法 选择2016年6月～2017年5月安徽医科大学第四附属医院泌尿外科术后放置双J管并带管出院的90例患者，根据随机数字表法将其分为观察组(45例)和对照组(45例)。对照组患者给予常规宣教指导，观察组患者在对照组的基础上使用微信群延续护理。置管结束后，比较两组患者院外留置双J管期间并发症发生率、护理满意度的差异。 结果 观察组患者的并发症发生率明显低于对照组，差异有统计学意义(P < 0.05)；对留置双J管相关知识、并发症的预防及对策的掌握程度、对延续护理宣教方式的满意度和总分均高于对照组，差异有统计学意义(P < 0.05)。 结论 微信群的使用能显著减少泌尿外科术后留置双J管并发症的发生，提高患者对护理的满意度，提高护理的质量。

    [关键词] 双J管；延续护理；术后；泌尿外科

    [中图分类号] R473.6 [文献标识码] A [文章编号] 1673-7210(2018)04(a)-0165-04

    [Abstract] Objective To explore the application effect of WeChat group in extended nursing in patients with Double J stents placement afer surgery. Methods From June 2016 to May 2017， in Department of Urology， Fourth Affiliated Hospital of Anhui Medical University， 90 patients with indwelling double J tube and discharged were selected， according to the random number table method， they were divided into observation group and control group， with 45 in each group. The control group received follow-up by regular health education and telephone， the observation group received extended care using WeChat group additionally. After the end of the catheter ......